NDLI: Dying Care Interventions in the Intensive Care Unit.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Kisvetrová, Helena Skoloudík, David Joanovic, Eva Konecná, Jana Miksová, Zdenka
Spatial Coverage	Czech Republic
Description	Country affiliation: Czech Republic Author Affiliation: Kisvetrová H ( Phi Gamma, Assistant Professor, Department of Nursing, Faculty of Health Sciences, Palacky University, Olomouc, Czech Republic.); Skoloudík D ( Professor, Department of Nursing, Faculty of Health Sciences, Palacky University, Olomouc, Czech Republic.); Joanovic E ( Doctoral Student, Department of Nursing, Faculty of Health Sciences, Palacky University, Olomouc, Czech Republic.); Konecná J ( Doctoral Student, Department of Nursing, Faculty of Health Sciences, Palacky University, Olomouc, Czech Republic.); Miksová Z ( Associate Dean and Head of Department of Nursing, Faculty of Health Sciences, Palacky University, Olomouc, Czech Republic.)
Abstract	PURPOSE: Providing high-quality end-of-life care is a challenging area in intensive care practice. The aim of the current study was to assess the practice of registered nurses (RNs) with respect to dying care and spiritual support interventions in intensive care units (ICUs) in the Czech Republic (CR) and find correlations between particular factors or conditions and the frequency of NIC interventions usage. DESIGN AND METHODS: A cross-sectional, descriptive study was designed. A questionnaire with Likert scales included the particular activities of dying care and spiritual support interventions and an evaluation of the factors influencing the implementation of the interventions in the ICU. The group of respondents consisted of 277 RNs working in 29 ICUs in four CR regions. The Mann-Whitney U test and Pearson correlation coefficient were used for statistical evaluation. FINDINGS: The most and least frequently reported RN activities were 'treat individuals with dignity and respect' and 'facilitate discussion of funeral arrangements,' respectively. The frequencies of the activities in the biological, social, psychological, and spiritual dimensions were negatively correlated with the frequency of providing care to dying patients. A larger number of activities were related to longer lengths of stay in the ICU, higher staffing, more positive opinions of the RNs regarding the importance of education in a palliative care setting, and attending a palliative care education course. CONCLUSIONS: The psychosocial and spiritual activities in the care of dying patients are used infrequently by RNs in CR ICUs. The factors limiting the implementation of palliative care interventions and strategies improving implementation warrant further study. CLINICAL RELEVANCE: Assessment of nursing activities implemented in the care of dying patients in the ICU may help identify issues specific to nursing practice.
File Format	HTM / HTML
ISSN	15276546
Issue Number	2
Volume Number	48
e-ISSN	15475069
Journal	Journal of Nursing Scholarship
Language	English
Publisher	Wiley
Publisher Date	2016-03-01
Publisher Place	United States
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline Nursing Critical Care Nursing Nurses Nurse's Practice Patterns Spirituality Terminal Care Adult Cross-sectional Studies Czech Republic Female Humans Intensive Care Units Male Middle Aged Statistics & Numerical Data Nursing Evaluation Research Quality Of Health Care Questionnaires Young Adult Journal Article Research Support, Non-u.s. Gov't
Content Type	Text
Resource Type	Article
Subject	Nursing

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