Scandinavian Journal of Caring Sciences
© Nordic College of Caring Science
Edited By: Päivi Åstedt-Kurki and Marja Kaunonen
Impact Factor: 1.215
ISI Journal Citation Reports © Ranking: 2015: 41/114 (Nursing (Social Science))
Online ISSN: 1471-6712
FREE Editor's Choice paper - December 2016
The nursing role during end-of-life care in the intensive care unit related to the interaction between patient, family and professional: an integrative review
Marijke Noome, Deirdre M. Beneken genaamd Kolmer, Evert van Leeuwen, Boukje M. Dijkstra and Lilian C. M. Vloet
In this integrative review the authors explore how intensive care unit (ICU) nurses describe their role during End-of-Life Care in the ICU, related to the interaction between patient, family and professionals.
The method of the study, integrative review, is a specific review method, which allows the assessment of diverse methodologies.
The paper describes results, that are based in twenty studies. Inductive content analysis was carried out to analyse and categorise the data. The authors synthetize the data in four categories: care for the ICU patient, care for the family, environmental aspects of EOLC and organisational aspects of EOLC. However, they also found out that the results could be divided into the activities what the nurses should do and to attitudes, how this should be done. The authors state that a gap exists between theoretical models and the actual care provided by ICU nurses during EOLC. The relational aspect of care, like aimed with care triad, is absent.
According to the paper the literature indicates that the role of ICU nurses concerns care for the patient, family and environment. It described which care should be given, but it remains unclear how care should be given (attitude). Further, they expressed that care provided to family mainly consists of giving advice on how to care for the patient; care for family members themselves was only mentioned in a few studies. Therefore, it seems that family does not always receive adequate care yet,. The authors conclud that it is important for ICU nurses to be aware of the existing relationships; however, when they werer comparing the literature, care triad does not appear to be reached.
Päivi Åstedt-Kurki, Editor in Chief, SJCS
Marja Kaunonen, Associate Editor, SJCS
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