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  • Healthcare professionals' values about and experience with facilitating end-of-life care in the adult intensive care unit

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    Ranse481192-Accepted.pdf (349.9Kb)
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    Accepted Manuscript (AM)
    Author(s)
    Riegel, Melissa
    Randall, Sue
    Ranse, Kristen
    Buckley, Thomas
    Griffith University Author(s)
    Ranse, Kristen
    Year published
    2021
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    Abstract
    OBJECTIVES: To evaluate values and experience with facilitating end-of-life care among intensive care professionals (registered nurses, medical practitioners and social workers) to determine perceived education and support needs. RESEARCH DESIGN: Using a cross-sectional study design, 96 professionals completed a survey on knowledge, preparedness, patient and family preferences, organisational culture, resources, palliative values, emotional support, and care planning in providing end-of-life care. SETTING: General adult intensive care unit at a tertiary referral hospital. RESULTS: Compared to registered nurses, medical ...
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    OBJECTIVES: To evaluate values and experience with facilitating end-of-life care among intensive care professionals (registered nurses, medical practitioners and social workers) to determine perceived education and support needs. RESEARCH DESIGN: Using a cross-sectional study design, 96 professionals completed a survey on knowledge, preparedness, patient and family preferences, organisational culture, resources, palliative values, emotional support, and care planning in providing end-of-life care. SETTING: General adult intensive care unit at a tertiary referral hospital. RESULTS: Compared to registered nurses, medical practitioners reported lower emotional and instrumental support after a death, including colleagues asking if OK (p = 0.02), lower availability of counselling services (p = 0.01), perceived insufficient time to spend with families (p = 0.01), less in-service education for end-of-life topics (p = 0.002) and symptom management (p = 0.02). Registered nurses reported lower scores related to knowing what to say to the family in end-of-life care scenarios (p = 0.01). CONCLUSION: Findings inform strategies for practice development to prepare and support healthcare professionals to provide end-of-life care in the intensive care setting. Professionals reporting similar palliative care values and inclusion of patient and family preferences in care planning is an important foundation for planning interprofessional education and support with opportunities for professionals to share experiences and strengths.
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    Journal Title
    Intensive and Critical Care Nursing
    DOI
    https://doi.org/10.1016/j.iccn.2021.103057
    Copyright Statement
    © 2021 Elsevier. Licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International Licence (http://creativecommons.org/licenses/by-nc-nd/4.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, providing that the work is properly cited.
    Note
    This publication has been entered in Griffith Research Online as an advanced online version.
    Subject
    Nursing
    Bereavement
    Critical care
    End of life
    Intensive care units
    Needs assessment
    Publication URI
    http://hdl.handle.net/10072/403970
    Collection
    • Journal articles

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