South African critical care nurses' views on end-of-life decision-making and practices
MetadataShow full item record
Background: Care of patients at the end-of-life (EOL) may be influenced by the experiences, attitudes and beliefs of nurses involved in their direct care. Aim: To investigate South African critical care nurses' experiences and perceptions of EOL care. Design: Cross-sectional survey. Methods: South African critical care nurses completed a modified version of the ‘VENICE’ survey tool. Data were collected concerning: attitudes towards EOL care; involvement in EOL decision-making; and beliefs about EOL practices. Results: Of 149 surveys distributed, 100 were returned (response rate 67%). Seventy-six percent stated that they had had direct involvement in EOL care of patients, but a minority (29%) had participated in EOL decision-making processes. Whilst most nurses (86%) were committed to family involvement in EOL decisions, less than two thirds (62%) reported this as routine practice. When withdrawing treatment, around half (54%) of the respondents indicated they would decrease the inspired oxygen level to room air, and the majority (84%) recommended giving effective pain relief. Continued nutritional support (84%) and hydration (85%) were advocated, with most nurses (62%) indicating that they were against keeping patients deeply sedated. Most respondents (68%) felt patients should remain in intensive care at the end of life, with the majority (72%) supporting open-visiting, no restriction on number of family members visiting (70%), and the practising of religious or traditional cultural EOL rituals (93%). Conclusions: The involvement of Johannesburg critical nurses in EOL care discussions and decisions is infrequent despite their participation in care delivery and definite views about the process.
Showing items related by title, author, creator and subject.
Henderson, Saraswathy (1998)In recent times there has been an emphasis on patients participating in their own nursing care. Studies have demonstrated that when patients participate in their own care, they experience positive outcomes, such as greater ...
Latour, Jos; Fulbrook, P.; Albarran, J. (2009)BACKGROUND: Available literature suggests that critical care nurses have varied experiences in relation to end-of-life (EOL) care. Few studies have examined the involvement of European intensive care nurses' involvement ...
Modelling clinical judgement improved health care delivery: using “how nurses think” to manage the deteriorating patientClay-Williams, R.; Kelly, Michelle; Everett, B.; Perry, L.; McDonnell, G. (2012)INTRODUCTION: This study aims to construct a model for learning reasoning in the workplace, using computer based system dynamic processes, to support clinical decision-making in relation to detection and management of the ...