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ICU Bedside Nurses' Involvement in Palliative Care Communication: A Multicenter Survey
Wendy G Anderson1, Kathleen Puntillo2, Deborah Boyle3
1Division of Hospital Medicine and Palliative Care Program, University of California, San Francisco, California, USA.
Journal of Pain and Symptom Management
|November 25, 2015
Summary
Intensive care unit (ICU) bedside nurses believe palliative care communication is vital for patient quality. Barriers include lack of training and physician engagement, highlighting a need for better support and education for nurses.
Area of Science:
- Nursing
- Palliative Care
- Intensive Care Medicine
Background:
- Palliative care integration in ICUs necessitates active bedside nurse involvement.
- Nurses are crucial for effective patient care communication.
Purpose of the Study:
- To explore ICU bedside nurses' perspectives on their role in palliative care communication.
- To identify facilitators and barriers to nurse participation.
Main Methods:
- A 46-item survey assessed nurses' views on palliative care communication importance, frequency, confidence, and barriers.
- The survey was distributed to bedside nurses in five University of California academic medical centers.
Main Results:
- 88% of nurses found engagement in palliative care discussions very important for patient care quality.
- Few nurses frequently discussed palliative care with physicians (31%) or families (33%).
- Key barriers included need for more training (66%), physicians not seeking nurse input (60%), and emotional toll (43%).
Conclusions:
- ICU nurses view their participation in palliative care discussions as essential for high-quality patient care.
- Interventions are needed to address identified barriers, enhancing nurses' education, opportunities, and support for active engagement.
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