Difficulties Perceived by ICU Nurses Providing End-of-Life Care: A Qualitative Study

Ozga, Dorota; Woźniak, Krystyna; Gurowiec, Piotr Jerzy

doi:10.1177/2164956120916176

Cited by 13 publications

(13 citation statements)

References 25 publications

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“…In this study, participants reported some challenges and difficulties when communicating with the family of dying patients. These results are consistent with the results of previous studies (Aslakson et al, 2012;Crump, Schaffer, & Schulte, 2010;Muni et al, 2011;Ozga et al, 2020). There are several factors that can create challenges and have an impact on the quality and quantity of communication between doctors, patients, and families at the end-of-life in the ICU.…”

Section: Discussionsupporting

confidence: 92%

“…Moreover, most of EOLC provided by nurses was focused on family. Some studies state that EOLC in the ICU is challenging (Kisorio & Langley, 2016;Ozga et al, 2020). Ozga et al (2020) identified three categories of potential barriers in providing EOLC, namely (1) barriers attributable to the hospital, (2) barriers related to the patient's family, and (3) barriers related to the ICU personnel providing direct EOLC.…”

Section: Discussionmentioning

confidence: 99%

“…However, providing the best care at the end-of-life is a challenge for them (Coombs, Addington-Hall, & Long-Sutehall, 2012;Griffiths, 2019). EOLC processes expose nurses to human suffering and miserable situations, thus creating anxiety and uncertainty (Peters et al, 2013) as well as physical and emotional exhaustion (Ozga, Woźniak, & Gurowiec, 2020;Ryan & Seymour, 2013).…”

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confidence: 99%

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Critical Care Nurses’ Experiences of End-of-Life Care: A Qualitative Study

Utami

Pujianto

Setyawan

et al. 2020

Nurs. Med. J. Nursing

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Background: Patients admitted to the intensive care unit (ICU) may face terminal illness situations, which may lead to death. In this case, the role of critical care nurses shifts from life-sustaining to end-of-life care (EOLC). Nurses’ involvement in EOLC varies between countries, even in one country due to differences in religion, culture, organization, laws, cases and patient quality. In Indonesia, research on EOLC in ICU has not been carried out.Purpose: This study aimed to explore the experiences of critical care nurses in providing EOLC.Methods: A qualitative study with a phenomenological approach was conducted. Ten critical care nurses having the experiences of caring for dying patients were recruited through a purposive sampling technique for in-depth interviews. Manual content analysis was used to identify themes.Results: The results of the study found five themes, including the challenge of communication with the family, support for the family, support for the patient, discussion and decision making, and nurses’ emotions. Conclusion: Most of EOLC provided by critical care nurses was focused on the family. They had some challenges in communication and decision making. Nurses need to get training and education about how to care for patients towards the end of life.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

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Critical Care Nurses’ Experiences of End-of-Life Care: A Qualitative Study

Utami

Pujianto

Setyawan

et al. 2020

Nurs. Med. J. Nursing

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“…Brooks and colleagues 52 noted a lack of timely discussions and multidisciplinary acceptance of EOL plans. Ozga et al 53 reported a lack of professional collaboration and limitations of hospital managers as the main barriers to implementing EOL care in the ICU. Flannery and colleagues 54 reported role ambiguity and lack of opportune discussions about EOL care as great clinical challenges.…”

Section: Emotional Impactmentioning

confidence: 99%

An Intensive Care Unit Team Reflects on End-of-Life Experiences With Patients and Families in Chile

Palma

Aliaga-Castillo

Bascuñán

et al. 2022

American Journal of Critical Care

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Background Deaths in the intensive care unit (ICU) represent an experience of suffering for patients, their families, and professionals. End-of-life (EOL) care has been added to the responsibilities of the ICU team, but the evidence supporting EOL care is scarce, and there are many barriers to implementing the clinical recommendations that do exist. Objectives To explore the experiences and perspectives of the various members of an ICU care team in Chile regarding the EOL care of their patients. Methods A qualitative study was performed in the ICU of a high-complexity academic urban hospital. The study used purposive sampling with focus groups as a data collection method. A narrative analysis based on grounded theory was done. Results Four discipline-specific focus groups were conducted; participants included 8 nurses, 6 nursing assistants, 8 junior physicians, and 6 senior physicians. The main themes that emerged in the analysis were emotional impact and barriers to carrying out EOL care. The main barriers identified were cultural difficulties related to decision-making, lack of interprofessional clinical practice, and lack of effective communication. Communication difficulties within the team were described along with lack of self-efficacy for family-centered communication. Conclusion These qualitative findings expose gaps in care that must be filled to achieve high-quality EOL care in the ICU. Significant emotional impact, barriers related to EOL decision-making, limited interprofessional clinical practice, and communication difficulties were the main findings cross-referenced.

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“…Nurses' attitudes and behaviors about death affect the quality of care in the end-of-life process. [6][7][8][9][10] Therefore, it is of great importance to determine the attitudes and behaviors of intensive care unit nurses who frequently encounter patients in the last days of life. The aim of our study is to determine the attitudes and behaviors of intensive care unit nurses towards end-of-life care.…”

Section: Introductionmentioning

confidence: 99%

The attιtudes and behavιors of intensιve care unιt nurses towards end-of-lιfe care

Hançerlioğlu¹,

Konakçı

2020

HealthResJ

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Introduction: The end-of-life period is a process in which anxiety of death is experienced intensely and there are positive and negative experiences for the nurse and the patient. Nurses' attitudes and behaviors about death affect the quality of care in the end-of-life process.Aim: The aim of the present study was to determine the attitudes and behaviors of intensive care unit nurses towards end-of-life care.Material and Method: The studied sample consisted from 216 nurses working in the intensive care units of three university hospitals. In the present study, the Nurse Identification Form and The Attitude and Behaviors of The Intensive Care Unit Nurses Towards The End-of-Life Care Scale were used as the data collection forms.Results: Statistically significant differences were found between attitudes subscale, behavior subscale, scale total mean scores and some variables such as the education level, the intensive care unit classification, knowledge for end-of-life care, the frequency of death in their unit. As a result of the correlation analysis, there were statistically significant positive correlations between attitudes subscale, behavior subscale, scale total mean scores, and some variables such as total working years as a nurse, total working years in the intensive care unit, age.Conclusions: The level of education, the intensive care unit classification, knowledgeabout end-of-life care, the frequency of death in their unit, age, total working years as a nurse, and total working year in the intensive care unit have relationship with the attitudes and behaviors of intensive care unit nurses towards end-of-life care.

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Difficulties Perceived by ICU Nurses Providing End-of-Life Care: A Qualitative Study

Cited by 13 publications

References 25 publications

Critical Care Nurses’ Experiences of End-of-Life Care: A Qualitative Study

Critical Care Nurses’ Experiences of End-of-Life Care: A Qualitative Study

An Intensive Care Unit Team Reflects on End-of-Life Experiences With Patients and Families in Chile

The attιtudes and behavιors of intensιve care unιt nurses towards end-of-lιfe care

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