A descriptive study of coping strategies used by Medical Intensive Care Unit nurses during transitions from cure- to comfort-oriented care
| Autor: | James M. Badger |
|---|---|
| Rok vydání: | 2005 |
| Předmět: |
Adult
Male Pulmonary and Respiratory Medicine medicine.medical_specialty Coping (psychology) Critical Care Attitude of Health Personnel MEDLINE Participant observation Nursing Staff Hospital Critical Care and Intensive Care Medicine Nurse's Role Nursing New England Professional-Family Relations Acute care Adaptation Psychological Humans Medicine business.industry Palliative Care Focus Groups Middle Aged Focus group Intensive Care Units Distress Female Descriptive research Nurse-Patient Relations Cardiology and Cardiovascular Medicine business Stress Psychological Qualitative research |
| Zdroj: | Heart & Lung. 34:63-68 |
| ISSN: | 0147-9563 |
| Popis: | Objective The aim of this study was to describe Medical Intensive Care Unit (MICU) nurses’ coping behaviors while caring for a patient whose medical treatment transitioned from cure- to comfort-oriented care. Methods The use of a descriptive qualitative research design with brief selective participant observation and focus group interviews was used to explore the coping experiences of MICU nurses. The study took place in an 18-bed MICU that was part of a 719-bed acute care hospital located in the northeastern United States. Nineteen female and 5 male nurses participated in the study. Results MICU nurses used a variety of coping strategies including cognitive, affective, and behavioral techniques to cope with end-of-life care transitions. Being a MICU nurse in and of itself provided a sense of pride for staff. Most believed that their clinical opinions were valued and that they were respected as professionals. Providing futile care, the perception of “torturing the patient,” and conflict with families caused the greatest distress to staff. Conclusions MICU nurses are dynamic and resourceful when responding to challenging end-of-life patient care situations. |
| Databáze: | OpenAIRE |
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