| خلاصه مقاله | Abstract
Background and Aim: Futile care is a set of actions with no reasonable chance of benefiting
critically ill patients, which may place an unbearable strain on nurses in intensive care units (ICUs),
thereby affecting patient safety. Therefore, the present study was conducted with the aim of
Evaluation of intensive care unit nurses' futile care perception in COVID-19 patients
and its relationship with nursing performance.
Materials and methods: This descriptive-cross-sectional study was conducted on 251 nurses
working in COVID-19 ICUs at teaching hospitals of Tabriz University of Medical Sciences, Iran,
in 2021. The nurses were recruited with the stratified random sampling method by considering
inclusion and exclusion criteria. The data collection tools included questionnaires for demographic
information, futile care, resilience assessment, and turnover intention. Collected data were
analyzed using SPSS v26 software.
Results: A high average level (64.78 ± 9.98) of futile care perception was found in the studied
nurses, and their average levels of turnover intention (36.4 ± 5.1) and resilience (65.5 ± 14.1) were
evaluated at a moderate level. A significant and inverse relationship was observed between futile
care perception and resilience (P = 0.047, rs= -0.077). There was a significant and positive
relationship between futile care perception and turnover intention (P = 0.026, rs = 0.151). The
resilience and turnover intention variables were correlated inversely and significantly (rs = -0.158,
P = 0.014).
Conclusion: According to the results, the adoption of necessary strategies and policies by
managers can guide the path of nursing care from useless care to useful care and provide patient
safety as an indisputable right of every individual. Considering the significant relationship between
resilience and the intention to leave the service, it is suggested to teach strategies to increase
resilience in the training program of nurses. |