Dying Care Interventions in the Intensive Care Unit

Kisvetrová, Helena; Školoudík, David; Joanovič, Eva; Konečná, Jana; Mikšová, Zdeňka

doi:10.1111/jnu.12191

Cited by 14 publications

(15 citation statements)

References 38 publications

(49 reference statements)

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“…Others (Powazki et al, ) also found that American ICU nurses perceived that they had the ability and knowledge to care physically and psychologically for their ICU patients at the end of life. On the other hand, nurses In the Czech Republic reported that they felt more confident delivering physical care but not psychological or social care (Kisvetrová et al, ) . These results conflict with our study as well as others where nurses reported a high quality of physical and spiritual care (Ho et al, ; Parish et al, ).…”

Section: Discussionmentioning

confidence: 99%

Nurses' perceptions of intensive care unit palliative care at end of life

Ganz

Sapir

2018

Nursing in Critical Care

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Background Significant barriers can block the provision of palliative care at the end of life in the intensive care unit (ICU). However, the relationship between perceptions of ICU quality palliative care and barriers to palliative care at the end of life is not well documented. Aims and objectives To describe ICU nurses' perceptions of quality palliative end‐of‐life care, barrier intensity and frequency to palliative care and their association with one another. Design This was a descriptive, correlational, cross‐sectional design. Methods A convenience sample of 126 ICU nurses from two hospitals in Israel was recruited for the study. Participants completed three pencil‐and‐paper questionnaires (a personal characteristics questionnaire, the Quality of Palliative Care in the ICU and a revised Survey of Oncology Nurses' Perceptions of End‐of‐Life Care). Respondents were recruited during staff meetings or while on duty in the ICU. Ethical approval was obtained for the study from participating hospitals. Results The item mean score of the quality of palliative end‐of‐life care was 7·5/10 (SD = 1·23). The item mean barrier intensity and frequency scores were 3·05/5 (SD = 0·76) and 3·30/5 (SD = 0·61), respectively. A correlation of r = 0·46, p < 0·001 was found between barrier frequency and intensity and r = −0·19, p = 0·04 between barrier frequency and quality palliative end‐of‐life care. Conclusions ICU nurses perceived the quality of palliative care at the end of life as moderate despite reports of moderate barrier levels. The frequency of barriers was weakly associated with quality palliative end‐of‐life care. However, barrier intensity did not correlate with quality palliative end‐of‐life care at a statistically significant level. Further research that investigates other factors associated with quality ICU palliative care is recommended. Relevance to clinical practice Barriers to palliative care are still common in the ICU. Increased training and education are recommended to decrease barriers and improve the quality of ICU palliative care.

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Section: Discussionmentioning

confidence: 99%

Nurses' perceptions of intensive care unit palliative care at end of life

Ganz

Sapir

2018

Nursing in Critical Care

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“…Pflegende sind für Angehörige da, indem sie ihnen zuhören, offen für deren Äußerungen sind und als Ansprechpartner Präsenz zeigen [11][15] [16]. Sie fördern aber auch die Kommunikation innerhalb der Familie, indem sie anregen, sich untereinander über anfallende Entscheidungen auszutauschen [12].…”

Section: Familien Begleitenunclassified

Palliative Pflege auf der Intensivstation

Knecht¹,

Buchholz²,

Dreseler³

et al. 2019

intensiv

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ZusammenfassungKurative oder palliative Therapie? Gerade auf Intensivstationen stellt sich diese Frage häufig. Mittendrin im Abstimmungsprozess des interdisziplinären Teams: die Pflegekraft. Sie soll die Entscheidung des Teams in entsprechende Pflegehandlungen umsetzen. Eine Gratwanderung zwischen dem Willen des Patienten und seiner Familie, beruflichen Verpflichtungen, klinischen Entscheidungen und dem Arbeitgeber.

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“…Research on palliative care conducted in Australia on nurses (n = 25) shows that nurses have a passive role in providing care to patients with end life conditions, it because of nurses feel uncomfortable and less prepared (Bloomer, Endacott, O'Connor, & Cross, 2015 ) They also feels that they have a lack of role in providing care before death, nurses only do routine care (Bloomer et al, 2015). Giving counseling about death, offering food as patients' culture, and counseling on funeral planning are not well consulted by nurses (Kisvetrova, Skoloudik, Joanovic, Konecna, & Miksova, 2016). While, patients' need to obtain services, and respect dignity.…”

Section: Introductionmentioning

confidence: 99%

Self-Efficacy of internship nursing students in dealing with Palliative patients

Sipayung¹,

Pahria²,

Praptiwi³

2019

JNC

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Palliative care is one of the practice areas that is perceived difficult by nurses and nursing students. Students tend to avoid seeing patients with the deteriorating condition. This research aimed to identify the self-efficacy of internship nursing students in facing palliative patients within communication, management of the patient, and multidisciplinary teamwork components. This study was a descriptive quantitative. Samples were recruited from a population of internship nursing students at Faculty of Nursing Universitas Padjadjaran using a total sampling technique (n=159). Data were collected using Self-Efficacy Palliative Care scale (SEPC). Data were analyzed using mean scores calculated from the total scores of each respondent. The results showed that more than half of the respondents had a low level of self-efficacy. In terms of its components, students' self-efficacy in communication, multidisciplinary team collaboration, and patient management had a mean score of 38.24 (SD 10.35), 39.21 (SD 9.44), and 48.18 (SD 9.56) respectively. Based on the results, it is recommended to develop an active learning strategy for internship nursing students, especially in the aspects of communication, patient management, and multidisciplinary team collaboration.

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Dying Care Interventions in the Intensive Care Unit

Abstract: Assessment of nursing activities implemented in the care of dying patients in the ICU may help identify issues specific to nursing practice.

Cited by 14 publications

References 38 publications

Nurses' perceptions of intensive care unit palliative care at end of life

Nurses' perceptions of intensive care unit palliative care at end of life

Palliative Pflege auf der Intensivstation

Self-Efficacy of internship nursing students in dealing with Palliative patients

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