Nurses'perceptions of normative and nonnormative clinical codes for critically ill patients.
This is a study of the treatment of patients who are in severe medical distress.
A code refers to the designation that stands for the range of treatments that the patient will be given.
Code blue involves the full range of medical treatment to prevent death.
No code involves denial of life-extending treatments.
Previous research has documented that social factors are related to the treatment of terminally ill patients.
This study uses interviews with registered nurses and secondary sources to address the nature of patient codes (their location in the hospital, the perceptions of nurses relative to these codes, the interaction among health care professions relative to codes, etc.). It is suggested that there are normative (code blue) and nonnormative (slow code) codes given to these patients.
The normative practices are outlined.
Then some social, psychological, and medical factors that conflict with these normative codes are addressed (e.g., the physician's view of death as a failure).
Finally, the non-normative practice of slow code is analyzed.
In the slow code, the medical staff goes through the rituals of a code blue, but in a deliberate manner.
Nurses'perceptions of nonnormative codes are explored.
Some alternatives to the use of slow codes are discussed.
Mots-clés Pascal : Attitude, Infirmier, Stade terminal, Soin palliatif, Homme
Mots-clés Pascal anglais : Attitude, Nurse, Terminal stage, Palliative care, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0007104
Code Inist : 002B30A05. Création : 01/03/1996.