Decision to withdraw life- sustaining treatments : the experience of Thai family caregivers

Article indépendant

NILMANAT, Kittikorn | SAE-CHIT, Kalaya | THAMMACHOTE, Pruksaporn

End-of-life decision-making is a complex process and more challenging when decisions are made for others. Little is known about Thai family members' involvement in decision-making to withdraw life-sustaining treatments (LSTs) from loved ones with serious illnesses. This qualitative study explores the experiences of family caregivers in Southern Thailand regarding decisions related to LST withdrawal. In-depth interviews were used to gather data from fifteen primary caregivers, who were involved in LST withdrawal decision-making. Content analysis was applied, and several techniques, such as member-checking and peer debriefing, were used to enhance trustworthiness. Four main themes were identified: facing dilemmas, weighing up options, making a consensual decision, and accepting the reality of life. The findings pointed out the significant roles played by family meetings and early end-of-life discussion in the process of decision-making to withdraw LSTs from loved ones. Further research on communication among patients' family members and health care providers is recommended.

http://dx.doi.org/10.1177/10497323221116796

Voir la revue «Qualitative health research, 32»

Autres numéros de la revue «Qualitative health research»

Consulter en ligne

Suggestions

Du même auteur

Decision to withdraw life- sustaining treatme...

Article | NILMANAT, Kittikorn | Qualitative health research | n°11 | vol.32

End-of-life decision-making is a complex process and more challenging when decisions are made for others. Little is known about Thai family members' involvement in decision-making to withdraw life-sustaining treatments (LSTs) from...

Decision to withdraw life- sustaining treatme...

Article indépendant | NILMANAT, Kittikorn | Qualitative health research | n°11 | vol.32

End-of-life decision-making is a complex process and more challenging when decisions are made for others. Little is known about Thai family members' involvement in decision-making to withdraw life-sustaining treatments (LSTs) from...

Palliative care nursing competence of Chinese...

Article indépendant | SHEN, Yuhan | JOURNAL OF HOSPICE AND PALLIATIVE NURSING | n°5 | vol.21

In China, the development of palliative care is challenging because of limited available resources and rapidly increasing demands. The nurses' competence is a significant element in providing high-quality palliative care. This cro...

De la même série

Relatives' experiences of being involved in a...

Article indépendant | BOVEN, Charlotte | Qualitative health research | n°13 | vol.33

Recent literature demonstrates an interdependence between relatives and healthcare providers throughout euthanasia processes. Yet, current guidelines and literature scarcely specify the interactions between healthcare providers an...

Decision to withdraw life- sustaining treatme...

Article indépendant | NILMANAT, Kittikorn | Qualitative health research | n°11 | vol.32

End-of-life decision-making is a complex process and more challenging when decisions are made for others. Little is known about Thai family members' involvement in decision-making to withdraw life-sustaining treatments (LSTs) from...

Control measures for continuous deep sedation...

Article indépendant | VISSERS, Stijn | Qualitative health research | n°13 | vol.31

Physicians have been subject to increasing external control to improve their medical practice, and scholars have theorized extensively about their opposition to such control. However, little empirical attention has been paid to th...

Toward hospital implementation of advance car...

Article indépendant | VANDERHAEGHEN, Birgit | Qualitative health research | n°3 | vol.28

In Belgium, Advance Care Planning (ACP) is not well implemented in hospital practice. One of the premises for successful implementation is involving the adopters in the implementation process. In hospital, important adopters of AC...

Cultivating compassion : the practice experie...

Article indépendant | BEUTHIN, Rosanne | Qualitative health research | n°11 | vol.28

Accessing medical assistance in dying (MAiD) became legal in Canada in June, 2016. This marks a unique time in our history, as eligible persons can now opt for an assisted death and health care professionals can be involved withou...

Chargement des enrichissements...