Exploring the barriers and facilitators of palliative care in the adult intensive care unit from nurses' perspectives in China: A qualitative study.

Autor: Xie P; School of Nursing, Shantou University Medical College, Shantou, People's Republic of China., Liu Z; Department of Nursing Research, The First Affiliated Hospital of Shantou University Medical College, Shantou, People's Republic of China., Chen H; Intensive Care Unit, The First Peoples Hospital of Foshan, Foshan, People's Republic of China., Wu Y; Department of Nursing Research, The First Affiliated Hospital of Shantou University Medical College, Shantou, People's Republic of China., Xie P; Urology Surgery, The Second Affiliated Hospital of Shantou University Medical College, Shantou, People's Republic of China., Liu H; Orthopaedic Surgery, Cancer Hospital of Shantou University Medical College, Shantou, People's Republic of China., Ying W; Department of Nursing Research, The First Affiliated Hospital of Shantou University Medical College, Shantou, People's Republic of China.
Jazyk: angličtina
Zdroj: Nursing in critical care [Nurs Crit Care] 2024 Jul; Vol. 29 (4), pp. 756-764. Date of Electronic Publication: 2024 Feb 05.
DOI: 10.1111/nicc.13035
Abstrakt: Background: Intensive care units (ICUs) in China primarily focus on active rescue efforts, and it is not common to provide palliative care services within the ICU. As nurses play a primary role as caregivers for end-of-life patients in the ICU, it is necessary to explore the factors that impede or facilitate palliative care from their perspective.
Aim: To explore the barriers and facilitators associated with implementing palliative care in Chinese adult ICUs from nurses' perspectives.
Study Design: This study utilized a descriptive phenomenological research approach and purposive sampling to conduct face-to-face semi-structured interviews with nurses working in adult ICUs from three comprehensive hospitals in China during the period between February and May 2023. A total of 17 nurses were interviewed, and the collected data were transcribed, coded, and synthesized thematically.
Results: Two themes of barriers and facilitators of palliative care in the Chinese adult ICU were extracted. The three sub-themes of hindering factors are as follows: (1) The influence of Chinese traditional culture. (2) The specificity of the ICU context. (3) Lacking sufficient attention in the ICU. The three sub-themes of the promoting factors are as follows: (1) Government and society value palliative care. (2) Patients and their families have palliative care needs. (3) Nurses view palliative care positively.
Conclusion: Currently, integrating palliative care into the ICU may face challenges such as cultural factors, the specificity of the ICU context, and insufficient attention. However, it is worth noting that as the government and society place more emphasis on palliative care, more and more people are gradually paying attention to the palliative care needs of critically ill patients and their families.
Relevance to Clinical Practice: This study serves as a reference for exploring an ICU palliative care service model that is suitable for China's national conditions, such as education and training, resource allocation, service processes, and the palliative care environment, among others.
(© 2024 British Association of Critical Care Nurses.)
Databáze: MEDLINE
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