A Comfortable Place to Say Goodbye

Millner, Patricia M.; Paskiewicz, ST; Kautz, Donald D.

doi:10.1097/01.dcc.0000325089.93411.18

Cited by 5 publications

(10 citation statements)

References 13 publications

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“…In fact, having a grieving room for patient’s family was perceived by most nurses as a great help to EOL care. This supports the findings of Millner et al 12 that the lack of privacy could hinder quality EOL care. Other findings 13 suggest that ICUs are designed to care for acutely ill patients, not for dying patients and their families.…”

Section: Discussionsupporting

confidence: 91%

“…Inadequate nursing staff interferes with nurses’ time dedicated to dying patients and their loved ones. 12…”

Section: Discussionmentioning

confidence: 99%

“…Inadequate nursing staff interferes with nurses' time dedicated to dying patients and their loved ones. 12 The poor ICU design that does not allow for privacy of dying patients or grieving of family members was perceived as the second most intense barrier to providing EOL care. Dying patients want to be enclosed by their loved ones, and the poor design makes it difficult for the family to stay with the patient as much as they wish.…”

Section: Discussionmentioning

confidence: 99%

“…It is reported that an insufficient focus on palliative care within both undergraduate and postgraduate medical education resulted in a lack of university curricula and training programs for health care professionals and medical students. 17 In this sense, Millner et al 12 recommended including EOL issues in all ICU-orientation programs.…”

Section: Discussionmentioning

confidence: 99%

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Critical Care Nurses’ Perception of Barriers and Supportive Behaviors in End-of-Life Care

Attia

Abd-Elaziz

Kandeel

2012

Am J Hosp Palliat Care

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Aim:To investigate critical care nurses' perceptions of barriers and supportive behaviors in providing end of life (EOL) care to dying patients and their families. Methods:The study involved a convenient sample of 70 nurses who were involved in caring for critically ill patients. Data were collected using a structured interview sheet. Results:Barriers to providing EOL care were related to intensive care environment, family members, nurses' knowledge and skills, physicians' attitudes and treatment policy. Possible help to providing EOL care involved nurses' support to each other, patient and family-centered care, and families' support. Conclusions:There is a need to allow the family unlimited access to the dying patient, involve them in patient care and provide them with a private place for grieving.

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Section: Discussionsupporting

confidence: 91%

“…Inadequate nursing staff interferes with nurses’ time dedicated to dying patients and their loved ones. 12…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Critical Care Nurses’ Perception of Barriers and Supportive Behaviors in End-of-Life Care

Attia

Abd-Elaziz

Kandeel

2012

Am J Hosp Palliat Care

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“…It gives purpose and meaning to life, as well as a sense of the possible. (p. 17) Miller (2007) and others (Kautz & Van Horn, 2009;Kautz, 2008;Millner, Paskiewicz, & Kautz, 2009;Smith & Kautz, 2007;Ziel & Kautz, 2009) have described how nurses can help inspire hope in their patients and families, and in return inspire hope in ourselves. Kautz (2007) also described how to inspire hope in nursing students.…”

Section: Introductionmentioning

confidence: 99%

Applying Watson’s Caring Theory and Caritas Processes to Ease Life Transitions

Goldin¹,

Kautz²

2010

Int J Hum Caring

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Critical Care Nurses' Qualitative Reports of Experiences With Physician Behaviors, Nursing Issues, and Other Obstacles in End-of-Life Care

Beckstrand

Willmore

Macintosh

et al. 2021

Dimens Crit Care Nurs

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Background: Critical care nurses (CCNs) frequently provide end of life (EOL) care in intensive care units (ICUs). Obstacles to EOL care in ICUs exist and have been previously published along with reports from CCNs. Further data exploring obstacles faced during ICU EOL care may increase awareness of common EOL obstacles. Research focusing on obstacles related to physician behaviors and nursing issues (and others) may provide improvement of care. Objective: The aim of this study was to gather first-hand data from CCNs regarding obstacles related to EOL care. Methods: A random, geographically dispersed sample of 2000 members of the American Association of Critical-Care Nurses was surveyed. Responses from an item asking CCNs to tell us of the obstacles they experience providing EOL care to dying patients were analyzed. Results: There were 104 participants who provided 146 responses to this item reflecting EOL obstacles. These obstacles were divided into 11 themes; 6 physician-related obstacles and 5 nursing-and other related obstacles. Major EOL ICU barrier themes were inadequate physician communication, physicians giving false hope, poor nurse staffing, and inadequate EOL care education for nurses. Discussion and Conclusion: Poor physician communication was the main obstacle noted by CCNs during ICU EOL care, followed by physicians giving false hope. Heavy patient workloads with inadequate staffing were also a major barrier in CCNs providing EOL care.

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A Comfortable Place to Say Goodbye

Cited by 5 publications

References 13 publications

Critical Care Nurses’ Perception of Barriers and Supportive Behaviors in End-of-Life Care

Critical Care Nurses’ Perception of Barriers and Supportive Behaviors in End-of-Life Care

Applying Watson’s Caring Theory and Caritas Processes to Ease Life Transitions

Critical Care Nurses' Qualitative Reports of Experiences With Physician Behaviors, Nursing Issues, and Other Obstacles in End-of-Life Care

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