Dying Care Interventions in the Intensive Care Unit
Jazyk angličtina Země Spojené státy americké Médium print-electronic
Typ dokumentu časopisecké články, práce podpořená grantem
PubMed
26756287
DOI
10.1111/jnu.12191
Knihovny.cz E-zdroje
- Klíčová slova
- Dying, intensive care unit, intervention, nursing,
- MeSH
- dospělí MeSH
- jednotky intenzivní péče MeSH
- kvalita zdravotní péče MeSH
- lidé středního věku MeSH
- lidé MeSH
- mladý dospělý MeSH
- ošetřovatelská péče o pacienty v kritickém stavu * MeSH
- ošetřovatelství - výzkum vyhodnocovací MeSH
- ošetřovatelství - vzorové postupy * MeSH
- péče o umírající * MeSH
- průřezové studie MeSH
- průzkumy a dotazníky MeSH
- spiritualita * MeSH
- zdravotní sestry * statistika a číselné údaje MeSH
- Check Tag
- dospělí MeSH
- lidé středního věku MeSH
- lidé MeSH
- mladý dospělý MeSH
- mužské pohlaví MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- práce podpořená grantem MeSH
- Geografické názvy
- Česká republika MeSH
PURPOSE: Providing high-quality end-of-life care is a challenging area in intensive care practice. The aim of the current study was to assess the practice of registered nurses (RNs) with respect to dying care and spiritual support interventions in intensive care units (ICUs) in the Czech Republic (CR) and find correlations between particular factors or conditions and the frequency of NIC interventions usage. DESIGN AND METHODS: A cross-sectional, descriptive study was designed. A questionnaire with Likert scales included the particular activities of dying care and spiritual support interventions and an evaluation of the factors influencing the implementation of the interventions in the ICU. The group of respondents consisted of 277 RNs working in 29 ICUs in four CR regions. The Mann-Whitney U test and Pearson correlation coefficient were used for statistical evaluation. FINDINGS: The most and least frequently reported RN activities were "treat individuals with dignity and respect" and "facilitate discussion of funeral arrangements," respectively. The frequencies of the activities in the biological, social, psychological, and spiritual dimensions were negatively correlated with the frequency of providing care to dying patients. A larger number of activities were related to longer lengths of stay in the ICU, higher staffing, more positive opinions of the RNs regarding the importance of education in a palliative care setting, and attending a palliative care education course. CONCLUSIONS: The psychosocial and spiritual activities in the care of dying patients are used infrequently by RNs in CR ICUs. The factors limiting the implementation of palliative care interventions and strategies improving implementation warrant further study. CLINICAL RELEVANCE: Assessment of nursing activities implemented in the care of dying patients in the ICU may help identify issues specific to nursing practice.
Professor Department of Nursing Faculty of Health Sciences Palacky University Olomouc Czech Republic
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