Table 4

Examples of inconsistency in withdrawal decisions

Questions relating to inconsistency in the withdrawal processUnits (yes answer)
Withdrawal of care appears premature?7
There is inconsistency in withdrawal decisions for patients with similar pathologies for example chronic obstructive pulmonary disease?9
Withdrawal of care takes place for the purpose of creating bed availability?1
Access to beds is denied due to inappropriate delay in withdrawal of support?8
Family pressure to maintain support influences decisions?11
Family pressure to withdraw support influences decisions?10
Decisions are made on arbitrary quality of life (QOL) judgments?9
Active treatment is continued despite nursing perception of futility?11