Objectives: The aim of this study is to bring out the experience of health workers in the palliative care center about resuscitation (CPR) applied in the palliative care. Materials and Methods: This study is a descriptive qualitative study which is designed phenomenologically. Purposive sampling method is used for the study. The interviews were conducted with six doctors and four nurses, who accept to interview, by semi-structured interviews. Then, these interviews were transcripted. Thematic analysis was used for analyzing the data obtained from these transcripts. Results: With increasing number of palliative care centers, end-of-life patients who got served by those centers significantly increased as well. In palliative care centers, the aim is neither to hasten or postpone death. Applying CPR to the patient, who takes end-of-life care, leads ethical dilemma and legal issues. Despite this dilemma and issues, health workers continue to apply CPR. Four sub-themes which causes this issue were described. These sub-themes are as follows: "I know my patient's condition, However…”, “I empathize. However…”, “I am afraid of the patient's relatives”, “I am afraid of the shortcoming in legal regulations.”. The main theme consists of these sub-themes is "I do not feel safe". Conclusion: The main problem according to the findings of the study is, even though health workers think CPR should not be applied to the patient who takes end-of-life care, they had to apply CPR because they do not feel safe themselves. This situation leads both legal and ethical discussions. Moreover, it causes ethical dilemma. The services which will be provided to the patients, who take end-of-life care in palliative care centers, should be determined with palliative care service guidance and the coverage and content of these services should be shared with health employees and citizens. There is a need for legal and ethical regulations on CPR applications for the patients taking end-of-life care.
Objectives: The aim of this study is to bring out the experience of health workers in the palliative care center about resuscitation (CPR) applied in the palliative care. Materials and Methods: This study is a descriptive qualitative study which is designed phenomenologically. Purposive sampling method is used for the study. The interviews were conducted with six doctors and four nurses, who accept to interview, by semi-structured interviews. Then these interviews were transcripted. Thematic analysis was used to analyze the data obtained from these transcripts. Results: With increasing number of palliative care centers, end-of-life patients who got served by those centers significantly increased as well. In palliative care centers, the goal is neither to sick or postpone death. Applying CPR to the patient, who takes end-of-life care, leads ethical dilemma and legal issues. Despite this dilemma and issues, health workers continue to apply CPR. Four sub-themes that cause this issue were described. These sub-themes are as follows: "I know my patient's condition, However...", "I empathize. However...”, “I am afraid of the patient’s relatives”, “I am afraid of the shortcoming in legal regulations.” The main theme consists of these sub-themes is "I do not feel safe". Conclusion: The main problem according to the findings of the study is, even though health workers think CPR should not be applied to the patient who takes end-of-life care, they had to apply CPR because they don’t feel safe themselves. This situation leads both legal and ethical discussions. Moreover, it causes ethical dilemma. The services that will be provided to the patients, who take end-of-life care in palliative care centers, should be determined with palliative care service guidance and the coverage and content of these services should be shared with health workers and citizens. There is a need for legal and ethical regulations on CPR applications for the patients taking end-of-life care.
Alan : Sağlık Bilimleri
Dergi Türü : Uluslararası
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