Medical-Surgical Department, College of Nursing, King Saud University, Riyadh 12372, Saudi Arabia.
Int J Environ Res Public Health. 2024 Jul 17;21(7):931. doi: 10.3390/ijerph21070931.
Although extensive research on appropriate treatments has been conducted, how nurses provide care to patients at the end-of-life (EOL) is unclear, particularly among intensive care unit (ICU) nurses in Saudi Arabia. To explore intensive care unit nurses' experiences in providing end-of-life care in Saudi Arabia. This study utilized an exploratory, descriptive, qualitative approach. A purposive sampling technique was used to recruit ICU nurses (n = 10) working in ICUs at a tertiary teaching hospital in Riyadh, Saudi Arabia. Using a semi-structured interview guide, ten individual interviews were conducted. Data were analyzed using thematic analysis. The trustworthiness of this study was ensured by following Lincoln and Guba's (1985) criteria. Four major themes related to ICU nurses' experiences of providing EOL care emerged, including: "feeling challenged but driven", "holistic caring", "collaborative working ethics", and "caring for the undying and dying". This study adds to the body of knowledge about the experience of ICU nurses caring for EOL patients. It offers valuable insights into challenges, coping strategies, holistic caring, collaboration, and the management of critical or dying patients at EOL in the ICUs.
尽管已经进行了广泛的适当治疗研究,但护士如何在临终关怀(EOL)阶段为患者提供护理仍不清楚,特别是在沙特阿拉伯的重症监护病房(ICU)护士中。本研究旨在探讨沙特阿拉伯 ICU 护士在提供临终关怀方面的经验。本研究采用了探索性、描述性、定性的方法。采用目的抽样技术招募了在沙特阿拉伯利雅得一所三级教学医院 ICU 工作的 ICU 护士(n=10)。使用半结构化访谈指南进行了 10 次个人访谈。采用主题分析对数据进行分析。本研究遵循林肯和古巴(1985 年)的标准,确保了研究的可信度。研究结果得出了与 ICU 护士提供 EOL 护理的经验相关的四个主要主题,包括:“感到挑战但有动力”、“整体护理”、“协作工作道德”和“照顾未亡人和临终者”。本研究增加了关于 ICU 护士照顾 EOL 患者的经验的知识体系。它为 ICU 中 EOL 患者的护理、处理重症或濒死患者提供了有价值的见解,包括面临的挑战、应对策略、整体护理、协作和管理。