Ganz Freda DeKeyser
Freda DeKeyser Ganz is Department Chair, Hadassah-Hebrew University School of Nursing, Jerusalem, Israel.
Crit Care Nurse. 2019 Jun;39(3):52-58. doi: 10.4037/ccn2019721.
Experiencing the end of life of a family member in the intensive care unit is clearly difficult. An important role of critical care nurses is to help family members through this challenging period. This article highlights a few clinically significant barriers and facilitators related to improving family experiences at the patient's end of life that have received less attention in the literature thus far. Facilitators include specific aspects of communication, the nurse's role as the coordinator of care, bereavement care, promoting a "good death," and caring for health care providers. Barriers include medical uncertainty and differences in values and culture.
在重症监护病房经历家庭成员的生命终结显然是困难的。重症护理护士的一项重要职责是帮助家庭成员度过这一具有挑战性的时期。本文重点介绍了一些与改善患者临终时家庭体验相关的、迄今为止在文献中较少受到关注的具有临床意义的障碍和促进因素。促进因素包括沟通的具体方面、护士作为护理协调员的角色、哀伤护理、促进“善终”以及对医护人员的关怀。障碍包括医疗不确定性以及价值观和文化差异。
