Introducing palliative care into the intensive care unit: An interventional study

被引:12
作者
Ganz, Freda DeKeyser [1 ,2 ]
Ben Nun, Maureen [3 ]
Raanan, Ofra [4 ]
机构
[1] Hadassah Hebrew Univ, Sch Nursing, POB 12000, IL-91120 Jerusalem, Israel
[2] Jerusalem Coll Technol, Jerusalem, Israel
[3] Belinson Med Ctr, Surg Intens Care Unit, Petah Tiqwa, Israel
[4] Sheba Med Ctr, Sch Nursing, Tel Hashomer, Israel
来源
HEART & LUNG | 2020年 / 49卷 / 06期
关键词
Palliative care; Intensive care; Nurse; Knowledge; Attitudes; Practices; OF-LIFE CARE; END; NURSES; KNOWLEDGE; ICU;
D O I
10.1016/j.hrtlng.2020.07.006
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Background: Many Intensive Care Unit (ICU) deaths include patient and family suffering. While there is a need to include palliative care in the ICU, such care is often unavailable. Objectives: To determine whether a course in ICU Palliative Care was associated with changes in participants' palliative care knowledge, attitudes and practices. Methods: Four cohorts of a national Israeli course in ICU palliative care (N = 122) were followed. Data were collected on the first and last day of a six-month course and 2-5 years later. Results: Statistically significant differences were found in palliative care attitudes and practices, with knowl-edge levels and quality of death and dying stable after course completion. Participants reported obtaining knowledge and skills necessary to introduce palliative care but were thwarted by organizational barriers. Conclusions: The course was successful in building participants capacity to provide palliative care however; barriers made introduction of palliative care into the ICU difficult. (C) 2020 Elsevier Inc. All rights reserved.
引用
收藏
页码:915 / 921
页数:7
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