The attitude of providing good death from intensive care nurses: A meta-synthesis of the literature

Siyu Liu, M. Kondo
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引用次数: 1

Abstract

The purpose of this article is to explore the attitude of Intensive Care Unit (ICU) nurses of good death and to improve the quality of death of dying patients in ICU. The authors conducted a literature search from databases for published, English-language, peer-reviewed reports of qualitative studies that focused on attitude of ICU nurses of providing good death from different cultures during 2009-2018. 13 studies met eligibility criteria with the following two questions: A. “What are the obstacles to realize good death in ICU?” B. “How to help ICU dying patients to get good death?”. According to these questions, we grouped all results. Finally, 5 categories each answered Research Question A(RQ-A), and 5 indicated RQ-B. The following four factors that can promote the good death of ICU dying patients: 1) Legalizing and standardizing “good death” in ICU by providing education, physical and mental support for nurses; 2) Gaining trust of family and seeking consistency of important decisions; 3) Creating a physical and cooperative environment of ICU that benefits dying patients; 4) Giving priority to satisfy physical and mental needs of dying patients and their families, leaving no regrets.
重症监护护士提供良好死亡的态度:文献的元综合
本文旨在探讨重症监护室(ICU)护士对良好死亡的态度,以提高重症监护室临终病人的死亡质量。作者从数据库中检索了已发表的英文同行评审的定性研究报告,这些研究侧重于2009-2018年不同文化的ICU护士对提供良好死亡的态度。13项研究符合以下两个问题的资格标准:A.“在重症监护室实现良好死亡的障碍是什么?”B.“如何帮助重症监护室垂死的患者获得良好死亡?”。根据这些问题,我们对所有结果进行了分组。最后,5个类别分别回答了研究问题A(RQ-A),5个表示RQ-B。以下四个因素可以促进ICU垂死患者的良好死亡:1)通过为护士提供教育、身心支持,使ICU中的“良好死亡”合法化和规范化;2) 获得家人的信任,寻求重要决策的一致性;3) 创造一个有利于垂死病人的ICU物理和协作环境;4) 优先满足临终病人及其家属的身心需求,不留遗憾。
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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