dc.contributor.author | Mwirigi, Priscilla K | |
dc.date.accessioned | 2021-02-02T05:33:07Z | |
dc.date.available | 2021-02-02T05:33:07Z | |
dc.date.issued | 2020 | |
dc.identifier.uri | http://erepository.uonbi.ac.ke/handle/11295/154508 | |
dc.description.abstract | Background: Many nurses and doctors often experience ethical problems around decision
making at the end of life. Lack of guiding policies in the unit on how to deal with ethical issues
contributes to stress, tension, burnout, conflicts and feelings of guilt among the clinicians, which
contribute negatively to the health of the clinicians and care of the patient. It was necessary to
explore the experiences of nurses and doctors on these ethical challenges in end of life care so
that steps can be taken to help them cope positively.
Objective: To explore nurses' and doctors' experiences regarding ethical challenges in end of life
care in KNH CCU.
Methodology: This was a qualitative study utilizing a descriptive phenomenological approach.
Nurses and doctors working in KNH CCU during the study period and were willing to
participate by giving informed consent, were interviewed. Purposeful sampling method was used
to recruit eighteen participants who were interviewed until data saturation. An audio recording
was used to store data from interviews. Data collection took three weeks. Data analysis was
guided by transcendental phenomenological data analysis process using N-VIVO software.
Clustering of themes took place where the researcher clustered themes that were common from
the study findings.
Results: There were five major themes identified: Definition of ethical challenges, Encounter of
ethical challenges; Experience on decisions in end of life care and decisions arrived at when
faced by an ethical challenge.
Conclusions: Ethical challenges are a reality at KNH CCU. The nurses and doctors providing
care at KNH CCU find themselves in a dilemma when faced with ethical challenges.
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Recommendations: An ethical committee from KNH mandated to handle ethical challenges should
be set up. Need for guidelines, protocols or policies documenting exactly what should be done
should a health care provider encounter ethical challenges. | en_US |
dc.language.iso | en | en_US |
dc.publisher | University of Nairobi | en_US |
dc.rights | Attribution-NonCommercial-NoDerivs 3.0 United States | * |
dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/3.0/us/ | * |
dc.subject | Doctors' and Nurses' Experiences of Ethical Challenges | en_US |
dc.title | Doctors' and Nurses' Experiences of Ethical Challenges in End of Life Decisions in Critical Care Unit at Kenyatta National Hospital | en_US |
dc.type | Thesis | en_US |
dc.description.department | a
Department of Psychiatry, University of Nairobi, ; bDepartment of Mental Health, School of Medicine,
Moi University, Eldoret, Kenya | |