+ Site Statistics
+ Search Articles
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ PDF Full Text
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Translate
+ Recently Requested

Delayed clarification: information, clarification and ethical decisions in critical care in Norway

Delayed clarification: information, clarification and ethical decisions in critical care in Norway

Journal of Advanced Nursing 32(6): 1485-1491

Following the analysis of about 150 hours of field observation on a critical care unit in Norway a theory was generated to explain the actual ethical decision-making process. This was grounded in the empirical reality of physicians, nurses and family. The core theme in this study was a delayed clarification in assessing the prognosis of accident victims with neurosurgical traumas. The physicians, nurses and family had to wait for the clinical picture to clarify, during which time there was an exchange and emergence of information. Exchanging information, a subprocess to delayed clarification, involved a continuous flow of collecting and dispersing information about the clinical status of the patient. The nurses engaged in two useful strategies: grading information to family when the patient prognosis was poor, and providing grieving strategies for themselves, colleagues and family members. The core variable, delayed clarification has three dimensions: clinical, psychological and ethical. The nurses participated in the decision-making process to discontinue treatment as passive participants, they did not engage in collegial deliberations with the physicians. Ethical dilemmas were end of life questions, resource allocations, and questions of justice and organ transplants.

(PDF emailed within 1 workday: $29.90)

Accession: 045718598

Download citation: RISBibTeXText

PMID: 11136417

Related references

Processes underlying parental care decisions and creching behaviour: clarification of hypotheses. Annales Zoologici Fennici. 15 June; 362: 125-128, 1999

Clarification of Critical Care Ultrasonography Certification. Journal of Cardiothoracic and Vascular Anesthesia 32(5): E4, 2018

On the origin of critical care units: a clarification. Anesthesiology 103(6): 1317; Author Reply 1317, 2005

Critical incident technique: a clarification : INDICATORS OF QUALITY OF CARE. Journal of Advanced Nursing 18(12): 2020-2022, 1993

Policy on 180-day marketing exclusivity for drugs marketed under abbreviated new drug applications; clarification--FDA. Clarification. Federal Register 62(229): 63268-9, 1997

Clarification of suspensions: a study of particle deposition in granular media: Part IIA theory of clarification. Chemical Engineering Science 20(10): 875-888, 1965

Pectic enzymes in the clarification of apple juice. I. Study on the clarification reaction in a simplified model. Agr Biol Chem 28(11): 779-787, 1964

Minimizing energy in clarification plants and environment related treatment and removal of clarification sludge and waste. 1981

Pectic enzymes in the clarification of apple juice. II. The mechanism of clarification. Agr Biol Chem 31(5): 552-560, 1967

Burn-out in anesthesia and intensive care medicine. Part 1. Clarification and critical evaluation of the term. Der Anaesthesist 60(1): 23-30, 2011

Experiments for developing selective clarification techniques: Sterol and fatty acid loss from grape must related to clarification technique. Journal of Wine Research 8(3): 187-197, 1997

Divergently Seeking Clarification: The Emergence of Clarification Interaction. Topics in Cognitive Science 10(2): 335-366, 2018

The effect of a value clarification program on value clarification in juvenile delinquents. Taehan Kanho Hakhoe Chi 35(7): 1201-1209, 2006

Synthesis of flocculant aids for cane sugar juice clarification: Part II - Dependence of clarification efficiency on intrinsic viscosity of cationic homopolymer. Zuckerindustrie 126(4): 259-263, 2001

Reduced clarification factor and clarification factor X clarification efficiency. Indian sugar: 26 (11) 747-751, 1977