1149 Conﬂict of interest interest. References University Hospital of Northern Norway, The Norwegian Nurses Organization, and The Research Council of Norway. Open Access This article is distributed under the terms of the Cre- ative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, The authors state that there are no conﬂicts of provided the original author(s) and source are credited. 1. Cohen S, Sprung C, Sjokvist P, Lippert 10. Azoulay E, Pochard F, Chevret S, 17. Halvorsen K, Forde R, Nortvedt P A, Ricou B, Baras M, Hovilehto S, Jourdain M, Bornstain C, Wernet A, (2009) Value choices and Maia P, Phelan D, Reinhart K, Werdan Cattaneo I, Annane D, Brun F, Bollaert considerations when limiting intensive K, Bulow HH, Woodcock T (2005) PE, Zahar JR, Goldgran-Toledano D, care treatment: a qualitative study. Acta Communication of end-of-life decisions Adrie C, Joly LM, Tayoro J, Desmettre Anaesthesiol Scand 53:10–17 in European intensive care units. T, Pigne E, Parrot A, Sanchez O, 18. Bunch EH (2000) Delayed clariﬁcation: Intensive Care Med 31:1215–1221 Poisson C, Le Gall JR, Schlemmer B, information, clariﬁcation and ethical 2. Norwegian legislation: the patients’ Lemaire F (2002) Impact of a family decisions in critical care in Norway. rights act (1999) Available at information leaﬂet on effectiveness of J Adv Nurs 32:1485–1491 http://www.ub.uio.no/ujur/ulovdata/ information provided to family 19. Tallgren M, Klepstad P, Petersson J, lov-19990702-063-eng.pdf. Accessed members of intensive care unit patients: Skram U, Hynninen M (2005) Ethical Nov 29, 2010 a multicenter, prospective, randomized, issues in intensive care––a survey 3. Ferrand E, Robert R, Ingrand P, controlled trial. Am J Respir Crit Care among Scandinavian intensivists. Acta Lemaire F, French LATAREA Group Med 165:438–442 Anaesthesiol Scand 49:1092–1100 (2001) Withholding and withdrawal of 11. Abbott KH, Sago JG, Breen CM, 20. Charmaz K (2006) Constructing life support in intensive-care units in Abernethy AP, Tulsky JA (2001) grounded theory: a practical guide France: a prospective survey. French Families looking back: 1 year after through qualitative analysis. Sage, LATAREA Group. Lancet 357:9–14 discussion of withdrawal or London 4. Moselli NM, Debernardi F, Piovano F withholding of life-sustaining support. 21. Riessman CK (2008) Narrative methods (2006) Forgoing life sustaining Crit Care Med 29:197–201 for the human sciences. Sage, Los treatments: differences and similarities 12. Truog RD, Campbell ML, Curtis JR, Angeles between North America and Europe. Haas CE, Luce JM, Rubenfeld GD, 22. Curtis JR, White DB (2008) Practical [Review]. Acta Anaesthesiol Scand Rushton CH, Kaufman DC, American guidance for evidence-based ICU 50:1177–1186 Academy of Critical Care Medicine family conferences. Chest 134:835–843 5. Lautrette A, Peigne V, Watts J, (2008) Recommendations for end-of- 23. Machare Delgado E, Callahan A, Souweine B, Azoulay E (2008) life care in the intensive care unit: a Paganelli G, Reville B, Parks SM, Surrogate decision makers for consensus statement by the American Marik PE (2009) Multidisciplinary incompetent ICU patients: a European College of Critical Care Medicine. Crit family meetings in the ICU facilitate perspective. Curr Opin Crit Care Care Med 36:953–963 end-of-life decision making. Am J Hos 14:714–719 13. Carlet J, Thijs LG, Antonelli M, Cassell Palliat Care 26:295–302 6. Sprung CL, Cohen SL, Sjokvist P, J, Cox P, Hill N, Hinds C, Pimentel JM, 24. Lautrette A, Ciroldi M, Ksibi H, Baras M, Bulow HH, Hovilehto S, Reinhart K, Thompson BT (2004) Azoulay E (2006) End-of-life family Ledoux D, Lippert A, Maia P, Phelan Challenges in end-of-life care in the conferences: rooted in the evidence. D, Schobersberger W, Wennberg E, ICU. Statement of the 5th International Crit Care Med 34:364–372 Woodcock T, Ethicus Study Group Consensus Conference in Critical Care, 25. Laake JH (2007) Livsavslutning i (2003) End-of-life practices in Brussels, Belgium, April 2003. intensivavdelinger. Tidsskr Nor European intensive care units: the Intensive Care Med 30:770–784 Laegeforen 127:3235 (Norwegian Ethicus Study. JAMA 290:790–797 14. Sjo¨kvist P, Nilstun T, Svantesson M, language) 7. Arnold RMM, Kellum JM (2003) Moral Berggren L (1999) Withdrawal of life 26. Bulow HH (2004) Ethical justiﬁcations for surrogate decision support––who should decide? considerations in the termination of making in the intensive care unit: Differences in attitudes among the intensive care. Ugeskr Laeger implications and limitations. [Review]. general public, nurses and physicians. 166:2352–2356 Crit Care Med 31:347–353 Intensive Care Med 25:949–954 27. Heyland DK, Rocker GM, O’Callaghan 8. Buchanan AE, Brock DW (1989) 15. Halvorsen K, Forde R, Nortvedt P CJ, Dodek PM, Cook DJ (2003) Dying Deciding for others: the ethics of (2009) The principle of justice in in the ICU: perspectives of family surrogate decision making. Cambridge patient priorities in the intensive care members. Chest 124:392–397 University Press, New York unit: the role of signiﬁcant others. 28. Nelson JE, Puntillo KA, Pronovost PJ, 9. McAdam JL, Dracup KA, White DB, J Med Ethics 35:483–487 Walker AS, McAdam JL, Ilaoa D, Fontaine DK, Puntillo KA (2010) 16. Svantesson M, Sjokvist P, Thorse´n H Penrod J (2010) In their own words: Symptom experiences of family (2003) End-of-life decisions in Swedish patients and families deﬁne high-quality members of intensive care unit patients ICUs: how do physicians from the palliative care in the intensive care unit. at high risk for dying. Crit Care Med admitting department reason? Intensive Crit Care Med 38:808–818 38:1078–1085 Crit Care Nurs 19:241–251 29. Sjokvist P, Sundin PO, Berggren L (1998) Limiting life support. Experiences with a special protocol. Acta Anaesthesiol Scand 42:232–237