Muslim nurses' lived experience in involvement at the End of Life decision making in intensive Care Unit

Abstract

This study aimed to describe the meaning of Muslim nurses' lived experience in involvement at the End of Life (EOL) decision making in Intensive Care Unit (ICU). Hermeneutic phenomenological study was used. Fourteen nurses who work in an ICU in Indonesia met the inclusion criteria: being Muslim nurse and have been working in ICU for at least three years. Data were collected using in-depth individual interview. Interview transcriptions were analyzed by using van Manen's approach. Trustworthiness was established following Lincoln and Guba's criteria. This study found eleven thematic categories and were reflected within four lifeworlds of body, time, relation, and space. Lived body consisted of three thematic categories; *feeling of dilemma', 'feeling spiritual distress', and 'feeling powerless'. Lived time included of themes 'being in uncertain time' and 'continuous time of caring'. Lived relation were revealed in four thematic categories; 'receiving overwhelming role', 'valuing competency in communication with the family', *understanding the family's feeling', and 'being a supporter for the family'. Lived space included 'respecting privacy' and 'evading the process'. The findings of this study provide understanding the lived experience of Muslim nurses in involvement at the end of life decision making in an ICU. These findings can be used to suggest nursing administrators of the hospital to support policies toward education and training regarding EOL decision making in ICU.