Ethical content of expert recommendations for end-of-life decision-making in intensive care units: A systematic review

Scientific paper - Original scientific paper

• Author: Diana Špoljar
• Author: Marko Ćurković
• Author: Chris Gastmans
• Author: Bert Gordijn
• Author: Dina Vrkić https://orcid.org/0000-0003-1872-4229
• Author: Ana Jozepović
• Author: Suzana Vuletić
• Author: Dinko Tonković
• Author: Ana Borovečki
• Author's institution: University of Zagreb; School of Medicine; (Department of Anaesthesiology, Resuscitation and Intensive Care in Surgical Specialities)
• Author's institution: University of Zagreb; School of Medicine; (Department of Social Medicine and Health Care Organization)
• Author's institution: University of Zagreb; School of Medicine; Central medical library
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Clinical Medical Sciences; Anesthesiology and Reanimatology
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Public Health and Health Care; Social Medicine
• Scientific / art field, discipline and subdiscipline: SOCIAL SCIENCES; Information and Communication Sciences; Library Science

Abstract (english)

Purpose: Intensive care unit health care professionals must be skilled in providing end-of-life care. Crucial in this kind of care is end-of-life decision-making, which is a complex process involving a variety of stakeholders and requiring adequate justification. The aim of this systematic review is to analyse papers tackling ethical issues in relation to end-of-life decision-making in intensive care units. It explores the ethical positions, arguments and principles.
-----
Methods: A literature search was conducted in bibliographic databases and grey literature sources for the time period from 1990 to 2019. The constant comparative method was used for qualitative analysis of included papers in order to identify ethical content including ethical positions, ethical arguments, and ethical principles used in decision-making process.
-----
Results: In the 15 included papers we have identified a total of 43 ethical positions. Ten positions were identified as substantive, 33 as procedural. Twelve different ethical principles emerged from the ethical arguments. The most frequently used principles are the principles of beneficence, autonomy and nonmaleficence.
-----
Conclusions: We have demonstrated that recommendations and guidelines designed specifically by intensive or critical care experts for intensive care units promote similar ethical positions, with minimal dissenting positions.

• Keywords (english): Critical Illness*; Decision Making / ethics*; Expert Testimony; Humans; Intensive Care Units; Terminal Care / ethics*
• Language: english
• Publication type: Scientific paper - Original scientific paper
• Publication status: Published
• Peer review: Peer review
• Publication version: Accepted version
• Journal title: Journal of Critical Care
• Numbering: vol. 58, pp. 10-19
• p-ISSN: 0883-9441
• e-ISSN: 1557-8615
• DOI: https://doi.org/10.1016/j.jcrc.2020.03.010
• URN:NBN: urn:nbn:hr:105:441387
• Publication: 2020-08
• Project: Number: IP-2016-06-2721; Title (croatian): Vrijednosti i odluke na kraju života; Acronym: VAL-DE-END; Leader: Ana Borovečki; Jurisdiction: Croatia; Funding stream: IP
• Document URL: https://linkinghub.elsevier.com/retrieve/pii/S0883944120305414
• Type of resource: Text
• Access conditions: Open access
• Created on: 2022-02-04 09:48:44