Almalki Nabat, Boyle Breidge, O'Halloran Peter
School of Nursing and Midwifery, Queen's University Belfast, Belfast BT7 1NN, UK.
Nursing Department, Prince Sultan Military College for Health Sciences, Dharan 34313, Saudi Arabia.
Healthcare (Basel). 2024 Dec 9;12(23):2489. doi: 10.3390/healthcare12232489.
: In the intensive care unit, many patients are dying despite advanced therapeutic technology and optimized treatment. The critical care team is expected to deliver end-of-life care for the dying patient and their family. However, it is challenging to provide adequate support to families due to the ideas and emotions associated with the end of life. This can be influenced by different beliefs and cultures among patients and healthcare professionals. Added to this, research about end-of-life practices in intensive care units in Saudi Arabia is limited. Therefore, this study protocol aims to examine: (1) What end-of-life care is provided by healthcare teams in adult intensive care units in Saudi Arabia? (2) What helps or hinders effective end-of-life care in adult intensive care units in Saudi Arabia? : This study will use a mixed-methods, sequential, explanatory design consisting of two phases. Phase 1 will include a cross-sectional study design with a convenience sample of approximately 400 healthcare providers who will be invited from three military hospitals in Saud Arabia. the Palliative and End-of-Life Care Index (PEOL Care Index) will be used to assess palliative and end-of-life care education, practice, and perceived competence among the staff. Additionally, a questionnaire on the barriers to optimal end-of-life care and the perceived benefit of potential strategies to improve end-of-life care will be applied to obtain the views of managers. Phase 2 of the study will be a qualitative descriptive design involving semi-structured interviews with healthcare providers, managers, and bereaved family members. : The study findings will contribute to understanding current practice in relation to palliative and end-of-life care in intensive care units in Saudi Arabia. It will provide valuable insight into barriers to and facilitators of care, which will help to develop strategies and interventions to improve the quality of end-of-life practices in ICUs. In addition, this research will provide significant information regarding family members' experiences of end-of-life care provided to their relatives.
在重症监护病房，尽管有先进的治疗技术和优化的治疗方案，许多患者仍濒临死亡。重症护理团队需要为临终患者及其家属提供临终关怀。然而，由于与生命终结相关的观念和情感因素，为家属提供充分的支持具有挑战性。这可能受到患者和医护人员不同信仰和文化的影响。此外，沙特阿拉伯关于重症监护病房临终实践的研究有限。因此，本研究方案旨在探讨：（1）沙特阿拉伯成人重症监护病房的医护团队提供了哪些临终关怀？（2）哪些因素有助于或阻碍沙特阿拉伯成人重症监护病房的有效临终关怀？ 本研究将采用混合方法、序列式、解释性设计，包括两个阶段。第一阶段将采用横断面研究设计，从沙特阿拉伯的三家军事医院邀请约400名医护人员作为便利样本。将使用姑息和临终关怀指数（PEOL Care Index）来评估工作人员在姑息和临终关怀教育、实践及感知能力方面的情况。此外，还将应用一份关于最佳临终关怀障碍以及改善临终关怀潜在策略的感知益处的问卷，以获取管理人员的意见。研究的第二阶段将采用定性描述性设计，对医护人员、管理人员和丧亲家属进行半结构化访谈。 研究结果将有助于了解沙特阿拉伯重症监护病房在姑息和临终关怀方面的当前实践。它将为护理的障碍和促进因素提供有价值的见解，这将有助于制定策略和干预措施，以提高重症监护病房临终实践的质量。此外，本研究将提供有关家庭成员对其亲属接受临终关怀经历的重要信息。
