Nurses' perceptions of caring for dying patients in an open critical care unit: a descriptive exploratory study

Background: Nurses in critical care areas play a vital part in providing end-of-life care and recognise that an ideal death should be peaceful, dignified, and comfortable. However, environmental restrictions in critical care units can make a peaceful death unachievable and can havea profoundly negat...

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Main Authors: McCallum, Amanda, McConigley, Ruth
Format: Journal Article
Published: Mark Allen Publishing Ltd 2013
Subjects:
Online Access:http://web.ebscohost.com/ehost/pdfviewer/pdfviewer?vid=4&sid=6a4b82de-7e5b-4c14-95d7-d4b25901dec7%40sessionmgr198&hid=127
http://hdl.handle.net/20.500.11937/36757
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author McCallum, Amanda
McConigley, Ruth
author_facet McCallum, Amanda
McConigley, Ruth
author_sort McCallum, Amanda
building Curtin Institutional Repository
collection Online Access
description Background: Nurses in critical care areas play a vital part in providing end-of-life care and recognise that an ideal death should be peaceful, dignified, and comfortable. However, environmental restrictions in critical care units can make a peaceful death unachievable and can havea profoundly negative impact on end-of-life care.Purpose: To describe the provision of end-of-life care in an open high-dependency unit.Method: A descriptive exploratory approach was used involving semi-structured interviews with a purposive sample of five registered nurses working in the high-dependency area at a major teaching hospital. The interviews were audio taped and transcribed. Thematic analysis was used to code the data and identify themes.Results: Three themes emerged from the data. The core theme was ‘the nurse as protector’. The two other themes were ‘conflict of care’ and ‘peace and quiet’. Within these themes, characteristics of an ideal death were identified and barriers to providing an ideal death were acknowledged.Conclusion: This study illustrates nurses’ perceptions of caring for dying patients in an open critical care unit. This environment influences the development of the nursing role as protector and presents barriers to achieving an ideal death.
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spelling curtin-20.500.11937-367572017-02-28T01:41:20Z Nurses' perceptions of caring for dying patients in an open critical care unit: a descriptive exploratory study McCallum, Amanda McConigley, Ruth Barriers End of life Nursing roles Critical care Background: Nurses in critical care areas play a vital part in providing end-of-life care and recognise that an ideal death should be peaceful, dignified, and comfortable. However, environmental restrictions in critical care units can make a peaceful death unachievable and can havea profoundly negative impact on end-of-life care.Purpose: To describe the provision of end-of-life care in an open high-dependency unit.Method: A descriptive exploratory approach was used involving semi-structured interviews with a purposive sample of five registered nurses working in the high-dependency area at a major teaching hospital. The interviews were audio taped and transcribed. Thematic analysis was used to code the data and identify themes.Results: Three themes emerged from the data. The core theme was ‘the nurse as protector’. The two other themes were ‘conflict of care’ and ‘peace and quiet’. Within these themes, characteristics of an ideal death were identified and barriers to providing an ideal death were acknowledged.Conclusion: This study illustrates nurses’ perceptions of caring for dying patients in an open critical care unit. This environment influences the development of the nursing role as protector and presents barriers to achieving an ideal death. 2013 Journal Article http://hdl.handle.net/20.500.11937/36757 http://web.ebscohost.com/ehost/pdfviewer/pdfviewer?vid=4&sid=6a4b82de-7e5b-4c14-95d7-d4b25901dec7%40sessionmgr198&hid=127 Mark Allen Publishing Ltd fulltext
spellingShingle Barriers
End of life
Nursing roles
Critical care
McCallum, Amanda
McConigley, Ruth
Nurses' perceptions of caring for dying patients in an open critical care unit: a descriptive exploratory study
title Nurses' perceptions of caring for dying patients in an open critical care unit: a descriptive exploratory study
title_full Nurses' perceptions of caring for dying patients in an open critical care unit: a descriptive exploratory study
title_fullStr Nurses' perceptions of caring for dying patients in an open critical care unit: a descriptive exploratory study
title_full_unstemmed Nurses' perceptions of caring for dying patients in an open critical care unit: a descriptive exploratory study
title_short Nurses' perceptions of caring for dying patients in an open critical care unit: a descriptive exploratory study
title_sort nurses' perceptions of caring for dying patients in an open critical care unit: a descriptive exploratory study
topic Barriers
End of life
Nursing roles
Critical care
url http://web.ebscohost.com/ehost/pdfviewer/pdfviewer?vid=4&sid=6a4b82de-7e5b-4c14-95d7-d4b25901dec7%40sessionmgr198&hid=127
http://hdl.handle.net/20.500.11937/36757