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Dimens Crit Care Nurs · Nov 2010
Critical care nurses' perceptions of obstacles, supports, and knowledge needed in providing quality end-of-life care.
- Saundra K Crump, Marjorie A Schaffer, and Evie Schulte.
- University of Minnesota Center for Geriatric Nursing Excellence, MN, USA. skcrump@earthlink.net
- Dimens Crit Care Nurs. 2010 Nov 1;29(6):297-306.
AbstractIn response to critical care nurses' perceptions of increasing stress and conflict in difficult end-of-life (EOL) situations, the researchers conducted a study to identify perceived obstacles, supports, and knowledge needed to provide quality EOL care. The conclusions were as follows: (1) families and patients need clear, direct, and consistent information to make EOL decisions; (2) physician-related issues affect nurses' ability to provide quality EOL care; (3) critical care nurses need more knowledge, skill, and a sense of cultural competency to provide quality care; and (4) having properly completed advance directives can reduce confusion about the goals of care. Recommendations for improving EOL care were made as a result of the study.
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