Nurses' perceptions of end-of-life care after multiple interventions for improvement

Lissi Hansen, Teresa T. Goodell, Josi DeHaven, MaryDenise Smith

Research output: Contribution to journalArticle

31 Citations (Scopus)

Abstract

Background: Nurses working in intensive care units may lack knowledge and skills in end-of-life care, find caring for dying patients and the patients' families stressful, and lack support to provide this care. Objectives: To describe nurses' perceptions of (1) knowledge and ability, (2) work environment, (3) support for staff, (4) support for patients and patients' families, and (5) stress related to specific work situations in the context of end-of-life care before (phase 1) and after (phase 2) implementation of approaches to improve end-of-life care. The approaches were a nurse-developed bereavement program for patients' families, use of a palliative medicine and comfort care team, preprinted orders for the withdrawal of life-sustaining treatment, hiring of a mental health clinical nurse specialist, and staff education in end-of-life care. Methods: Nurses in 4 intensive care units at a university medical center reported their perceptions of end-of-life care by using a 5-subscale tool consisting of 30 items scored on a 4-point Likert scale. The tool was completed by 91 nurses in phase 1 and 127 in phase 2. Results: Improvements in overall mean scores on the 5 subscales indicated that the approaches succeeded in improving nurses' perceptions. In phase 2, most of the subscale overall mean scores were higher than a desired criterion (

Original languageEnglish (US)
Pages (from-to)263-271
Number of pages9
JournalAmerican Journal of Critical Care
Volume18
Issue number3
DOIs
StatePublished - May 2009

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Terminal Care
Nurses
Intensive Care Units
Nurse Clinicians
Bereavement
Aptitude
Palliative Care
Mental Health
Education

ASJC Scopus subject areas

  • Critical Care

Cite this

Nurses' perceptions of end-of-life care after multiple interventions for improvement. / Hansen, Lissi; Goodell, Teresa T.; DeHaven, Josi; Smith, MaryDenise.

In: American Journal of Critical Care, Vol. 18, No. 3, 05.2009, p. 263-271.

Research output: Contribution to journalArticle

Hansen, Lissi ; Goodell, Teresa T. ; DeHaven, Josi ; Smith, MaryDenise. / Nurses' perceptions of end-of-life care after multiple interventions for improvement. In: American Journal of Critical Care. 2009 ; Vol. 18, No. 3. pp. 263-271.
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