Nurses' Perceptions of End-of-Life Care Before and After ?Interventions? in Intensive Care Units

2.50
Hdl Handle:
http://hdl.handle.net/10755/152461
Type:
Presentation
Title:
Nurses' Perceptions of End-of-Life Care Before and After ?Interventions? in Intensive Care Units
Abstract:
Nurses' Perceptions of End-of-Life Care Before and After ?Interventions? in Intensive Care Units
Conference Sponsor:Sigma Theta Tau International
Conference Year:2006
Author:Hansen, Lissi, RN, PhD
P.I. Institution Name:Oregon Health & Science University
Title:Assistant Professor
Co-Authors:Teresa Tarnowski Goodell, PhD, RN, CNS, CCRN; Leslie N. Ray, PhD, RN; MaryDenise Smith, RN, CNS, ACHPN, MS; Josi DeHaven, RN, BSN
Background: In 2003, based on research literature and clinical practice, we identified a need for improved end-of-life care in medical, surgical, coronary and trauma-neurosurgical intensive care units (ICUs) at an urban teaching hospital. Later that year, a palliative care team and a family bereavement program were implemented. Purpose: The study described nurses? perceptions of 5 aspects of end-of-life care: (1) their knowledge and ability, (2) work situation, (3) sources of work stress, (4) support for staff, and (5) support for patients and families before (Phase I ?2003) and after (Phase II ? 2005) the implementation of the palliative care team/family bereavement program. Methods: The study used a repeated measures design. A 30-item survey measuring the 5 aspects was scored on a 4-point scale, ranging from very good (1) to poor (4). Internal consistency reliability for the 5 subscales was acceptable (.78-.92). We surveyed 270 nurses; 91 in Phase I and 127 in Phase II returned completed surveys. Results: Means and standard deviations on the 5 subscales in Phase I and II were respectively: knowledge and ability 2.1 (0.7) and 1.9 (0.6), work situation 2.5 (0.5) and 2.2 (0.6), work stress 3.2 (0.5) and 2.2 (0.6), support for staff 3.1 (0.7) and 2.7 (0.6), and support for patients and families, 2.6 (0.6) and 2.2 (0.6). All 5 subscale scores were significantly improved after implementation of the palliative care team and the family bereavement program. Implications: Despite improvements in nurses? perceptions, 4 of 5 means remained above the criterion of 2 or less, indicating a need for continuing development in end-of-life care in the ICUs. Current efforts are directed at improving staff and patient/family support, including education and debriefings. The study provided a basis for improvements in end-of-life care in the ICUs that are now being expanded and extended to other departments.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleNurses' Perceptions of End-of-Life Care Before and After ?Interventions? in Intensive Care Unitsen_GB
dc.identifier.urihttp://hdl.handle.net/10755/152461-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Nurses' Perceptions of End-of-Life Care Before and After ?Interventions? in Intensive Care Units</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2006</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Hansen, Lissi, RN, PhD</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Oregon Health &amp; Science University</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Assistant Professor</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">hansenli@ohsu.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Teresa Tarnowski Goodell, PhD, RN, CNS, CCRN; Leslie N. Ray, PhD, RN; MaryDenise Smith, RN, CNS, ACHPN, MS; Josi DeHaven, RN, BSN</td></tr><tr><td colspan="2" class="item-abstract">Background: In 2003, based on research literature and clinical practice, we identified a need for improved end-of-life care in medical, surgical, coronary and trauma-neurosurgical intensive care units (ICUs) at an urban teaching hospital. Later that year, a palliative care team and a family bereavement program were implemented. Purpose: The study described nurses? perceptions of 5 aspects of end-of-life care: (1) their knowledge and ability, (2) work situation, (3) sources of work stress, (4) support for staff, and (5) support for patients and families before (Phase I ?2003) and after (Phase II ? 2005) the implementation of the palliative care team/family bereavement program. Methods: The study used a repeated measures design. A 30-item survey measuring the 5 aspects was scored on a 4-point scale, ranging from very good (1) to poor (4). Internal consistency reliability for the 5 subscales was acceptable (.78-.92). We surveyed 270 nurses; 91 in Phase I and 127 in Phase II returned completed surveys. Results: Means and standard deviations on the 5 subscales in Phase I and II were respectively: knowledge and ability 2.1 (0.7) and 1.9 (0.6), work situation 2.5 (0.5) and 2.2 (0.6), work stress 3.2 (0.5) and 2.2 (0.6), support for staff 3.1 (0.7) and 2.7 (0.6), and support for patients and families, 2.6 (0.6) and 2.2 (0.6). All 5 subscale scores were significantly improved after implementation of the palliative care team and the family bereavement program. Implications: Despite improvements in nurses? perceptions, 4 of 5 means remained above the criterion of 2 or less, indicating a need for continuing development in end-of-life care in the ICUs. Current efforts are directed at improving staff and patient/family support, including education and debriefings. The study provided a basis for improvements in end-of-life care in the ICUs that are now being expanded and extended to other departments.</td></tr></table>en_GB
dc.date.available2011-10-26T11:37:11Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T11:37:11Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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