A favorable course of palliative sedation: searching for indicators using caregivers' perspectives

Am J Hosp Palliat Care. 2015 Mar;32(2):129-36. doi: 10.1177/1049909113512411. Epub 2013 Dec 2.

Abstract

Objective: Comparing characteristics of a favorable sedation course during palliative sedation to a less favorable course based on the reports Dutch physicians and nurses.

Results: Cases identified as having a favorable sedation course less often concerned a male patient (P = .019 nurses' cases), reached the intended sedation depth significantly quicker (P < .05 both nurses and physicians' cases), reached a deeper level of sedation (P = .015 physicians' cases), and had a shorter total duration of sedation compared (P < .001 physicians' cases) to patients with a less favorable sedation course.

Conclusions: A favorable course during palliative sedation seems more probable when health care professionals report on a (relatively) shorter time to reach the required depth of sedation and when a deeper level of sedation can be obtained.

Keywords: depth of sedation; nurses; palliative sedation; physicians; questionnaire; retrospective.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Attitude of Health Personnel
  • Conscious Sedation / methods*
  • Deep Sedation / methods
  • Female
  • Humans
  • Male
  • Middle Aged
  • Netherlands
  • Nurses / psychology
  • Nurses / statistics & numerical data
  • Palliative Care / methods*
  • Physicians / psychology
  • Physicians / statistics & numerical data
  • Practice Guidelines as Topic
  • Surveys and Questionnaires
  • Terminal Care / methods
  • Treatment Outcome