Critical care nurses' perceptions of obstacles, supports, and knowledge needed in providing quality end-of-life care

Dimens Crit Care Nurs. 2010 Nov-Dec;29(6):297-306. doi: 10.1097/DCC.0b013e3181f0c43c.

Abstract

In response to critical care nurses' perceptions of increasing stress and conflict in difficult end-of-life (EOL) situations, the researchers conducted a study to identify perceived obstacles, supports, and knowledge needed to provide quality EOL care. The conclusions were as follows: (1) families and patients need clear, direct, and consistent information to make EOL decisions; (2) physician-related issues affect nurses' ability to provide quality EOL care; (3) critical care nurses need more knowledge, skill, and a sense of cultural competency to provide quality care; and (4) having properly completed advance directives can reduce confusion about the goals of care. Recommendations for improving EOL care were made as a result of the study.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Critical Care*
  • Cultural Competency
  • Decision Making
  • Female
  • Health Knowledge, Attitudes, Practice
  • Humans
  • Inservice Training
  • Interprofessional Relations
  • Male
  • Middle Aged
  • Nurse's Role*
  • Nurses / psychology*
  • Professional-Family Relations
  • Quality of Health Care
  • Surveys and Questionnaires
  • Terminal Care*