Crump Saundra K, Schaffer Marjorie A, Schulte Evie
University of Minnesota Center for Geriatric Nursing Excellence, MN, USA.
Dimens Crit Care Nurs. 2010 Nov-Dec;29(6):297-306. doi: 10.1097/DCC.0b013e3181f0c43c.
In response to critical care nurses' perceptions of increasing stress and conflict in difficult end-of-life (EOL) situations, the researchers conducted a study to identify perceived obstacles, supports, and knowledge needed to provide quality EOL care. The conclusions were as follows: (1) families and patients need clear, direct, and consistent information to make EOL decisions; (2) physician-related issues affect nurses' ability to provide quality EOL care; (3) critical care nurses need more knowledge, skill, and a sense of cultural competency to provide quality care; and (4) having properly completed advance directives can reduce confusion about the goals of care. Recommendations for improving EOL care were made as a result of the study.
针对重症监护护士对临终（EOL）困难情况下压力和冲突不断增加的看法，研究人员开展了一项研究，以确定提供高质量临终护理所需的感知障碍、支持和知识。研究结论如下：（1）家属和患者需要清晰、直接且一致的信息来做出临终决策；（2）与医生相关的问题影响护士提供高质量临终护理的能力；（3）重症监护护士需要更多知识、技能和文化胜任感来提供高质量护理；（4）妥善完成预先指示可以减少对护理目标的困惑。该研究还提出了改善临终护理的建议。
