ICU Bedside Nurses' Involvement in Palliative Care Communication: A Multicenter Survey

Anderson, Wendy G.; Puntillo, Kathleen; Boyle, Deborah; Barbour, Susan; Turner, Kathleen; Cimino, Jenica; Moore, Eric; Noort, Janice; MacMillan, John; Pearson, D; Grywalski, Michelle; Liao, Solomon; Ferrell, Bruce A.; Meyer, Jeannette; O’Neil-Page, Edith; Cain, Julia; Herman, Herry; Mitchell, William M.; Pantilat, Steven Z.

doi:10.1016/j.jpainsymman.2015.11.003

Cited by 55 publications

(59 citation statements)

References 52 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…[15][16][17][18][19]21,24 Our findings indicate that IMPACT-ICU prepared nurses As a result of the training received through the IMPACT-ICU program, a nurse in one of our ICUs facilitated a family meeting that allowed a patient to make a decision to go home instead of continuing therapy in the ICU. The patient did not know his true prognosis.…”

Section: Discussionmentioning

confidence: 78%

Section: Discussionmentioning

confidence: 99%

“…3 Families, physicians, and nurses identify involvement of bedside nurses as a key factor in the quality of ICU palliative care. [15][16][17][18][19][20] Nurses' training and constancy at the bedside position them to identify palliative care needs, coordinate communication among families and an array of clinicians, and support and educate families. 15,16,19,21 Despite the success of palliative nursing education programs, 22,23 we found at our centers and in the literature that ICU nurses perceived a number of barriers to their involvement in palliative care, including lack of clarity about their role and inadequate communication training.…”

mentioning

confidence: 99%

“…Our program, IMPACT-ICU, was designed to address identified barriers to integration of palliative care into the ICU and to increase bedside nurses' engagement in palliative care. 3,17,18,21,[25][26][27][28][29] A combination of learner-centered communication training workshops and bedside coaching rounds led by advanced practice palliative care nurses and nurse educators helped bedside nurses to feel more skilled to engage in palliative care communication, as well as to be more involved in identifying and addressing palliative care needs.The initiative was focused on nurses, to address the gap between their actual and potential involvement in palliative care communication. [15][16][17][18][19]21,24 Our findings indicate that IMPACT-ICU prepared nurses As a result of the training received through the IMPACT-ICU program, a nurse in one of our ICUs facilitated a family meeting that allowed a patient to make a decision to go home instead of continuing therapy in the ICU.…”

mentioning

confidence: 99%

“…15,16,19,21 Despite the success of palliative nursing education programs, 22,23 we found at our centers and in the literature that ICU nurses perceived a number of barriers to their involvement in palliative care, including lack of clarity about their role and inadequate communication training. 17,18,24 To address these deficits, we developed, implemented, and evaluated a system-wide initiative called Integrating Multidisciplinary Palliative Care into the ICU (IMPACT-ICU), based on pilot work at one of our centers. 25 IMPACT-ICU aims to train and support bedside nurses to lead primary palliative care by identifying patients' palliative care needs and integrating the perspectives of their colleagues from other disciplines into a plan that addresses those needs.…”

mentioning

confidence: 99%

See 4 more Smart Citations

Palliative Care Professional Development for Critical Care Nurses: A Multicenter Program

Anderson¹,

Puntillo²,

Cimino³

et al. 2017

Am J Crit Care

Self Cite

View full text Add to dashboard Cite

Background Integrating palliative care into intensive care units (ICUs) requires involvement of bedside nurses, who report inadequate education in palliative care. Objective To implement and evaluate a palliative care professional development program for ICU bedside nurses. Methods From May 2013 to January 2015, palliative care advanced practice nurses and nurse educators in 5 academic medical centers completed a 3-day train-the-trainer program followed by 2 years of mentoring to implement the initiative. The program consisted of 8-hour communication workshops for bedside nurses and structured rounds in ICUs, where nurse leaders coached bedside nurses in identifying and addressing palliative care needs. Primary outcomes were nurses' ratings of their palliative care communication skills in surveys, and nurses' identification of palliative care needs during coaching rounds. Results Each center held at least 6 workshops, training 428 bedside nurses. Nurses rated their skill level higher after the workshop for 15 tasks (eg, responding to family distress, ensuring families understand information in family meetings, all P < .01 vs preworkshop). Coaching rounds in each ICU took a mean of 3 hours per month. For 82% of 1110 patients discussed in rounds, bedside nurses identified palliative care needs and created plans to address them. Conclusions Communication skills training workshops increased nurses' ratings of their palliative care communication skills. Coaching rounds supported nurses in identifying and addressing palliative care needs. (American Journal of Critical Care. 2017; 26:361-371) by AACN on May 12, 2018 http://ajcc.aacnjournals.org/ Downloaded from P alliative care is a specialty and focus of care that aims to improve quality of care for patients who have serious and complex illnesses and their families. [1][2][3] Patients in intensive care units (ICUs) and their families have palliative care needs, including emotional support, management of pain and symptoms, and clinician-family communication to ensure that patients receive treatments that are consistent with their goals. [3][4][5][6][7][8][9][10][11][12][13] AJCC AMERICAN JOURNAL OF CRITICAL CARE, September 2017, Volume 26, No. 5 www.ajcconline.orgIn the ICU, palliative care is provided along with life-sustaining therapies and may be delivered by the ICU team (primary palliative care), a palliative care consult service (specialty palliative care), or both. 2,3,14 A number of barriers to integrating palliative care into the ICU have been identified, including inadequate training of clinicians and misperceptions that such treatment is the same as hospice, comfortfocused care, or end-of-life care. 3 Families, physicians, and nurses identify involvement of bedside nurses as a key factor in the quality of ICU palliative care. [15][16][17][18][19][20] Nurses' training and constancy at the bedside position them to identify palliative care needs, coordinate communication among families and an array of clinicians, and support and educate families. 15,16,19...

show abstract

Section: Discussionmentioning

confidence: 78%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

See 3 more Smart Citations

Palliative Care Professional Development for Critical Care Nurses: A Multicenter Program

Anderson¹,

Puntillo²,

Cimino³

et al. 2017

Am J Crit Care

Self Cite

View full text Add to dashboard Cite

show abstract

Teamwork in prognostic communication: Addressing bottlenecks and barriers

Sisk

Dobrozsi

Mack

2020

Pediatric Blood & Cancer

View full text Add to dashboard Cite

Prognostic communication is essential to family‐centered care in pediatric oncology. Yet, prognostic communication from the medical team to the family is often absent or incomplete. In our experience, many clinical groups view prognostic disclosure as the responsibility of the patient's primary oncologist, and nurses are often excluded from these conversations. This current individual‐based model of prognostic disclosure lacks redundancy and creates a communication bottleneck. We propose that clinical groups should address prognostic communication with a multidisciplinary team‐based approach that incorporates three critical components: shared team mental models, distribution and redundancy in role assignment, and high fidelity monitoring of communication milestones.

show abstract

Role of the Nurse in the Palliative Care Community

Brant

Fink

2020

Palliative Care for Chronic Cancer Patients in the Community

View full text Add to dashboard Cite

ICU Bedside Nurses' Involvement in Palliative Care Communication: A Multicenter Survey

Cited by 55 publications

References 52 publications

Palliative Care Professional Development for Critical Care Nurses: A Multicenter Program

Palliative Care Professional Development for Critical Care Nurses: A Multicenter Program

Teamwork in prognostic communication: Addressing bottlenecks and barriers

Role of the Nurse in the Palliative Care Community

Contact Info

Product

Resources

About