期刊
CHEST
卷 127, 期 5, 页码 1775-1783出版社
ELSEVIER SCIENCE BV
DOI: 10.1378/chest.127.5.1775
关键词
critical care; death; geriatrics; ICU; quality of care; quality of dying
资金
- NIA NIH HHS [AG01023-01A1] Funding Source: Medline
Objective: We compared perceptions of the quality of dying and death in the ICU across nurses, resident physicians, attending physicians, and family members. The aim was to obtain a surrogate assessment of the quality of the dying process and examine differences in the perceptions of different types of raters. Design: Cross-sectional survey of family members and ICU clinicians conducted following the death of enrolled patients. Setting: Two medical ICUs at academic tertiary care medical centers. Patients: Patients dying in the ICU (n = 68). Measurements and results: The previously validated Quality of Dying and Death (QODD) instrument was modified for use in the ICU. Within 48 h of the time of death, the nurse, resident, and attending physician caring for the patient were asked. to complete the QODD. One month following the death, a designated family member was contacted and the QODD was administered on the telephone. Family members and attending physicians gave the most favorable ratings of death, while nurses and residents provided less favorable ratings. Significant differences between these groups were notable (p < 0.01) on items related to patient autonomy: maintaining dignity, being touched by loved ones, and the overall quality of death. Conclusions: The perception of dying and death in the ICU varies considerably between nurses, attending physicians, resident physicians, and family members. Further studies are needed to explain these differences and determine the utility of the ICU QODD instrument for assessing and improving the quality of end-of-life care in the ICU.
作者
我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。
推荐
暂无数据