Factors Influencing Role Ambiguity and Role Conflict Among Intensive Care Unit Nurses Providing End of Life Care

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Celia M. Wells
2016 ◽  
Vol 18 (3) ◽  
pp. 212-218 ◽  
Author(s):  
Marijke Noome ◽  
Boukje M. Dijkstra ◽  
Evert van Leeuwen ◽  
Lilian C. M. Vloet

Author(s):  
Jin Hee Yang ◽  
Gisoo Shin

Intensive-care unit nurses may experience difficulties in end-of-life care because of frustration or lethargy. The purpose of this study was to develop a mobile end-of-life care program for intensive-care unit nurses and evaluate the effects on competence factors such as knowledge, self-efficacy, and compassion. A quasi-experimental design was used. The participants included 44 nurses who had less than three years of experience in the intensive-care unit, divided into the experimental group and control group. After the intervention, the experimental group showed a significant improvement in self-efficacy in end-of-life care and compassion in end-of-life care. Based on the results of this study, the end-of-life care mobile app was an effective educational method for nurses with experience of less than 3 years in an intensive-care unit. To improve the quality of end-of-life care, it is necessary to develop various educational programs considering the greater role of the fourth industrial revolution in the future.


2016 ◽  
Vol 18 (5) ◽  
pp. 443-449 ◽  
Author(s):  
Batool Tirgari ◽  
Mansooreh Azizzadeh Forouzi ◽  
Farideh Razban ◽  
Rezvan Alimirzaei

2010 ◽  
Vol 19 (6) ◽  
pp. 543-552 ◽  
Author(s):  
Renea L. Beckstrand ◽  
Nicole L. Rawle ◽  
Lynn Callister ◽  
Barbara L. Mandleco

BackgroundEach year 55 000 children die in the United States, and most of these deaths occur in hospitals. The barriers and supportive behaviors in providing end-of-life care to children should be determined.ObjectiveTo determine pediatric intensive care unit nurses’ perceptions of sizes, frequencies, and magnitudes of selected obstacles and helpful behaviors in providing end-of-life care to children.MethodA national sample of 1047 pediatric intensive care unit nurses who were members of the American Association of Critical-Care Nurses were surveyed. A 76-item questionnaire adapted from 3 similar surveys with critical care, emergency, and oncology nurses was mailed to possible participants. Nurses who did not respond to the first mailing were sent a second mailing. Nurses were asked to rate the size and frequency of listed obstacles and supportive behaviors in caring for children at the end of life.ResultsA total of 474 usable questionnaires were received from 985 eligible respondents (return rate, 48%). The 2 items with the highest perceived obstacle magnitude scores for size and frequency means were language barriers and parental discomfort in withholding and/or withdrawing mechanical ventilation. The highest supportive behavior item was allowing time alone with the child when he or she has died.ConclusionsPediatric intensive care unit nurses play a vital role in caring for dying children and the children’s families. Overcoming language and communication barriers with children’s families and between interdisciplinary team members could greatly improve the end-of-life experience for dying children.


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