Mediani Henny Suzana, Sada Fidy Randy, Nuraeni Aan, Subu Muhammad Arsyad
Department of Pediatric Nursing, Faculty of Nursing, Universitas Padjadjaran, Bandung, West Java, Indonesia.
Faculty of Nursing, Universitas Katolik De La Salle Manado, Manado, Indonesia.
J Multidiscip Healthc. 2024 Sep 9;17:4427-4439. doi: 10.2147/JMDH.S486021. eCollection 2024.
In the Intensive Care Unit (ICU), it is vital to meticulously monitor symptoms and thoroughly understand the treatment objectives for critically ill patients. This highlights the necessity of integrating palliative care in this environment. Despite the potential advantages, several barriers impede the effective integration of palliative care in the ICU. Notably, many healthcare professionals (HCPs) in Indonesian ICUs have not fully leveraged the incorporation of palliative care.
This study aimed to investigate and clarify the experiences of healthcare providers (HCPs) involved in administering palliative care to ICU patients in Indonesia.
This research employed a qualitative descriptive phenomenological approach. Semi-structured, in-depth individual interviews were conducted with four nurses and three doctors working in an Indonesian hospital. Colaizzi's method was used for data analysis.
The analysis identified six themes from the interviews, reflecting the experiences of healthcare professionals in delivering palliative care in the ICU. These themes are: 1) Provide Professional Caring, 2) Caring and curing collaboration, 3) Quality Intensive Communication, 4) End-of-Life Care, 5) Controlling Feelings, and 6) Provide Holistic Caring.
Providing care for ICU patients demands not only the expertise of HCPs but also compassion, communication skills, and a holistic approach to patient care. By offering comprehensive palliative care in the ICU, healthcare professionals can address the diverse needs of patients and their families, promoting comfort, respect, and an improved quality of life throughout the illness. This inclusive approach enhances the experience for both patients and their families while supporting healthcare providers in delivering empathetic and patient-centered care. It is recommended that hospitals develop policies to enhance palliative care services in Indonesia.
在重症监护病房（ICU），细致监测症状并全面了解重症患者的治疗目标至关重要。这凸显了在这种环境中整合姑息治疗的必要性。尽管有潜在优势，但仍有若干障碍阻碍了姑息治疗在ICU中的有效整合。值得注意的是，印度尼西亚ICU的许多医护人员尚未充分利用姑息治疗的纳入。
本研究旨在调查并阐明参与为印度尼西亚ICU患者提供姑息治疗的医护人员的经历。
本研究采用定性描述性现象学方法。对印度尼西亚一家医院的四名护士和三名医生进行了半结构化的深入个人访谈。采用科莱齐法进行数据分析。
分析从访谈中确定了六个主题，反映了医护人员在ICU提供姑息治疗的经历。这些主题是：1）提供专业关怀，2）关怀与治疗协作，3）高质量的密集沟通，4）临终关怀，5）控制情绪，6）提供整体关怀。
为ICU患者提供护理不仅需要医护人员的专业知识，还需要同情心、沟通技巧和整体的患者护理方法。通过在ICU提供全面的姑息治疗，医护人员可以满足患者及其家属的各种需求，在整个疾病过程中促进舒适、尊重并改善生活质量。这种包容性方法提升了患者及其家属的体验，同时支持医护人员提供富有同情心和以患者为中心的护理。建议医院制定政策，以加强印度尼西亚的姑息治疗服务。
