Laura Hynes
Tracey Coventry
Kylie Russell
Barriers, obstacles, intensive care nurse, end of life care, supportive behaviours, intensive care unit, the national questionnaire of critical care nurses regarding end of life care
AbstractBackground: Intensive care nurses look after the most critically ill patient population with the highest mortality rate on a daily basis. Whilst research to date has highlighted and provided some insights into the current provision of end of life care, further research is much needed to improve the efficacy of nurses existing practice. Objective: To investigate the specific barriers and contextual characteristics that nurses experience within the Intensive Care Unit environment. Study Methods: The National Questionnaire of Critical Care Nurses Regarding End of Life Care was used to collect quantitative and qualitative data to answer the research questions. This study was conducted in a major intensive care unit located in a tertiary public hospital in metropolitan Western Australia. Results: The respondent rate was 67.31%. Obstacles with the highest perceived intensity score (PIS) reported by participants involved issues around the communication and practice of end of life care including family interaction. The ranges of mean scores for supportive behaviours were much higher than the ranges for obstacles. These supportive behaviours included allowing family members to have adequate time alone with the patient after death, and families being taught how to engage with the dying patient. Conclusion: The findings reflect that the most intense and frequently occurring obstacles are consistent with past research. A perceived negative end of life care experience by the nurse was found to negatively impact the nurse’s psychological and physiological health. The research demonstrates the need for a stronger multidisciplinary patient centred approach. It is envisaged that the findings will support the review and development of appropriate guidelines to support nurses caring for intensive care patients in the initial and progressive phases of end of life care.
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Hynes L, Coventry T, Russell K. Intensive care nurse’s perceptions on barriers impeding the provision of end of life care in the intensive care setting: a quantitative analysis. Aust J Adv Nurs [Internet]. 2022 Feb. 28 [cited 2022 Feb. 28];39(1). Available from: https://www.ajan.com.au/index.php/AJAN/article/view/214
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