The Ottawa Hospital, Civic Campus, Ottawa, ON, Canada.
Faculty of Health Sciences, School of Nursing, University of Ottawa, Canada.
Intensive Crit Care Nurs. 2019 Aug;53:1-7. doi: 10.1016/j.iccn.2019.03.010. Epub 2019 Apr 6.
The purpose of this study was to provide a comprehensive exploration of nurses' meaningful experiences of providing end-of-life care to patients and families in the intensive care unit (ICU). The objectives of this research were: (1) To explore what is meaningful practice for nurses regarding end-of-life care; (2) To describe how nurses create a good death in the intensive care unit and (3) To identify the challenges that nurses face that affect their meaningful experiences and ultimately the creation of a good death.
This study utilised an interpretive phenomenological approach using Van Manen's (1997) method.
In-depth, face-to-face interviews were conducted with six intensive care nurses employed in a 32-bed medical/surgical intensive care unit of an academic tertiary care centre in Canada.
The overarching theme from the analysis of this experience was "being able to make a difference" which was intricately woven around contributing to a good death. Three main themes were identified and included: creating a good death, navigating the challenges and making it work.
The findings reveal how intensive care nurses provide good end-of-life care and create good deaths for patients and families.
本研究旨在全面探讨护士在重症监护病房（ICU）为患者和家属提供临终关怀的有意义体验。本研究的目的是：（1）探讨护士在临终关怀方面有意义的实践；（2）描述护士如何在重症监护病房创造善终；（3）确定影响护士有意义体验并最终影响善终创造的挑战。
本研究采用解释现象学方法，使用范梅南（1997）的方法。
在加拿大一家学术三级护理中心的 32 张病床的内科/外科重症监护病房，对六名重症监护护士进行了深入的面对面访谈。
对这一经历进行分析的首要主题是“能够有所作为”，这一主题围绕着为善终做出贡献。确定了三个主要主题，包括：创造善终、应对挑战和使之发挥作用。
研究结果揭示了重症监护护士如何为患者和家属提供良好的临终关怀和创造良好的死亡。
