Title |
Dificultades para ofrecer cuidados al final de la vida en las unidades de cuidados intensivos. La perspectiva de enfermería
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Published in |
Gaceta Sanitaria, February 2017
|
DOI | 10.1016/j.gaceta.2016.11.006 |
Pubmed ID | |
Authors |
Juan Francisco Velarde-García, Raquel Luengo-González, Raquel González-Hervías, Sergio González-Cervantes, Beatriz Álvarez-Embarba, Domingo Palacios-Ceña |
Abstract |
To describe the difficulties perceived by nursing staff in the delivery of end-of-life care to critically ill patients within intensive care units (ICU). A descriptive phenomenological qualitative study was performed. A purposeful and snowball sampling of nursing staff with at least 1 year's previous experience working in an ICU was conducted. Twenty-two participants were enrolled. Data collection strategies included in-depth unstructured and semi-structured interviews and researcher's field notes. Data were analysed using the Giorgi proposal. Three themes were identified: academic-cultural barriers, related to the care orientation of the ICU and lack of training in end of life care; architectural-structural barriers, related to the lack of space and privacy for the patient and family in the last moments of life; and psycho-emotional barriers, related to the use of emotional detachment as a strategy applied by nursing staff. Nursing staff need proper training on end-of-life care through the use of guidelines or protocols and the development of coping strategies, in addition to a change in the organisation of the ICU dedicated to the terminal care of critically ill patients and family support. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
Spain | 8 | 38% |
Chile | 1 | 5% |
Unknown | 12 | 57% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 17 | 81% |
Science communicators (journalists, bloggers, editors) | 2 | 10% |
Scientists | 1 | 5% |
Practitioners (doctors, other healthcare professionals) | 1 | 5% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 230 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Bachelor | 39 | 17% |
Student > Master | 32 | 14% |
Student > Postgraduate | 14 | 6% |
Other | 12 | 5% |
Student > Ph. D. Student | 12 | 5% |
Other | 40 | 17% |
Unknown | 81 | 35% |
Readers by discipline | Count | As % |
---|---|---|
Nursing and Health Professions | 102 | 44% |
Medicine and Dentistry | 25 | 11% |
Psychology | 4 | 2% |
Business, Management and Accounting | 3 | 1% |
Economics, Econometrics and Finance | 3 | 1% |
Other | 13 | 6% |
Unknown | 80 | 35% |