Intensive Care Unit Nurse Perceptions of Caring for the Dying Every Voice Matters

被引：18

作者：

Popejoy, Lori L. ^{[1
]}

Brandt, Lea Cheyney

Beck, Mary ^{[2
]}

Antal, Linda ^{[3
]}

机构：

[1] Univ Missouri, Sinclair Sch Nursing, Columbia, MO 65203 USA

[2] Boone Hosp Ctr, Patient Care Serv, Columbia, MO USA

[3] Boone Hosp Ctr, Patient Care Adm, Columbia, MO USA

来源：

JOURNAL OF HOSPICE & PALLIATIVE NURSING | 2009年 / 11卷 / 03期

关键词：

OF-LIFE CARE; SURROGATE DECISION-MAKING; SUSTAINING THERAPY; CRITICALLY-ILL; END; DEATH; FAMILIES; PREFERENCES; WITHDRAWAL; SUPPORT;

D O I：

10.1097/NJH.0b013e3181a1ac61

中图分类号：

R47 [护理学];

学科分类号：

1011 ;

摘要：

Focus groups were completed as preliminary work to prepare for a formative evaluation project to design a palliative care program in adult intensive care units (ICUs). Twenty-two ICU staff nurses from the medical ICU (n = 10), surgical ICU (n = 6), and neuroscience ICU (n = 6) participated in focus groups to elucidate nurses' viewpoints of caring for critically ill and dying patients in ICUs. Five major themes were identified in the analysis: (1) helping the patient through, (2) telling bad news, (3) grieving as a process, (4) family as the patient, and (5) the dying patient's effect on the nurse. Nurses also identified how palliative care was currently being used in the ICU. Findings support the need to build strong collegial relationships between members of the healthcare team in order to effectively support communication about end-of-life decision making in the ICU setting.

引用

页码：179 / 186

页数：8

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