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Dificultades para ofrecer cuidados al final de la vida en las unidades de cuidados intensivos. La perspectiva de enfermería

Overview of attention for article published in Gaceta Sanitaria, February 2017
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Title
Dificultades para ofrecer cuidados al final de la vida en las unidades de cuidados intensivos. La perspectiva de enfermería
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.

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Mendeley readers

The data shown below were compiled from readership statistics for 230 Mendeley readers of this research output. Click here to see the associated Mendeley record.

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%