scholarly journals Postgraduate nursing students' experiences of simulation training and reflection in end‐of‐life communication with intensive care patients and their families

2021 ◽  
Author(s):  
Elisabeth Lindberg ◽  
Isabell Fridh
Keyword(s):  
Intensive Care ◽  
Nursing Students ◽  
End Of Life ◽  
Simulation Training ◽  
Intensive Care Patients ◽  
End Of Life Communication

An evaluation of an interprofessional simulation training session on end-of-life-care conversations in the intensive care unit

2020 ◽  
Vol 21 ◽  
pp. 100357
Author(s):  
Masayuki Nogi ◽  
Lorrie C. Wong ◽  
Ashley B. Yamanaka ◽  
Karol Richardson ◽  
Jacqueline Ng-Osorio ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
End Of Life ◽  
End Of Life Care ◽  
Simulation Training ◽  
Training Session ◽  
Life Care

Family involvement in the end-of-life decisions of competent intensive care patients

2012 ◽  
Vol 20 (1) ◽  
pp. 61-71 ◽  
Author(s):  
Ranveig Lind ◽  
Per Nortvedt ◽  
Geir Lorem ◽  
Olav Hevrøy
Keyword(s):  
Decision Making ◽  
Intensive Care ◽  
End Of Life ◽  
Family Involvement ◽  
Decision Making Process ◽  
Primary Role ◽  
Her Family ◽  
Intensive Care Patients ◽  
The Family ◽  
End Of Life Decision

In this article, we report the findings from a qualitative study that explored how relatives of terminally ill, alert and competent intensive care patients perceived their involvement in the end-of-life decision-making process. Eleven family members of six deceased patients were interviewed. Our findings reveal that relatives narrate about a strong intertwinement with the patient. They experienced the patients’ personal individuality as a fragile achievement. Therefore, they viewed their presence as crucial with their primary role to support and protect the patient, thereby safeguarding his values and interests. However, their inclusion in decision making varied from active participation in the decision-making process to acceptance of the physicians’ decision or just receiving information. We conclude that models of informed shared decision making should be utilised and optimised in intensive care, where nurses and physicians work with both the patient and his or her family and regard the family as partners in the process.

scholarly journals You Can’t Get What You Want: Innovation for End-of-Life Communication in the Intensive Care Unit

2016 ◽  
Vol 193 (1) ◽  
pp. 14-16 ◽  
Author(s):  
Margaret L. Schwarze ◽  
Toby C. Campbell ◽  
Thomas V. Cunningham ◽  
Douglas B. White ◽  
Robert M. Arnold
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
End Of Life ◽  
End Of Life Communication

Communication in the Intensive Care Unit About the End of Life

2007 ◽  
Vol 18 (4) ◽  
pp. 406-414
Author(s):  
Patsy D. Treece
Keyword(s):  
Intensive Care Unit ◽  
Critical Care ◽  
Intensive Care ◽  
End Of Life ◽  
Positive Impact ◽  
Perceived Quality ◽  
Clinician Communication ◽  
End Of Life Communication

Communicating well in the intensive care unit is essential to providing quality critical care for the families of patients who are expected to die. There are many examples in the literature of how clinicians fall short of meeting these needs of families. There is also a developing body of literature describing approaches and tools that may have a positive impact on the perceived quality of end-of-life communication. The quality of clinician communication can be improved just as other skills that are important in the intensive care unit.

scholarly journals The Use of Simulation to Teach Nursing Students and Clinicians Palliative Care and End-of-Life Communication: A Systematic Review

2018 ◽  
Vol 35 (8) ◽  
pp. 1140-1154 ◽  
Author(s):  
Madison B. Smith ◽  
Tamara G. R. Macieira ◽  
Michael D. Bumbach ◽  
Susan J. Garbutt ◽  
Sandra W. Citty ◽  
...  
Keyword(s):  
Systematic Review ◽  
Palliative Care ◽  
Nursing Students ◽  
End Of Life ◽  
Communication Skills ◽  
End Of Life Care ◽  
Learning Experiences ◽  
Life Care ◽  
Simulation Based ◽  
End Of Life Communication

Objectives: To present the findings of a systematic review on the use of simulation-based learning experiences (SBLEs) to teach communication skills to nursing students and clinicians who provide palliative and end-of-life care to patients and their families. Background: Palliative care communication skills are fundamental to providing holistic patient care. Since nurses have the greatest amount of direct exposure to patients, building such communication competencies is essential. However, exposure to patients and families receiving palliative and end-of-life care is often limited, resulting in few opportunities to learn these skills in the clinical setting. Simulation-based learning experiences can be used to supplement didactic teaching and clinical experiences to build the requisite communication skills. Methods: Searches of CINAHL, MEDLINE, PsychINFO, ERIC, and Web of Science electronic databases and Grey Literature returned 442 unique records. Thirty articles met the established criteria, including the SBLE must contain a nursing role. Results: Simulation-based learning experience are being used to teach palliative and end-of-life communication skills to nursing students and clinicians. Lack of standardization, poor evaluation methods, and limited exposure to the entire interprofessional team makes it difficult to identify and disseminate validated best practices. Conclusion: While the need for further research is acknowledged, we recommend this evidence be augmented by training programs that utilize SBLEs through (1) applying standards, (2) clearly specifying goals and objectives, (3) integrating externally validated scenarios, and (4) employing rigorous evaluation methods and measures that link the SBLE to the training objectives and desired clinician practice behaviors and patient outcomes.

End-of-life communication in the intensive care unit

2010 ◽  
Vol 32 (4) ◽  
pp. 433-442 ◽  
Author(s):  
Tomer T. Levin ◽  
Beatriz Moreno ◽  
William Silvester ◽  
David W. Kissane
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
End Of Life ◽  
End Of Life Communication
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