End-of-life Care in the Intesive Care Unit and Nursing Roles in Communicating with Families
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08 may 2023
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Categoría del artículo: Research Article
Publicado en línea: 08 may 2023
Páginas: 116 - 121
Recibido: 23 ene 2023
Aceptado: 19 abr 2023
DOI: https://doi.org/10.2478/jccm-2023-0013
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© 2023 Anastasios Tzenalis et al., published by Sciendo
This work is licensed under the Creative Commons Attribution 4.0 International License.
Descriptive measures of respondents’ attitudes and perceptions regarding end-of-life care and management of critically ill patients
| Questions | N | Median | Standard deviation | |
|---|---|---|---|---|
| Did you explain the patient’s medical equipment and treatments to the family? | 81 | 1.95 | 1.059 | |
| Have you told the family what to expect from their communication with members of the nursing team? | 81 | 1.79 | 0.918 | |
| Did you discuss the spiritual or religious needs of the patient’s family? | 81 | 2.62 | 0.799 | |
| Did you take steps to meet the family’s spiritual or religious needs? | 81 | 2.38 | 1.019 | |
| Did you talk to the family about their specific needs based on their culture? | 81 | 2.49 | 0.937 | |
| Did you take action to meet family needs identified in their own culture? | 81 | 2.37 | 1.006 | |
| Did you talk to the family about what the patient considered important in his life? | 81 | 2.53 | 0.963 | |
| Did you talk to the family about the patient’s illness and treatment? | 81 | 1.86 | 1.034 | |
| Have you talked to the family about how they feel about this whole situation they are going through? | 81 | 1.95 | 1.083 | |
| Did you discuss with the family reminiscing moments of the patient’s life? | 81 | 2.47 | 0.896 | |
| Have you talked to the family about being able to talk and touch their loved one? | 81 | 1.51 | 0.853 | |
| Have you discussed with the family what the patient would like if they could participate in the decision about their treatment choice? | 81 | 2.43 | 0.921 | |
| Have you secured a private place or room for the family so they can talk to each other? | 80 | 2.26 | 0.882 | |
| Have you talked with the family about any disagreements between the family about the care plan? | 80 | 2.61 | 0.771 | |
| Have you talked to the family about the changes in the patient’s care plan? | 80 | 2.33 | 0.978 | |
| Did you support the decision(s) the family made regarding the patient’s care? | 80 | 2.15 | 1.032 | |
| Have you reassured the family that the patient’s comfort and relief has been ensured? | 81 | 1.37 | 0.828 | |
| Did you offer adequate support to the family experiencing the end of their patient’s life? | 81 | 1.85 | 0.976 |
Mean difference of participants’ attitudes and perceptions by marital status
| Questions | Marital Status | N | Mean Rank | p-value |
|---|---|---|---|---|
| Q 10 Did you discuss with the family reminiscing moments of the patient’s life? | Married | 35 | 40.26 | |
| Single | 35 | 45.11 | ||
| Divorced | 8 | 29.00 | ||
| Widower | 2 | 10.00 | ||
| Total | 80 |
Demographic profile of respondents
| Frequency | % | |
|---|---|---|
| Male | 25 | 30.9 |
| Female | 56 | 69.1 |
| Up to 24 years old | 7 | 8.6 |
| 25-29 | 14 | 17.3 |
| 30-34 | 17 | 21.0 |
| 35-39 | 7 | 8.6 |
| 40-49 | 31 | 38.3 |
| 50 and above | 4 | 4.9 |
| No Answer | 1 | 1.2 |
| Married | 35 | 43.2 |
| Single | 35 | 43.2 |
| Divorced | 8 | 9.9 |
| Widower | 2 | 2.5 |
| No Answer | 1 | 1.2 |
| Higher education | 50 | 61.7 |
| Private studies | 7 | 8.6 |
| Postgraduate studies | 17 | 21.0 |
| Ph.D | 6 | 7.4 |
| Higher education and private studies | 1 | 1.2 |
| 1-5 | 32 | 39.5 |
| 6-10 | 18 | 22.2 |
| 11-15 | 14 | 17.3 |
| 15 and above | 17 | 21.0 |
Mean Difference of Participants’ Attitudes and Perceptions by Age
| Questions | Age | N | Mean Rank | p-value |
|---|---|---|---|---|
| Q 8 Did you talk to the family about the patient’s illness and treatment? | Up to 24 years old | 7 | 47.93 | |
| 25-29 | 14 | 36.96 | ||
| 30-34 | 17 | 31.44 | ||
| 35-39 | 7 | 51.36 | ||
| 40-49 | 31 | 43.97 | ||
| 50 and above | 4 | 32.50 | ||
| Total | 80 |