Difficulties Felt by Intensive Care Unit Nurses in Providing End-of-Life Care in Southeast Iran (original) (raw)
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Exploration of Iranian intensive care nurses' experience of end-of-life care: a qualitative study *
Nursing in Critical Care, 2012
Background: A challenge for intensive care nurses is providing the best possible care to patients in an end-of-life stage. The fact that some patients will die despite the efforts of the health care team can affect the psychological state of the nurses and families. Lack of attention to such an issue can bring about unpleasant consequences for both patients and nurses. Aim: Using a qualitative design, the aim is this article explores the experiences of intensive care nurses providing care for end-of-life patients. Methods: The data were collected through in-depth interviews with a purposive sample of 10 nurses working at intensive care units (ICUs). Interviews were transcribed and finally analysed through the conventional content analysis. Findings: Two themes emerged out of the experience of providing care to the end-of-life patients. The findings revealed that for Iranian intensive care nurses providing care to such patients was accompanied by emotional burden and values and beliefs.
Related Factors To End Of Life Care By Nurse In Intensive Care Unit
2021
Backgorund: The mortality rate of patients who were admitted in the intensive care unit has been increased. Therefore, end of life care is needed. Goals of end-of-life care is to helpthe patients would die with dignity and to help the familycould receive bereavement. End of life care is related with internal and external factors. Aims: This study aims to analyze the factors that related to end-of-life care. Methods: Thisstudy was a quantitative research withanalytic-correlation design. The samples were 62 critical care nurses, which obtained by total sampling. This study was conducted in ICU of Kendari Hospital Southeast Sulawesi. Data collection used questionnaire thenanalyzed with bivariate throughSpearman's Rho and multivariate through logistic regresion. Results: The implementation of end-of-life care in ICU of Kendari Hospitalwas optimal (74%, median = 55), which was related to several factors such as knowledge (p = 0,000), moral distress (p = 0,002), patient and family characteristics = 0.009), organizational structure and culture (p = 0,000). Knowledge was the most related factor in improving the quality of end-of-life care (OR = 45,542) with probality 97%. Conclusion: Optimalization of end-of-life care is related with the personal (internal) of the nurse factors, patient and family, and organizational structure and culture. Implication: Related factors to end of life care will enrich the thought that delivered nursing care, nurse need to align knowledge with professionalism, leaving the pressures and dilemmas due to moral stress, as well foster a deep understanding of the nature of spirituality and culture sensitivity when accompanying dying patients, grows awareness that the best preferences of critical patient care are onesbenefit the patients and familys.
Background: Nurses are expected to care for death and many patients at their end-of-life (EOL) stage. Care of death and the dying provoke many undesired emotions and attitudes that reflect on the quality of patients' care. However, there are many factors that can affect nurses' attitudes towards caring for death and dying patients, such as nurses' demographics (age, gender, nursing experience, and others). Which deserve carefully designed studies. Yet, limited Jordanian studies addressing these factors are available Aim: The present study aims to assess how Jordanian nurses providing care for terminal ill patients feel about death and caring for dying patients and to examine any relationships between their attitudes and certain nursing characteristics. Methods: A descriptive quantitative design was
Pakistan Journal of Medical and Health Sciences
Background: End-of-life care has emerged as an essential component of health care organizations. Now a day, end-of-life care is debated more intensively among patients and their families. Moreover, nurses working in the Intensive Care Unit perform their duties under extreme pressure. A reason for this extreme stress is a shortage of nurses and other healthcare resources. Patients' and family demands at the terminal stage of life further impact nurses’ experiences of end life care. Thus, the current study was conducted with the aim of following objective. Objective: To explore Nurses’ Experiences in End-of-Life Care in an Intensive Care Unit at Tertiary Healthcare Setting, Lahore Methodology: A qualitative descriptive phenomenological research design was adopted to describe Nurses’ Experiences in End-of-Life Care in an Intensive Care Unit at Tertiary Healthcare Setting, Lahore The target population was registered nurses who have been working in intensive care units for more than ...
International Nursing Review, 2014
Background: Currently, end-of-life care is a significant issue and a topic of debate in intensive care settings but understanding of nurses' perspectives about this within an Islamic context is surprisingly lacking. Aim: The purpose of this study was to explore intensive care nurses' perspectives of the end-of-life care in South-east of Iran. Methods: A descriptive qualitative research approach was used to engage 12 intensive care nurses from three intensive care units of teaching hospitals affiliated to Kerman University of Medical Science in a semi-structured interview. Interview transcripts were analysed using an inductive coding approach. Results: Four major categories emerged from analysis of the interviews: commitment to care, awareness of dying patients, caring relationships, and dealing with barriers and ethical issues. The first category was emphasized and appeared dominant in all interviews. Limitation: Because of specific socio-cultural and environmental factors, the findings of this study may not be applicable in other contexts, but enhance our knowledge about the topic in an Islamic context. Conclusions: This study emphasizes the importance of looking at the end-of-life care for critical terminally ill patients within the context of spiritual milieu associated with commitment to a compassionate care until the last moment of their life. Intensive nurses, faced with various barriers and ethical issues, instead were focused on physical and spiritual care and believed that it should fulfil their role in the challenging process. Implications for nursing and health policy: These findings indicate that there is a need for policies that help increase the quality of life of dying patients. It is imperative that nursing managers and policy makers in Iran consider these findings to improve end-of-life care in intensive setting. More training programmes, further education and research on the topic, should be implemented.
Nurses' Knowledge Concerning End of Life Care in Critical Care Units
Pakistan Journal of Medical and Health Sciences
The study aimed to assess nurses' Knowledge toward Palliative Care of Patients end of life phase, a descriptive cross-sectional study design is carried out from the period of November 2021) to (1th February 2022). A probability simple random sampling technique Then, the number of participants in each selected hospital were determined using the sampling to each randomly selected at hospital in Dyala city in Iraq. A total of (100) nurses were working in the critical care units during the time of the study period and met the study criteria and agree to participate. Ten nurses for pilot study were excluded from the study. the result of co-relation co efficient were (79%). Study data were collected through A questionnaire was built as a data collection tool and consisted of two parts instrument. The study found results of this study showed that nurses are good knowledge (74.0%) for palliative care and toward End of life care among nurses working in Dyala city in Iraq. This study emph...
The Experiences of Critical Care Nurses with Regard to End-Of-Life Issues in the Intensive Care Unit
Africa Journal of Nursing and Midwifery, 2015
Nurses in the intensive care unit might be faced with emotional conflict, stress and anxiety when dealing with end-of-life issues and thus need to be supported. In understanding the experiences of nurses, enhanced support can be given in order to assist nurses to deal better with end-of life issues in the intensive care unit. The purpose of the study was to explore and describe the experiences of nurses’ with regard to end-of-life issues in the intensive care unit. A qualitative, explorative, descriptive and contextual research design using a semi-structured interview approach was used. The target population for the study comprise twenty registered nurses in the intensive care unit. Of the twenty nurses, only nine were willing to participate in the study. Purposive sampling method was used to interview nine nurses in a private intensive care unit. Data collected was thematically analysed, using Tesch’s method. Four major themes were identified, namely: (1) conflicting emotions; (2) ...
Nurses Caring for Patients at the End of Life in Intensive Care Unit : A Literature Review
GSTF Journal of Nursing and Health Care, 2017
This article explored nurses caring for patients at the end of life in the Intensive Care Unit (ICU). A literature review was conducted by analyzing 56 scholar papers including research articles, thesis/dissertation, and books which met the inclusion criteria. Data were searched through PubMed, ProQuest, Wiley Online Library and Science Direct. Searches used combination of following keywords: 'ICU nurse', combined with 'caring', 'end of life', 'end of life care'. The result of the analysis presented the need of the patients and their families at the end of life, the nurses' goals of caring at the end of life, the nurses' role, problems and barriers in caring at the end of life in the ICU. Culture and religion have an influence in caring for patients at the end of life. The knowledge from this literature review can be guided the nurses to develop an effective caring model at the end of life in the ICU.
International Journal of Advance Research in Nursing, 2020
Background: Nurses in ICU play a significant role in providing end of life nursing care to patients complained from life-threatening illnesses and did not response positively to medical treatment by assessing their needs and providing comprehensive nursing care Aim of the study: Evaluate Nurses knowledge, attitudes and practices about end of life care at critical units. Design: Descriptive research design. Methods: (65) ICU nurses included in the study assigned to the medical and general ICUs at Assuit University Hospital, Egypt. Results: (61.5%) of the ICU nurse their knowledge about EOL nursing care is unsatisfactory. (58.6%) their level of practice was poor and their attitude toward EOL care was unfavorable by (72.3%). Conclusions: the study concluded that ICU nurses did not have enough knowledge and practice about EOL care and they need a clear policy to improve their attitude toward applying it. Recommendations: Educational programs and suggested booklets must be carried out for nurses in critical care units.
Attitudes of Iranian nurses toward caring for dying patients
Palliative and Supportive Care, 2008
ABSTRACTObjective:To examine the attitudes of Iranian nurses toward caring for dying patients.Methods:Nurses' attitudes toward death and caring for dying patients were examined by using two types of questionnaires: the Death Attitude Profile–Revised (DAP-R) and Frommelt's Attitude towards Caring for Dying Patients (FATCOD), both with a demographic survey.Results:The results showed that most respondents are likely to view death as a natural part of life and also as a gateway to the afterlife. The majority reported that they are likely to provide care and emotional support for the people who are dying and their families, but they were unlikely to talk with them or even educate them about death. They had a tendency not to accept patients and their families as the authoritative decision makers or involve families in patient care. Nurses' personal views on death, as well as personal experiences, affected their attitudes toward care of the dying.Significance of results:Lack of...