End-of-life care in the intensive care unit: a challenge for nurses.
Am J Crit Care
; 10(4): 230-7, 2001 Jul.
Article
em En
| MEDLINE
| ID: mdl-11432211
ABSTRACT
Results from several research studies combined with increasing public tensions surrounding physician-assisted suicide have fueled a growing awareness of the inadequacies of end-of-life care. Investigators also suggest that intensive care unit nurses have a limited role in end-of-life decision making and care planning. This article explores cultural issues influencing end-of-life care in intensive care units, explores factors surrounding the limited involvement of critical care nurses in end-of-life decision making and care planning, and offers recommendations for changing nursing practice. Because improving end-of-life care will require cultural changes, an understanding of the cultural issues involved is needed. Recommendations for changing nursing practice include a model of end-of-life care that incorporates the goals of both cure and comfort care, as well as a shared decision-making process. Nurses are essential to improving end-of-life care in today's intensive care units.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Assistência Terminal
/
Cultura Organizacional
/
Modelos de Enfermagem
/
Papel do Profissional de Enfermagem
/
Tomada de Decisões
/
Unidades de Terapia Intensiva
/
Recursos Humanos de Enfermagem Hospitalar
Tipo de estudo:
Guideline
/
Prognostic_studies
Limite:
Aged
/
Humans
País/Região como assunto:
America do norte
Idioma:
En
Revista:
Am J Crit Care
Assunto da revista:
ENFERMAGEM
/
TERAPIA INTENSIVA
Ano de publicação:
2001
Tipo de documento:
Article
País de afiliação:
Estados Unidos