Nurses’ perceptions of the obstacles and supportive behaviors of end-of-life care in intensive care units

IF 1.1 Q3 NURSING

Enfermeria Intensiva Pub Date : 2024-01-01 DOI:10.1016/j.enfi.2023.04.006

Majd T. Mrayyan , Nijmeh Al-Atiyyat , Ala Ashour , Ali Alshraifeen , Abdullah Algunmeeyn , Sami Al-Rawashdeh , Murad Sawalha , Abdallah Abu Khait , Imad Alfayoumi , Mohammad Sayaheen , Mohammad Odeh

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Abstract

Purpose

This study examined the Jordanian registered nurses’ perceptions of the obstacles and supportive behaviors of End-of-Life Care in Intensive Care Units and examined the differences in the concepts based on the samples’ demographics.

Methods

A cross-sectional and comparative study was conducted using a convenience sample of 230 Intensive Care Unit registered nurses in Jordan. Data were analyzed descriptively, and differences were measured using the independent sample t-test, the one-way Analysis of Variance, and Scheffe’s post hoc test.

Results

The registered nurses’ scored moderately on obstacles (74.98 ± 14.54) and supportive behaviors (69.22 ± 4.84). The commonly perceived obstacle and supportive behaviors to End-of-Life Care in Intensive Care Units s were reported. The perceived obstacles differ based on the registered nurses’ certification as an Intensive Care Units nurse (3.04 ± 0.58 vs. 2.74 ± 0.49, p = 0.008), type of Intensive Care Unit (3.28 ± 0.34 vs. 2.86 ± 0.62, p < 0.001), type of facility (3.16 ± 0.59 vs. 2.77 ± 0.61, p < 0.001), number of beds in the unit (3.07 ± 0.48 vs. 2.69 ± 0.48, p = 0.020), and the number of hours worked per week (3.06 ± 0.56 vs. 2.81 ± 0.60, p = 0.005). In contrast, supportive behaviors only differ based on the registered nurses’ age (3.22 ± 0.69 vs. 2.90 ± 0.64, p = 0.019).

Conclusions

The common End-of-Life Care perceived obstacle in Intensive Care Units was the lack of nursing education and training regarding the studies concept, which warrants immediate intervention such as on-job training. The common End-of-Life Care perceived supportive behavior in Intensive Care Units was when family members accepted that the patient was dying when nurses offered support to family members; motivational interventions are needed to sustain such behavior. Differences in the perceived obstacles and supportive behaviors should be leveraged for the benefit of patients, nurses, and hospitals.

查看原文本刊更多论文

护士对重症监护病房临终关怀的障碍和支持行为的看法

目的本研究调查了约旦注册护士对重症监护病房临终关怀的障碍和支持行为的看法，并根据样本的人口统计学特征调查了这些观念的差异。方法本研究采用方便抽样法，对约旦 230 名重症监护病房注册护士进行了横断面比较研究。结果注册护士在障碍（74.98 ± 14.54）和支持行为（69.22 ± 4.84）方面得分中等。报告了重症监护病房生命末期护理的常见障碍和支持行为。根据注册护士的重症监护病房护士资格证书（3.04 ± 0.58 vs. 2.74 ± 0.49，p = 0.008）、重症监护病房类型（3.28 ± 0.34 vs. 2.86 ± 0.62，p < 0.001）、设施类型（3.16 ± 0.59 vs. 2.77 ± 0.61，p <0.001）、病房床位数（3.07 ± 0.48 vs. 2.69 ± 0.48，p = 0.020）和每周工作小时数（3.06 ± 0.56 vs. 2.81 ± 0.60，p = 0.005）。结论在重症监护病房，生命末期护理的常见障碍是缺乏有关研究概念的护理教育和培训，这需要立即采取干预措施，如在职培训。重症监护病房中常见的临终关怀支持行为是当护士向家属提供支持时，家属接受了病人即将死亡的事实；需要采取激励性干预措施来维持这种行为。为了患者、护士和医院的利益，应充分利用感知障碍和支持行为的差异。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Enfermeria Intensiva NURSING-

CiteScore

2.50

自引率

23.10%

发文量

期刊介绍： Enfermería Intensiva es el medio de comunicación por antonomasia para todos los profesionales de enfermería españoles que desarrollan su actividad profesional en las unidades de cuidados intensivos o en cualquier otro lugar donde se atiende al paciente crítico. Enfermería Intensiva publica cuatro números al año, cuyos temas son específicos para la enfermería de cuidados intensivos. Es la única publicación en español con carácter nacional y está indexada en prestigiosas bases de datos como International Nursing Index, MEDLINE, Índice de Enfermería, Cuiden, Índice Médico Español, Toxline, etc.