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How Should Intensive Care Unit Nurses Organize End-of-life Care? A Mixed-methods Study

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KMID : 0388320240310010112
Á¤ÇöÁ¤ ( Jung Hyun-Jung ) - 

±è´Ù¿µ ( Kim Da-Yeong ) - 
À强¿Á ( Chang Sung-Ok ) - 

Abstract

Purpose: This study aimed to explore intensive care unit nurses¡¯ perceptions of end-of-life care and to identifystrategies for improving patient comfort in the intensive care unit.

Methods: This was a mixed-methods studycomprising two phases. In Phase 1, we conducted focus group interviews to investigate how intensive care unitnurses perceived end-of-life care and its specific components within an intensive care unit setting. Phase 2involved a descriptive questionnaire, utilizing items derived from the focus group interviews to assess howintensive care unit nurses evaluated the components of end-of-life care they provided in the intensive care unit.

Results: The findings of the study¡¯s two phases revealed that in end-of-life care, nurses aimed to provide comfortby connecting patients with their families, spiritual beliefs, social networks, and life experiences, while addressingchallenges within the broader scope of nursing practice in the intensive care unit.

Conclusion: This study examinedintensive care unit nurses¡¯ perceptions of end-of-life care, the elements of end-of-life care, their practicalimplementation, and the associated priorities. These findings will help nurses in intensive care units determineand organize priorities in end-of-life care. For patients facing death in the intensive care unit and for the nurseswho care for them, the obstacles involved in end-of-life care must be better overcome.
KeyWords

Intensive care units, Nurses, Practice patterns, Terminal care
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