Suffering among carers working in critical care can be reduced by an intensive communication strategy on end-of-life practices

Quenot, Jean‐Pierre; Rigaud, Jean‐Philippe; Prin, Sébastien; Barbar, Saber; Pavon, Arnaud; Hamet, Maël; Jacquiot, Nicolas; Blettery, B; Hervé, Christian; Charles, Pierre‐Emmanuel; Moutel, Grégoire

doi:10.1007/s00134-011-2413-z

Cited by 90 publications

(64 citation statements)

References 29 publications

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“…This important study is the first to report a reduction in the intensity of end-of-life care, at similar or improved levels of family distress. Clearly, palliative care strategies need to be integrated into routine practice in ICUs, especially for end-of-life situations, and the caregivers should receive special training for this purpose (41).…”

Section: The Specific Situation Of End-of-life Decisionsmentioning

confidence: 99%

What are the ethical issues in relation to the role of the family in intensive care?

Quenot¹,

Ecarnot²,

Meunier-Beillard³

et al. 2017

Ann. Transl. Med.

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Section: The Specific Situation Of End-of-life Decisionsmentioning

confidence: 99%

What are the ethical issues in relation to the role of the family in intensive care?

Quenot¹,

Ecarnot²,

Meunier-Beillard³

et al. 2017

Ann. Transl. Med.

View full text Add to dashboard Cite

“…요즈음 존엄사에 대한 관 심이 높아지는 시점에서(29) 간호사의 좋은 죽음에 대한 인식과 임종간호태도는 더욱 중요한 관심의 대상이 될 것이다. 좋은 죽음인식과 임종간호태도에 대한 그 동안 의 국내외 연구는 종합병원 의료인, 간호대학생, 일반인 으로 성인과 노인 그리고 호스피스 대상자 등을 대상으 로 이루어져 왔다 (28,(30)(31)(32)(33)(34)(35)(36)(37). 한국교육학술정보원에서 제 공하는 학술연구정보서비스 홈페이지 (38) …”

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Awareness of Good Death and Attitudes toward Terminal Care among Geriatric Hospital Nurses

Lee

2014

Korean J Hosp Palliat Care

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Purpose:We conducted a descriptive correlational study to determine a relationship between nurses' awareness of good death and attitudes toward terminal care, which in turn could be used as basic data for improvement of the quality of terminal care at geriatric hospitals. Methods: From April 3, 2013 through April 22, 2013, data were collected from 230 nurses working at geriatric hospitals. Results: Nurses' attitudes toward terminal care showed no significant correlation with awareness of good death, but it was positively correlated with a sense of closeness, a subfactor of awareness of good death. There was negative correlation between emotions regarding a deathbed, a subfactor of attitudes of nurses in charge of terminal patients, and awareness of good death. We found positive correlation between terminal care performance and awareness of good death. Conclusion: This study warrants the need for nursing education catered to characteristics of geriatric hospitals and development of diverse intervention strategies to help them to attain a positive attitude toward death by familiarizing themselves with the concept of good death and enhancing job satisfaction.

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“…We showed that the implementation of collegial decision-making procedures regarding the therapeutic project for each patient on a daily basis led to decisions to limit or withdraw therapy being made more quickly, and improved palliative care (5). It also helped to reduce the incidence of burnout among caregivers in the ICU (39). Indeed, it is now recommended that every ICU in France should evaluate practices in the area of endof-life on a regular basis.…”

Section: What Should the Collegial Meeting Cover?mentioning

confidence: 97%

What are the ethical aspects surrounding the collegial decisional process in limiting and withdrawing treatment in intensive care?

Quenot¹,

Ecarnot²,

Meunier-Beillard³

et al. 2017

Ann. Transl. Med.

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The decision to limit or withdraw life-support treatment is an integral part of the job of a physician working in the intensive care unit, and of the approach to care. However, this decision is influenced by a number of factors. It is widely accepted that a medical decision that will ultimate lead to end-of-life in the intensive care unit (ICU) must be shared between all those involved in the care process, and should give precedence to the patient's wishes (either directly expressed by the patient or in written form, such as advance directives), and taking into account the opinion of the patient's family, including the surrogate if the patient is no longer capable of expressing themselves. A number of questions still remain unanswered regarding how decisions to limit or withdraw treatment are taken in daily practice, especially when this decision can be anticipated. We discuss here the collegial procedure for decision-making, in particular in the context of recent French legislation on end-of-life issues. We describe how collegial decision-making procedures should be carried out, and what points are covered in shared discussions regarding decisions to limit or withdraw life-sustaining therapies.

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Suffering among carers working in critical care can be reduced by an intensive communication strategy on end-of-life practices

Abstract: The implementation of an active, intensive communication strategy regarding end-of-life care in the ICU was associated with a significant reduction in the rate of burnout syndrome and depression in a stable population of caregiving staff.

Cited by 90 publications

References 29 publications

What are the ethical issues in relation to the role of the family in intensive care?

What are the ethical issues in relation to the role of the family in intensive care?

Awareness of Good Death and Attitudes toward Terminal Care among Geriatric Hospital Nurses

What are the ethical aspects surrounding the collegial decisional process in limiting and withdrawing treatment in intensive care?

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