The Experiences of Critical Care Nurses with Regard to End-Of-Life Issues in the Intensive Care Unit (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.
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 ...
Nurses' Experience of Dealing with Dying Patients
Journal of Urmia Nursing and Midwifery Faculty, 2013
Background & Aims: Understanding nurses' experience of patient death, the appropriate approach to understand this phenomenon is the aim of this study. Also as a supporting role of the nurses, understanding the notion of death, they can better provide care for their sick patient and their family. As long as the nurses are not familiar with all aspects of death, they cannot be able to make right decisions about the care of a really sick and dying patient. This study aimed to explore, describe and interpret the patient's death, and to help the nurses to gain a deeper insight about that experience. Materials & Methods: A phenomenological approach was used to conduct this research, because it could obtain rich information about the patient deaths. Twelve nurses from high mortality wards were chosen and they were individually interviewed. The data were analyzed by Vanmannen method. Results: Five themes emerged from the findings that portrayed the experiences of nurses concerning the patient deaths (mental erosion, faulty interaction, combined with the stress of caring, a feeling of sadness and normalization). However, normalization of the patient's death may have beneficial effects for the nurses, but the reactions of patients and their families should be taken into consideration. Conclusion: The results revealed that nurses are experiencing serious problems. They need to be supported by their families consistently. Ignoring the needs of nurses, can have adverse effects on the patients and their community.
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.
Background: Working in the intensive care unit can be traumatic for nursing personnel. Critical care nurses are faced with repeated exposure to death and dying as they are involved in caring for patients who are actively dying, have a terminal illness or face impending death. These nurses relate in different ways to the phenomena of death and dying within their nursing profession and their scope of practice. Critical care nurses often have a difficult time coping with the stress that comes with caring for those who are dying or relating to loved ones of those that are dying.
Exploring family experiences of nursing aspects of end-of-life care in the ICU: A qualitative study
Intensive and Critical Care Nursing, 2016
The aim of this study was to examine the experience(s) of family with the nursing aspects of End-of-life care in the intensive care unit after a decision to end life-sustaining treatment, and to describe what nursing care was most appreciated and what was lacking. Method: A phenomenological approach including inductive thematic analysis was used. Twentysix family members of deceased critically ill-patients were interviewed within two months after the patient's death about their experiences with nursing aspects of end-of-life care in the intensive care unit. Findings: Most family members experienced nursing contribution to end-of-life care of the patient and themselves, especially supportive care. Families mentioned the following topics: Communication between intensive care nurses, critically ill patients and family; Nursing care for critically ill patients; Nursing care for families of critically ill patients; Preconditions. Families appreciated that intensive care nurses were available at any time and willing to answer questions. But care was lacking because families had for example, a sense of responsibility for obtaining information, they had problems to understand their role in the decision-making process, and were not invited by nurses to participate in the care.
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.
Meaningful experiences and end-of-life care in the intensive care unit: A qualitative study
Intensive and Critical Care Nursing, 2019
Objectives: The purpose of this study was to provide a comprehensive exploration of nurses' meaningful experiences of providing end-of-life care to patients and families in the intensive care unit (ICU). The objectives of this research were: (1) To explore what is meaningful practice for nurses regarding endof-life care; (2) To describe how nurses create a good death in the intensive care unit and (3) To identify the challenges that nurses face that affect their meaningful experiences and ultimately the creation of a good death. Research design: This study utilised an interpretive phenomenological approach using Van Manen's (1997) method. Setting: In-depth, face-to-face interviews were conducted with six intensive care nurses employed in a 32-bed medical/surgical intensive care unit of an academic tertiary care centre in Canada. Findings: The overarching theme from the analysis of this experience was ''being able to make a difference" which was intricately woven around contributing to a good death. Three main themes were identified and included: creating a good death, navigating the challenges and making it work. Conclusion: The findings reveal how intensive care nurses provide good end-of-life care and create good deaths for patients and families.