Luckett Alison
Nurse, Lecturer Pre-registration Nursing, University of Central Lancashire.
Br J Nurs. 2017 Mar 9;26(5):287-293. doi: 10.12968/bjon.2017.26.5.287.
The aim of this literature review was to examine end-of-life (EoL) care practice in the intensive care unit (ICU). By exploring the literature, it is hoped to suggest how national guidance can be integrated into the ICU setting. Delivering high-quality, patient-centred EoL care is high priority on the UK health agenda. The highly technological environment within the ICU can create barriers to recognising death and initiating EoL care planning. Despite recommendations in the literature for the integration of standardised guidance, implementation, compliance and evaluation are yet to be widely reported. This literature review highlights the need for ICU health professionals to embrace EoL guideline recommendations. Development of robust processes is vital to inform future practice.
本文献综述的目的是研究重症监护病房（ICU）中的临终关怀实践。通过对文献的探索，希望能提出如何将国家指南融入ICU环境。提供高质量、以患者为中心的临终关怀是英国卫生议程的高度优先事项。ICU内高度技术化的环境可能会对识别死亡和启动临终关怀计划造成障碍。尽管文献中建议整合标准化指南，但实施、合规性和评估方面的广泛报道仍未出现。本文献综述强调了ICU医护人员接受临终关怀指南建议的必要性。制定强有力的流程对于指导未来实践至关重要。
