کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
2652088 1563949 2016 8 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Modelling end-of-life care practices: Factors associated with critical care nurse engagement in care provision
ترجمه فارسی عنوان
مدل سازی شیوه های مراقبت از زندگی: عوامل مرتبط با مشارکت پرستاران مراقبت های ویژه در ارائه مراقبت
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی بیهوشی و پزشکی درد
چکیده انگلیسی

SummaryObjectiveTo identify factors associated with critical care nurses’ engagement in end-of-life care practices.MethodsMultivariable regression modelling was undertaken on 392 responses to an online self-report survey of end-of-life care practices and factors influencing practice by Australian critical care nurses’. Univariate general linear models were built for six end-of-life care practice areas.ResultsSix statistically significant (p < 0.001) models were developed: Information sharing F(3, 377) = 40.53, adjusted R2 23.8%; Environmental modification F(5, 380) = 19.55, adjusted R2 19.4%; Emotional support F(10, 366) = 12.10, adjusted R2 22.8%; Patient and family centred decision making F(8, 362) = 17.61 adjusted R2 26.4%; Symptom management F(8, 376) = 7.10, adjusted R2 11.3%; and Spiritual support F(9, 367) = 14.66, adjusted R2 24.6%. Stronger agreement with values consistent with a palliative approach, and greater support for patient and family preferences were associated with higher levels of engagement in end-of-life care practices. Higher levels of preparedness and access to opportunities for knowledge acquisition were associated with engagement in the interpersonal practices of patient and family centred decision making and emotional support.ConclusionThis study provides evidence for interventions to address factors associated with nurse engagement to increase participation in all end-of-life care practice areas.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Intensive and Critical Care Nursing - Volume 33, April 2016, Pages 48–55
نویسندگان
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