Providing a "good death": critical care nurses' suggestions for improving end-of-life care.
Providing a "good death": critical care nurses' suggestions for improving end-of-life care.
复制标题
提供“美好的死亡”：重症监护护士改善临终关怀的建议。
DOI：
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复制
发表时间：
2006
影响因子：
2.7
通讯作者：
K. Kirchhoff
中科院分区：
文献类型：
--
作者：
R. Beckstrand;L. Callister;K. Kirchhoff
背景
提供适当的临终关怀已成为护士和公众的首要关注。高科技的重症监护环境可能不利于这种护理。
目的
收集重症监护护士对改善重症监护病房临终关怀的建议。
方法
一个地理上分散的，随机抽样的1409名成员的美国重症监护护士协会发送了72项调查的看法结束生命护理。该调查包括征求关于如何改善临终关怀的建议。
结果
在861名重症监护护士中，有485人提出了530条改善临终关怀的建议。提供一个"好的死亡"是主要的主题;具体的建议包括如何帮助确保有尊严与和平的死亡。提供良好的死亡的障碍包括护理时间限制，人员配置模式，沟通的挑战，以及基于医生而不是患者需求的治疗决定。关于提供好的死亡的建议包括：促进有尊严的死亡;不允许病人在死亡时独处;控制病人的痛苦和不适;了解并遵循病人对临终护理的愿望;促进尽早停止治疗或根本不开始积极治疗;作为一个保健团队进行有效沟通。还提出了针对专业人员和公众的教育倡议。
结论
由经验丰富的重症监护护士提供的具体建议的实施可能会提高临终关怀的质量，促进重症监护患者的良好死亡。
BACKGROUND
Providing appropriate end-of-life care has become a primary concern of nurses and the public. The highly technological critical care environment may not facilitate such care.
OBJECTIVE
To collect suggestions from critical care nurses for improving end-of-life care in intensive care units.
METHODS
A geographically dispersed, random sample of 1409 members of the American Association of Critical-Care Nurses was sent a 72-item survey on perceptions of end-of life care. The survey included a request for suggestions on ways to improve end-of life care.
RESULTS
Of the 861 critical care nurses who responded to the survey, 485 offered 530 suggestions for improving end-of-life care. Providing a "good death" was the major theme; specific suggestions included ways to help ensure death with dignity and peace. Barriers to providing good deaths included nursing time constraints, staffing patterns, communication challenges, and treatment decisions that were based on physicians' rather than patients' needs. Suggestions for providing a good death included facilitating dying with dignity; not allowing patients to be alone while dying; managing patients' pain and discomfort; knowing, and then following, patients' wishes for end-of-life care; promoting earlier cessation of treatment or not initiating aggressive treatment at all; and communicating effectively as a health-care team. Educational initiatives for professionals and the public were also suggested.
CONCLUSIONS
Implementation of specific suggestions provided by experienced critical care nurses might increase the quality of end-of-life care, facilitating a good death for intensive care patients.
三个重症监护病房的护士与医生的合作以及对决策过程的满意度。
DOI：
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发表时间：
1997
期刊：
American journal of critical care : an official publication, American Association of Critical-Care Nurses.
影响因子：
--
作者：
Baggs,JG;Schmitt,MH;Mushlin,AI;Eldredge,DH;Oakes,D;Hutson,AD
通讯作者：
Hutson,AD
作为护理结果的有尊严的死亡。
DOI：
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发表时间：
1998
期刊：
Outcomes management for nursing practice.
影响因子：
--
作者：
Rankin,MA;Donahue,MP;Davis,K;Katseres,JK;Wedig,JA;Johnson,M;Maas,M
通讯作者：
Maas,M