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ICU Bedside Nurses' Involvement in Palliative Care Communication: A Multicenter Survey.
Anderson, Wendy G; Puntillo, Kathleen; Boyle, Deborah; Barbour, Susan; Turner, Kathleen; Cimino, Jenica; Moore, Eric; Noort, Janice; MacMillan, John; Pearson, Diana; Grywalski, Michelle; Liao, Solomon; Ferrell, Bruce; Meyer, Jeannette; O'Neil-Page, Edith; Cain, Julia; Herman, Heather; Mitchell, William; Pantilat, Steven.
Afiliação
  • Anderson WG; Division of Hospital Medicine and Palliative Care Program, University of California, San Francisco, California, USA. Electronic address: Wendy.Anderson@ucsf.edu.
  • Puntillo K; Department of Physiological Nursing, University of California San Francisco School of Nursing, San Francisco, California, USA.
  • Boyle D; University of California, Irvine Health, Orange, California, USA.
  • Barbour S; University of California, San Francisco Medical Center, San Francisco, California, USA.
  • Turner K; University of California, San Francisco Medical Center, San Francisco, California, USA.
  • Cimino J; Division of Hospital Medicine and Palliative Care Program, University of California, San Francisco, California, USA.
  • Moore E; University of California, Davis Medical Center, Sacramento, California, USA.
  • Noort J; University of California, Davis Medical Center, Sacramento, California, USA.
  • MacMillan J; University of California, Davis Medical Center, Sacramento, California, USA.
  • Pearson D; University of California, Davis Medical Center, Sacramento, California, USA.
  • Grywalski M; University of California, Irvine Health, Orange, California, USA.
  • Liao S; University of California, Irvine Health, Orange, California, USA.
  • Ferrell B; University of California, Los Angeles Medical Center, Los Angeles, California, USA.
  • Meyer J; University of California, Los Angeles Medical Center, Los Angeles, California, USA.
  • O'Neil-Page E; University of California, Los Angeles Medical Center, Los Angeles, California, USA.
  • Cain J; University of California, San Diego Medical Center, San Diego, California, USA.
  • Herman H; University of California, San Diego Medical Center, San Diego, California, USA.
  • Mitchell W; University of California, San Diego Medical Center, San Diego, California, USA.
  • Pantilat S; Division of Hospital Medicine and Palliative Care Program, University of California, San Francisco, California, USA.
J Pain Symptom Manage ; 51(3): 589-596.e2, 2016 Mar.
Article em En | MEDLINE | ID: mdl-26596882
ABSTRACT
CONTEXT Successful and sustained integration of palliative care into the intensive care unit (ICU) requires the active engagement of bedside nurses.

OBJECTIVES:

To describe the perspectives of ICU bedside nurses on their involvement in palliative care communication.

METHODS:

A survey was designed, based on prior work, to assess nurses' perspectives on palliative care communication, including the importance and frequency of their involvement, confidence, and barriers. The 46-item survey was distributed via e-mail in 2013 to bedside nurses working in ICUs across the five academic medical centers of the University of California, U.S.

RESULTS:

The survey was sent to 1791 nurses; 598 (33%) responded. Most participants (88%) reported that their engagement in discussions of prognosis, goals of care, and palliative care was very important to the quality of patient care. A minority reported often discussing palliative care consultations with physicians (31%) or families (33%); 45% reported rarely or never participating in family meeting discussions. Participating nurses most frequently cited the following barriers to their involvement in palliative care communication need for more training (66%), physicians not asking their perspective (60%), and the emotional toll of discussions (43%).

CONCLUSION:

ICU bedside nurses see their involvement in discussions of prognosis, goals of care, and palliative care as a key element of overall quality of patient care. Based on the barriers participants identified regarding their engagement, interventions are needed to ensure that nurses have the education, opportunities, and support to actively participate in these discussions.
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Texto completo: 1 Base de dados: MEDLINE Assunto principal: Cuidados Paliativos / Comunicação / Enfermagem de Cuidados Críticos / Enfermeiras e Enfermeiros Idioma: En Ano de publicação: 2016 Tipo de documento: Article
Texto completo
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Cuidados Paliativos / Comunicação / Enfermagem de Cuidados Críticos / Enfermeiras e Enfermeiros Idioma: En Ano de publicação: 2016 Tipo de documento: Article