Evaluation of a standardized order set for planned withdrawal of life support in critical care

2.50
Hdl Handle:
http://hdl.handle.net/10755/157188
Category:
Abstract
Type:
Presentation
Title:
Evaluation of a standardized order set for planned withdrawal of life support in critical care
Author(s):
Winterbottom, Fiona; Bourgeois, Deborah; Taylor, David; Luminais, Hiliary; Gregory, Tracy
Author Details:
Fiona Winterbottom, Ochsner Medical Center, New Orleans, Louisiana, USA, email: fwinterbottom@ochsner.org; Deborah Bourgeois; David Taylor; Hiliary Luminais; Tracy Gregory
Abstract:
PURPOSE: The purpose of this study is to evaluate the impact of a standardized order set for withdrawal of life support on critical care nurses' perceptions of end-of-life care. BACKGROUND: Twenty percent of deaths in America occur in ICUs each year. Many deaths are associated with withdrawal of life support. Nurses are often frustrated and emotionally drained by the EOL experience and families are dissatisfied with the dying process. Limited studies report that standardized orders are associated with increased staff and family satisfaction. The use of a standardized order sets may be effective in improving nurses' satisfaction in orchestrating planned withdrawal of life support. METHODS: Design: Pretest-Posttest design Sample: Convenience sample of RNs working in 2 units Data Collection: Nurses voluntarily completed a 14-item Likert scale survey using Survey Monkey before implementation of order set. The order set was in place for 90 days. Post survey was open on the 91st day following start of the order set. Only those nurses that used the order set were eligible to participate. Data Analysis: Reliability and Factor analyses will be calculated for the survey. Nonparametric statistics will be calculated for each variable; Chi-square tests to test for group differences. All statistical analyses are 2-tailed, alpha=.05. RESULTS: Pretest sample: 70 of 100 (70%) eligible RNs completed the survey 35/70 (50%)strongly agreed that order sets would improve withdrawal EOL care 32/70 (45%)strongly agreed that they were comfortable with withdrawal process 5/70 (7.1%)strongly agreed that current orders for withdrawal were clear The order set will have been implemented 90 days on 11/20 The posttest data collection will begin on 11/21. Conclusions Conclusions will be based on the final data analysis which is expected to be completed by January 2009.
Repository Posting Date:
26-Oct-2011
Date of Publication:
26-Oct-2011
Citation:
2009 National Teaching Institute Research Abstracts. American Journal of Critical Care, 18(3), e1-e17.
Conference Date:
2009
Conference Name:
National Teaching Institute and Critical Care Exposition
Conference Host:
American Association of Critical-Care Nurses
Conference Location:
New Orleans, Louisiana, USA
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleEvaluation of a standardized order set for planned withdrawal of life support in critical careen_GB
dc.contributor.authorWinterbottom, Fionaen_GB
dc.contributor.authorBourgeois, Deborahen_GB
dc.contributor.authorTaylor, Daviden_GB
dc.contributor.authorLuminais, Hiliaryen_GB
dc.contributor.authorGregory, Tracyen_GB
dc.author.detailsFiona Winterbottom, Ochsner Medical Center, New Orleans, Louisiana, USA, email: fwinterbottom@ochsner.org; Deborah Bourgeois; David Taylor; Hiliary Luminais; Tracy Gregoryen_GB
dc.identifier.urihttp://hdl.handle.net/10755/157188-
dc.description.abstractPURPOSE: The purpose of this study is to evaluate the impact of a standardized order set for withdrawal of life support on critical care nurses' perceptions of end-of-life care. BACKGROUND: Twenty percent of deaths in America occur in ICUs each year. Many deaths are associated with withdrawal of life support. Nurses are often frustrated and emotionally drained by the EOL experience and families are dissatisfied with the dying process. Limited studies report that standardized orders are associated with increased staff and family satisfaction. The use of a standardized order sets may be effective in improving nurses' satisfaction in orchestrating planned withdrawal of life support. METHODS: Design: Pretest-Posttest design Sample: Convenience sample of RNs working in 2 units Data Collection: Nurses voluntarily completed a 14-item Likert scale survey using Survey Monkey before implementation of order set. The order set was in place for 90 days. Post survey was open on the 91st day following start of the order set. Only those nurses that used the order set were eligible to participate. Data Analysis: Reliability and Factor analyses will be calculated for the survey. Nonparametric statistics will be calculated for each variable; Chi-square tests to test for group differences. All statistical analyses are 2-tailed, alpha=.05. RESULTS: Pretest sample: 70 of 100 (70%) eligible RNs completed the survey 35/70 (50%)strongly agreed that order sets would improve withdrawal EOL care 32/70 (45%)strongly agreed that they were comfortable with withdrawal process 5/70 (7.1%)strongly agreed that current orders for withdrawal were clear The order set will have been implemented 90 days on 11/20 The posttest data collection will begin on 11/21. Conclusions Conclusions will be based on the final data analysis which is expected to be completed by January 2009.en_GB
dc.date.available2011-10-26T19:30:02Z-
dc.date.issued2011-10-26en_GB
dc.date.accessioned2011-10-26T19:30:02Z-
dc.identifier.citation2009 National Teaching Institute Research Abstracts. American Journal of Critical Care, 18(3), e1-e17.en_GB
dc.conference.date2009en_GB
dc.conference.nameNational Teaching Institute and Critical Care Expositionen_GB
dc.conference.hostAmerican Association of Critical-Care Nursesen_GB
dc.conference.locationNew Orleans, Louisiana, USAen_GB
dc.identifier.citation2009 National Teaching Institute Research Abstracts. American Journal of Critical Care, 18(3), e1-e17.en_GB
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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