| Autor: |
Mélanie, Chastrusse, Jean-Pierre, Fulgencio, Florence, Julien, Brice, Naudin, Vincent, Argo, Francis, Bonnet, Edouard, Ferrand |
| Jazyk: |
francouzština |
| Rok vydání: |
2011 |
| Předmět: |
|
| Zdroj: |
Presse medicale (Paris, France : 1983). 41(10) |
| ISSN: |
2213-0276 |
| Popis: |
To assess the impact of an educational program on the quality of the end-of-life decision (EOLD).Prospective study for 3 months in a surgical Intensive Care Unit (ICU) involving: staff training conferences and guidelines for documenting level-of-care staff conference; audit before and at 3 months; analysis of records for deceased patients. The main outcome measures the proportion of treatment-limitation in dying ICU patients; and the secondary outcomes the decision-making process and nurses' satisfaction.Eighty-three patients were included; among them, 14 with EOLD. Pre-death palliative strategy increased from 51 % to 85 % with a persisting improvement of practices after 2 years. All steps of EOLD decision-making processes were traced in all such cases, 85 % being based on the proposed guidelines. Nursing team's satisfaction rate almost doubled to 70 %.The study demonstrate staff members' capacity to quickly improve their procedures for palliative care when provided with appropriate tools to think about the process and come to a decision. Our data suggest the potential benefice to extend this program to the other specialties involved in the end-of-life process. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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