Patient and Family Perspectives on Decision-Making During Mechanical Ventilation Withdrawal: Exploring Emotional and Ethical Considerations

Authors: Salem A. Alshahrani, Omar A. Alzumai, Hashem F. Alsamannoudi, Mohammed A. Al Mesned

DOI: https://doi.org/10.5281/zenodo.13254083

Short DOI: https://doi.org/gt6b55

Country: Saudi Arabia

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Abstract: Abstract:
Objective: This study aims to explore the perspectives of patients and families on decision-making during mechanical ventilation withdrawal, focusing on emotional, ethical, and cultural considerations.

Methods: A qualitative approach was employed, involving semi-structured interviews with 20 family members and 10 patients, alongside two focus groups comprising healthcare workers and family members. Data were analyzed using thematic analysis to identify key themes and sub-themes.

Findings: The study identified three primary themes: emotional impact, ethical dilemmas, and communication and support. Families experienced significant emotional distress, characterized by feelings of guilt, grief, and uncertainty. Ethical considerations centered on respecting patient autonomy and balancing benefits and burdens. Effective communication and emotional support from healthcare providers were crucial in aiding families during the decision-making process. Cultural and religious beliefs played a significant role in shaping decisions.

Conclusion: The decision to withdraw mechanical ventilation involves complex emotional and ethical considerations, heavily influenced by cultural and religious contexts. Healthcare providers must enhance their communication strategies and offer robust emotional and ethical support to families. Understanding these perspectives can lead to better end-of-life care practices.

Keywords: Mechanical Ventilation Withdrawal, Decision-Making, Emotional Impact, Ethical Considerations, Communication, Cultural Influences, Religious Beliefs, Family Perspectives, End-of-Life Care, ICU.

Paper Id: 230826

Published On: 2018-03-01

Published In: Volume 6, Issue 2, March-April 2018

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