End-of-life care elements for people living with advanced cancer and family members in intensive care units in Saudi Arabia

2021 ◽  
Author(s):  
◽  
Hanan Alyami
Keyword(s):  
Saudi Arabia ◽  
Intensive Care ◽  
End Of Life ◽  
Intensive Care Units ◽  
Advanced Cancer ◽  
End Of Life Care ◽  
Family Members ◽  
Life Care

Nurses’ care practices at the end of life in intensive care units in Bahrain

2016 ◽  
Vol 24 (8) ◽  
pp. 950-961 ◽  
Author(s):  
Catherine S O’Neill ◽  
Maryam Yaqoob ◽  
Sumaya Faraj ◽  
Carla L O’Neill
Keyword(s):  
Intensive Care ◽  
End Of Life ◽  
Intensive Care Units ◽  
End Of Life Care ◽  
Family Members ◽  
Professional Autonomy ◽  
Host Institution ◽  
Life Care ◽  
Religious Experiences ◽  
Care Practices

Background: The process of dying in intensive care units is complex as the technological environment shapes clinical decisions. Decisions at the end of life require the involvement of patient, families and healthcare professionals. The degree of involvement can vary depending on the professional and social culture of the unit. Nurses have an important role to play in caring for dying patients and their families; however, their knowledge is not always sought. Objectives: This study explored nurses’ care practices at the end of life, with the objective of describing and identifying end of life care practices that nurses contribute to, with an emphasis on culture, religious experiences and professional identity. Research Design and context: Grounded theory was used. In all, 10 nurses from intensive care unit in two large hospitals in Bahrain were participated. Ethical Considerations: Approval to carry out the research was given by the Research Ethics Committee of the host institution, and the two hospitals. Findings: A core category, Death Avoidance Talk, was emerged. This was supported by two major categories: (1) order-oriented care and (2) signalling death and care shifting. Discussion: Death talk was avoided by the nurses, doctors and family members. When a decision was made by the medical team that a patient was not to be resuscitated, the nurses took this as a sign that death was imminent. This led to a process of signalling death to family and of shifting care to family members. Conclusion: Despite the avoidance of death talk and nurses’ lack of professional autonomy, they created awareness that death was imminent to family members and ensured that end of life care was given in a culturally sensitive manner and aligned to Islamic values.

scholarly journals Parental perceptions of end-of-life care on paediatric intensive care units in Brazil

2012 ◽  
Vol 2 (Suppl 1) ◽  
pp. A7.1-A7
Author(s):  
Patricia Lago ◽  
Gilda Halal ◽  
Jefferson Piva ◽  
Christine Nilson ◽  
Michael Halal
Keyword(s):  
Intensive Care ◽  
End Of Life ◽  
Intensive Care Units ◽  
End Of Life Care ◽  
Parental Perceptions ◽  
Paediatric Intensive Care ◽  
Life Care ◽  
Paediatric Intensive Care Units

What are the challenges for nurses when providing end-of-life care in intensive care units?

2019 ◽  
Vol 28 (16) ◽  
pp. 1047-1052 ◽  
Author(s):  
Ian Griffiths
Keyword(s):  
Intensive Care ◽  
End Of Life ◽  
Intensive Care Units ◽  
End Of Life Care ◽  
Evidence Base ◽  
Current Evidence ◽  
Life Care ◽  
Current Evidence Base ◽  
Review Question ◽  
The Subject

Aim: this literature review aimed to explore qualitative studies in which nurses discussed the challenges they face when delivering end-of-life care in intensive care units (ICUs). Analysis and discussion of the studies' findings aimed to contribute to the current evidence base surrounding the subject. Method: a systematic search of academic databases was conducted to source relevant studies. An inductive process using grounded theory was undertaken to elicit suitable themes to address the review question. Findings: six relevant studies were identified with four main themes emerging from analysis. The themes were a lack of nurse involvement in end-of-life care decision-making, a lack of nursing knowledge in providing end-of-life care, the dilemma of prioritising care between the patient and family, and the nature of providing end-of-life care within an ICU environment. Conclusion: the provision of end-of-life care in ICUs requires nurses to be involved in interdisciplinary communication. ICU-specific end-of-life care education, training and guidelines need to be implemented to ensure patients receive high-quality, patient-centred care.

Nurses’ roles and challenges in providing end-of-life care in neonatal intensive care units in South Korea

2019 ◽  
Vol 50 ◽  
pp. 151204 ◽  
Author(s):  
Sujeong Kim ◽  
Teresa A. Savage ◽  
Mi-Kyung Song ◽  
Catherine Vincent ◽  
Chang G. Park ◽  
...  
Keyword(s):  
Intensive Care ◽  
South Korea ◽  
End Of Life ◽  
Intensive Care Units ◽  
End Of Life Care ◽  
Neonatal Intensive Care ◽  
Neonatal Intensive Care Units ◽  
Life Care

A content analysis of forms, guidelines, and other materials documenting end-of-life care in intensive care units

2004 ◽  
Vol 19 (2) ◽  
pp. 108-117 ◽  
Author(s):  
Ellen B. Clarke ◽  
John M. Luce ◽  
J.Randall Curtis ◽  
Marion Danis ◽  
Mitchell Levy ◽  
...  
Keyword(s):  
Content Analysis ◽  
Intensive Care ◽  
End Of Life ◽  
Intensive Care Units ◽  
End Of Life Care ◽  
Life Care
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