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Related Experiment Videos

Intensive care nurses' experiences with end-of-life care.

K T Kirchhoff1, V Spuhler, L Walker

  • 1University of Utah College of Nursing, Salt Lake City, USA.

American Journal of Critical Care : an Official Publication, American Association of Critical-Care Nurses
|January 13, 2000
PubMed
Summary
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Critical care nurses perceive good end-of-life care in intensive care units (ICUs) as prioritizing patient comfort, dignity, and pain management. Improving care requires better communication, staff support, and environmental changes.

Area of Science:

  • Critical care medicine
  • Palliative care
  • Nursing research

Background:

  • Focus on patient death and care quality is increasing.
  • End-of-life care in intensive care units (ICUs) requires description and improvement.

Purpose of the Study:

  • To describe end-of-life care in ICUs.
  • To capture perceptions of critical care nurses caring for dying patients.

Main Methods:

  • Semistructured interviews guided focus groups with experienced ICU nurses.
  • Four focus groups were conducted with 2+ years of experience.
  • Transcripts were analyzed to identify themes in end-of-life care.

Main Results:

  • "Good" end-of-life care includes pain-free status, maintained comfort, and patient dignity.

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  • Family involvement, clear prognosis, and continuity of care are vital.
  • Transitioning from curative to comfort care presents challenges.

    • Conclusions:

    • End-of-life care is complicated by family/caregiver disagreements and communication issues.
    • Improvements include environmental changes, education, staff support, and enhanced communication.
    • Addressing these factors can enhance care for dying patients and their families.