This study was aimed at determining intensive care nurses’ perceptions of futile treatment and good death. In the study, 136 nurses working in intensive care units were included. The data of the study were collected with the “Nurse Information Form”, “Nurses’ Attitudes towards Futile Treatment Scale” and “Good Death Scale”. Frequency, descriptive statistics, Independent Samples-t test, “ANOVA” test, “Spearman” correlation coefficient were used to interpret the findings. The mean scores from the overall Nurses’ Attitudes towards Futile Treatment Scale and Good Death Scale score were 48.48 ± 9.26 and 54.46 ± 7.80, respectively. There was a significant relationship between their education levels and the mean scores they obtained from the overall Good Death Scale. There was a positive significant relationship between the scores obtained from each scale and their dimensions. It was concluded that the nurses could accept futile practices in line with certain principles that their perception of good death was at a good level.
AlıncakG.AcavutG.SoyaslanB. D.ve ZenginH. (2022). Nurses' views on palliative care and death: A qualitative study. University of Health Sciences Journal of Nursing, 4(2), 69–76. https://doi.org/10.48071/sbuhemsirelik.1125775
2.
BegjaniJ.DizajiN. N.MirlashariJ.DehghanK. (2022). Moral distress and perception of futile care among nurses of neonatal care units. Indian Journal of Palliative Care, 828(3), 301–307. https://doi.org/10.25259/IJPC_134_2021
3.
Bioethics Terms Dictionary. (2005). Oğuz, Y., Tepe, H., Örnek Büken, N., & Kırımsoy Kucur, D. Türkiye Felsefe Kurumu Yayınları. Metaksan AŞ (pp. 38–40). Türkiye Felsefe Kurumu.
4.
BorhaniF.MohammadiS.RoshanzadehM. (2015). Moral distress and perception of futile care in intensive care nurses. Journal of Medical Ethics and History of Medicine, 8(2), 1–7.
5.
CarvalhoK. K.LunardiV. L. (2009). Therapeutic futility as an ethical issue: Intensive care unit nurses. Revista Latino-Americana de Enfermagem, 17(3), 308–313. https://doi.org/10.1590/s0104-11692009000300005
6.
ÇevikB.AyıkE.AytekH.ÖzçelikE.SarıG.&ÜnlüE. (2021). Opinions of nursing students about the good death. BAUN Health Sci J, 10(2), 166–172. https://doi.org/10.53424/balikesirsbd.831760
7.
ÇevikB.KavS. (2013). Attitudes and experiences of nurses toward death and caring for dying patients in Turkey. Cancer Nursing, 36(6), 58-65. https://doi.org/10.1097/NCC.0b013e318276924c
8.
ChoiH. R.HoM.-H.LinC.-C. (2024). Futile life-sustaining treatment in the intensive care unit – nurse and physician experiences: Metasynthesis. BMJ Supportive & Palliative Care, 14(1), 36–46. https://doi.org/10.1136/spcare-2023-004640
9.
CottrellL.DugglebyW. (2016). The “good death”: An integrative literature review. Palliative & Supportive Care, 14(6), 686–712. https://doi.org/10.1017/S1478951515001285
10.
DağA.BadırA. (2017). The effects of certain characteristics of physicians and nurses on attitudes related to principles about dying with dignity. DEUHFED, 10(4), 186–192.
11.
DampsM.GajdaM.StołtnyL.KowalskaM.Kucewicz-CzechE. (2022). Limiting futile therapy as part of end-of-life care in intensive care units. Anaesthesiology Intensive Therapy, 54(3), 279–284. https://doi.org/10.5114/ait.2022.119124
12.
Durmuş İskenderM. (2018). Futıle Treatment and effects on intensive care nursing. Medical Journal, 25(3), 437–440. https://doi.org/10.5505/vtd.2018.16056
13.
Eşerİ.ÇetinP.OrkunN. (2018). Intensive care nurses’ opinions of futile treatment and its administration. Journal of Ege University Nursing Faculty, 34(1), 79–90.
14.
FadıloğluÇ.AksuT. (2013). Validity and reliability of good death scale. Ege Üniversitesi Hemşirelik Fakültesi Dergisi, 29, 1–15.
15.
HafifahI.WisesrithW.Ua-KitN. (2025). Factors associated with good death for end-of-life patients in the intensive care unit based on nurses’ perspectives: A systematic review. Intensive and Critical Care Nursing, 87, 103930. https://doi.org/10.1016/j.iccn.2024.103930
16.
KokuF.AteşM. (2016). Experience and attitude toward death in nurses who give terminal stage patient care. Journal of Health and Nursing Management, 2(3), 96–104.
KöseS.İnal TunalıB.YıldırımG. (2019). Attıtudes regardıng respectable death prıncıples among ıntensıve care physıcıans and nurses. Journal of Intensive Care Nursing, 23(1), 9–17.
19.
KrikorianA.MaldonadoC.PastranaT. (2020). Patient’s perspectives on the notion of a good death: A systematic review of the literature. Journal of Pain and Symptom Management, 59(1), 152e–164. https://doi.org/10.1016/j.jpainsymman.2019.07.033
20.
MenekliT.DoluS.ÇoşkunÖ.TorunM. (2021). Opinions of palliative care patients, relatives and nurses on good death. Journal of Anatolia Nursing and Health Sciences, 24(1), 84–94. https://doi.org/10.17049/ataunihem.775855
21.
MoaddabyS.AdibM.AshrafiS.Kazemnezhad LeiliE. (2021). Perception of the futile care and ıts relationship with moral distress in nurses of ıntensive care units. Journal of Holistic Nursing And Midwifery, 31(2), 85–92. https://doi.org/10.32598/jhnm.31.2.2119
22.
Örnek BükenN. (2016). Clinical etical decision-making process at the end of life and some determinants factors. J Med Ethics Law Hist-Special Topics, 2(3), 24–33.
23.
ÖzdenD.KaragözoğluŞ.YıldırımG.TabakE. (2013). Opinions of intensive care professionals about futile treatment. Journal of Research and Development in Nursing, 15(2), 42–55.
24.
PooladgarP.BazmiS. (2021). Dealing with futile treatments based on the humanistic approach. Journal of Medical Education, 20(1), e111595. https://doi.org/10.5812/jme.111595
25.
RezaieA.MolayiF.ShaafiM. S.Ghanbari GhalesarM. (2024). Nurses’ perception of futile care: A narrative review. J Nurs Adv Clin Sci. https://doi.org/10.32598/JNACS.2411.1078
Serra-SuttonV.Ferna´ndez-GinerL.EspallarguesM.Garcı´a-AltèsA.Barbero-BiedmaE.Busquets-FontJ. M.CantarellG.Carreras-MarcosB.Costas-MuñozE.Delagneau-Gonza´lezJ.Lasmarı´as-Martı´nezC. A. A.QannetaR.Sa´nchez-MartorellA.Santaeugènia- Gonza´lezS.SellesE. (2024). Defining a good death: Perspectives of patients, relatives, and health care professionals in the Catalan context—a qualitative study. PLoS One, 19(11), e0312426. https://doi.org/10.1371/journal.pone.0312426
28.
Sert KasımD.OflazF. (2023). Moral distress and intention to leave job with the attitudes towards futile treatments in nurses: A cross-sectional study. CURARE - Journal of Nursing, 3, 9–16. https://doi.org/10.26650/CURARE.2023.1348106
29.
Soyanıt EraslanŞ.MumcuN. (2023). Nursing care in the process of good death and grief in palliative care. Journal of General Health Sciences, 76(1), 77-87. https://doi.org/10.51123/jgehes.2023
30.
Türkben PolatH. (2024). Nurses’ perceptions on good death and their attitudes towards the care of dying ındividuals. Omega, 90(1), 158–170. https://doi.org/10.1177/00302228221100638
31.
UğurÖ.FadıloğluÇ. (2021). Good death and configuration. Balıkesir Health Sciences Journal, 10(1), 55–62.
32.
WattsT. (2012). End-of-life care pathways as tools to promote and support a good death: A critical commentary. European Journal of Cancer Care, 21(1), 20–30. https://doi.org/10.1111/j.1365-2354.2011.01301.x
33.
YekefallahL.AshktorabT.ManoochehriH.&HamidA. M. (2015). Nurses’ experiences of futile care at ıntensive care units: A phenomenological study. Global Journal of Health Science, 7(4), 235–242. https://doi.org/10.5539/gjhs.v7n4p235
34.
YekefallahL.AshktorabT.ManoochehriH.MajdH. A. (2018). Dimensions of futility at the end of life: Nurses’ experiences in ıntensive care units. International Journal of Epidemiologic Research, 5(1), 14–18. https://doi.org/10.15171/ijer.2018.04
35.
YıldırımG.IşıkM. T.Öner YalçınS. (2023). Relationship between physician’s and nurses’ attitudes towards futile treatment and their approach to death and terminally ill patients. OMEGA—Journal of Death and Dying, 0(0), 1–20. https://doi.org/10.1177/00302228231153712
36.
YıldırımG.KaragözogluŞ.OzdenD.CınarZ.ÖzverenH. (2019). A scale-development study: Exploration of intensive-care nurses’ attitudes towards futile treatments. Death Studies, 43(6), 397–405. https://doi.org/10.1080/07481187.2018.1479470
37.
YıldızM.ÇelikD.ÇakırM.SavaşırT. D. (2021). The attitudes of physicians and nurses working in the intensive care unit and palliative care unit towards good death and respectable death principles. J Med Palliat Care, 2(3), 77–85. https://doi.org/10.47582/jompac.954029
38.
YılmazE.VermişliS. (2015). Yoğun bakımda çalışan hemşirelerin ölüme ve ölmekte olan bireye bakım vermeye ilişkin tutumları. CBU-SBED, 2(2), 41–46.
39.
YorulmazD. S.KaradenizH. (2020). Nursing care in terminal period and good death. Journal of Intensive Care Nursing, 24(2), 134–138.
40.
ZareiF.DehghanM.ShahrbabakiP. M. (2025). The relationship between perception of good death with clinical competence of end-of-life care in critical care nurses. OMEGA - Journal of Death and Dying, 91(1), 401–417. https://doi.org/10.1177/00302228221134721
41.
Zorba BahçeliP.ÇınarD.Kılıç AkçaN. (2022a). Good death perception in end-of-life care: Nursing students experience. DEUHFED, 15(3), 270–278. https://doi.org/10.46483/deuhfed.987622
42.
Zorba BahçeliP.ÇınarD.Kılıç AkçaN. (2022b). The concept of “good death” among caregivers: A systematic review. GUJHS, 11(1), 327–338.
