Perception of the Nursing Team in Relation to Oncologic Patient Assistance in Palliative Care in the Intensive Care Unit (original) (raw)
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PALLIATIVE CARE FOR ELDERLY PEOPLE IN SITUATION OF ENDITUDE - OPINION OF NURSING PROFESSIONALS (Atena Editora), 2023
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Journal of Nursing Ufpe Online, 2012
Objective: to investigate the understanding of nurses about palliative care. Method: exploratory, qualitative, conducted at the University Hospital of João Pessoa/PB/Brazil, with 18. Data were collected with form, analyzed by the Technical Content Analysis after the approval of the Ethics Committee of the Universidade Federal da Paraíba, protocol n. 184/10. Results: three categories emerged: Care provided by a multidisciplinary team, with emphasis on humanization and respect for human dignity, care provided to the patient for the relief of suffering and pain and Comprehensive care aimed at enhancing the quality of life of patients and family. Conclusion: the study suggests evidence that nurses involved in the study recognize the valuation of the multidisciplinary team, led by a look humanized nurse to patient and family under hospice care. It is hoped that the data obtained can support further research on the topic. Descriptors: Palliative Care; Nursing; Terminal Care. RESUMO Objetivo: investigar a compreensão de enfermeiros acerca de cuidados paliativos. Método: estudo exploratório, de natureza qualitativa, realizado em um Hospital Universitário, de João Pessoa/PB/Brasil, com 18 enfermeiros. Os dados foram coletados com formulário, analisados pela Técnica de Análise de Conteúdo após a aprovação do Comitê de Ética em Pesquisa da Universidade Federal da Paraíba, protocolo nº 184/10. Resultados: três categorias emergiram: Cuidados prestados por uma equipe multiprofissional, com ênfase na humanização e no respeito à dignidade humana, Cuidados prestados ao paciente para o alívio do sofrimento e da dor e Cuidados integrais que visam à promoção da qualidade de vida do paciente e da família. Conclusão: o estudo possibilitou evidenciar que os enfermeiros envolvidos no estudo reconhecem a valoração da equipe multiprofissional, propiciou ao enfermeiro um olhar humanizado para paciente e família sob cuidados paliativos. Espera-se que os dados obtidos possam subsidiar novas investigações sobre a temática.
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Intensive care nurses\' attitude on palliative and end of life care
Indian Journal of Critical Care Medicine
Research Article IntroductIon All disease processes are not cured with advanced medical care. Intensive Care Unit (ICU) care in many cases prolongs the process of inevitable death. Over time, palliation and end of life (EOL) care have become inexorably entwined in ICU practices and protocols. In the ICUs, nurses form a closer relationship with the patients and their relatives than the other members of the treating team. [1] Practices of EOL care vary worldwide, and the knowledge, attitude, and involvement of nurses differ. [2-7] In India, there has been a major drive from the Indian Society of Critical care Medicine and the Indian Association of Palliative Care to incorporate the requisite ideologies in medical and critical care training. [8] However, there is no information on the degree of percolation of this training into the Indian nursing curriculum and practice. This may be vital to the holistic implementation of the principles of palliation and EOL practices in ICUs. We aimed to study the knowledge and attitude of critical care nurses about EOL and palliative care in ICUs. Background: Intensive Care Unit (ICU) nurses have a vital role in the implementation of end of life (EOL) care. There is limited data on the attitude of ICU nurses toward EOL and palliation. Aim: This study aimed to investigate knowledge, attitude, and beliefs of intensive care nurses in eastern India toward EOL. Materials and Methods: A self-administered questionnaire was distributed to delegates in two regional critical care nurses' training programs. Results: Of 178 questionnaires distributed, 138 completed, with a response rate of 75.5%. About half (48.5%) had more than 1 year ICU experience. A majority (81.9%) agreed that nurses should be involved in and initiate (62.3%) EOL discussions. Terms "EOL care or palliative care in ICU" were new for 19.6%; 21% and 55.8% disagreed with allowing peaceful death in terminal patients and unrestricted family visits, respectively. Work experience was associated with wanting unrestricted family visitation, discontinuing monitoring and investigations at EOL, equating withholding and withdrawal of treatment, and being a part of EOL team discussions (P = 0.005, 0.01, 0.01, and 0.001), respectively. Religiousness was associated with a greater desire to initiate EOL discussions (P = 0.001). Conclusion: Greater emphasis on palliative care in critical care curriculum may improve awareness among critical care nurses.