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dc.contributor.authorIvany, E
dc.contributor.authorAitken, L
dc.date.accessioned2019-09-18T22:13:38Z
dc.date.available2019-09-18T22:13:38Z
dc.date.issued2019
dc.identifier.issn2047-9018en_US
dc.identifier.doi10.7748/ns.2019.e11248en_US
dc.identifier.urihttp://hdl.handle.net/10072/387485
dc.description.abstractCaring for patients who are at the end of their lives is an essential aspect of practice in intensive care units (ICUs). While intensive care is one of the fastest-growing healthcare specialties as a result of technological and scientific advances, a significant proportion of patients admitted to an ICU in the UK will not survive their ICU stay. Therefore, it is important to examine ways to enhance practice in this area and the factors that might affect the care provided to patients and their families. Aim: To identify the challenges and facilitators that members of the ICU multidisciplinary team encounter in the delivery of end of life care to dying patients in ICUs. Method: A scoping literature review was undertaken. Cumulative Index to Nursing and Allied Health Literature (CINAHL) Plus with full text, MEDLINE Complete and the EBSCOhost E-Journals Database were searched electronically to identify literature from April 2007 to April 2017, alongside hand-searching. Critical appraisal tools were used and thematic analysis was undertaken to analyse the data and identify themes. Findings: Ten articles were included in the literature review, which identified various challenges and facilitators in providing effective end of life care in ICUs. The main themes identified were: communication, family involvement, personal factors and the ICU environment. Conclusion: All of the studies included in the literature review identified several important challenges related to communication, such as time constraints, disagreements among healthcare professionals, and a lack of knowledge among healthcare professionals about how to conduct challenging conversations with patients and families. Future developments in practice should consider the role of effective multidisciplinary team-working in end of life care.en_US
dc.description.peerreviewedYesen_US
dc.languageengen_US
dc.publisherRCN Publishing Ltd.en_US
dc.relation.ispartofpagefrom44en_US
dc.relation.ispartofpageto50en_US
dc.relation.ispartofissue6en_US
dc.relation.ispartofjournalNursing Standarden_US
dc.relation.ispartofvolume34en_US
dc.subject.fieldofresearchNursingen_US
dc.subject.fieldofresearchcode1110en_US
dc.subject.keywordscommunicationen_US
dc.subject.keywordscritical careen_US
dc.subject.keywordsdeathen_US
dc.subject.keywordsend of life careen_US
dc.subject.keywordsgood deathen_US
dc.titleChallenges and facilitators in providing effective end of life care in intensive care unitsen_US
dc.typeJournal articleen_US
dc.type.descriptionC1 - Articlesen_US
dcterms.bibliographicCitationIvany, E; Aitken, L, Challenges and facilitators in providing effective end of life care in intensive care units, Nursing Standard, 2019, 34 (6), pp. 44-50en_US
dcterms.dateAccepted2018-07-23
dc.date.updated2019-09-18T05:57:53Z
gro.hasfulltextNo Full Text
gro.griffith.authorAitken, Leanne M.


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