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Critical Care Nurses’ Experiences of End-of-Life Care: A Qualitative Study

机译:关键护理护士的终身关怀的经历:定性研究

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Background: Patients admitted to the intensive care unit (ICU) may face terminal illness situations, which may lead to death. In this case, the role of critical care nurses shifts from life-sustaining to end-of-life care (EOLC). Nurses’ involvement in EOLC varies between countries, even in one country due to differences in religion, culture, organization, laws, cases and patient quality. In Indonesia, research on EOLC in ICU has not been carried out.Purpose: This study aimed to explore the experiences of critical care nurses in providing EOLC.Methods: A qualitative study with a phenomenological approach was conducted. Ten critical care nurses having the experiences of caring for dying patients were recruited through a purposive sampling technique for in-depth interviews. Manual content analysis was used to identify themes.Results: The results of the study found five themes, including the challenge of communication with the family, support for the family, support for the patient, discussion and decision making, and nurses’ emotions.?Conclusion: Most of EOLC provided by critical care nurses was focused on the family. They had some challenges in communication and decision making. Nurses need to get training and education about how to care for patients towards the end of life.
机译:背景:患者录取重症监护病房(ICU)可能会面临终端疾病情况,可能导致死亡。在这种情况下,关键护理护士的作用从终身关心(EOLC)的终身变化。由于宗教,文化,组织,法律,案件和患者质量的差异,即使在一个国家也在一个国家之间的护士参与埃尔科。在印度尼西亚,ICU中的EOLC研究尚未进行。本研究旨在探讨提供EOLC.Methods的关键护理护士的经验:进行了一种定性学方法。通过用于深入访谈的有目的采样技术招募具有关注患病患者的照顾经验的十名重症护理护理。手动内容分析用于识别主题。结果:研究结果发现了五个主题,包括与家庭沟通的挑战,对家庭的支持,对患者的支持,讨论和决策,以及护士的情绪。结论:大部分EOLC由关键护理护士提供的专注于家庭。他们对沟通和决策有一些挑战。护士需要获得关于如何在生活结束时照顾患者的培训和教育。

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