Nurse-perceived barriers to effective communication regarding prognosis and optimal end-of-life care for surgical ICU patients: A qualitative exploration

Journal of Palliative Medicine

Volumn 15, Issue 8, 2012, Pages 910-915

  Aslakson, Rebecca A ^a   Wyskiel, Rhonda ^a   Thornton, Imani ^a   Copley, Christina ^a   Shaffer, Dauryne ^a   Zyra, Marylou ^a   Nelson, Judith ^b   Pronovost, Peter J ^a  

^a JOHNS HOPKINS HOSPITAL   (United States)

^b MOUNT SINAI SCHOOL OF MEDICINE   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; CONTENT ANALYSIS; DOCTOR PATIENT RELATION; INTENSIVE CARE UNIT; NURSE TRAINING; NURSING; NURSING PRACTICE; PALLIATIVE THERAPY; PROGNOSIS; QUALITATIVE ANALYSIS; TERMINAL CARE; TERTIARY HEALTH CARE;

ATTITUDE OF HEALTH PERSONNEL; BALTIMORE; COMMUNICATION BARRIERS; FOCUS GROUPS; HUMANS; INTENSIVE CARE UNITS; NURSE-PATIENT RELATIONS; NURSES; PALLIATIVE CARE; PROGNOSIS; QUALITATIVE RESEARCH; TERMINAL CARE;

EID: 84864609052     PISSN: 10966218     EISSN: 15577740     Source Type: Journal    
DOI: 10.1089/jpm.2011.0481     Document Type: Article

References (33)

1. Angus DC, Barnato AE, Linde-Zwirble WT, Weissfeld LA, Watson RS, Rickert T, Rubenfeld GD; Robert Wood Johnson Foundation ICU End-Of-Life Peer Group: Use of intensive care at the end of life in the united states: An epidemiologic study. Crit Care Med 2004;32:638-643.
2. Lanken PN, Terry PB, Delisser HM, Fahy BF, Hansen- Flaschen J, Heffner JE, Levy M, Mularski RA, Osborne ML, Prendergast TJ, Rocker G, Sibbald WJ, Wilfond B, Yankaskas JR; ATS End-of-Life Care Task Force: An official American Thoracic Society clinical policy statement: Palliative care for patients with respiratory diseases and critical illnesses. Am J Respir Crit Care Med 2008;177:912-927.
3. Mularski RA, Curtis JR, Billings JA, Burt R, Byock I, Fuhrman C, Mosenthal AC, Medina J, Ray DE, Rubenfeld GD, Schneiderman LJ, Treece PD, Truog RD, Levy MM: Proposed quality measures for palliative care in the critically ill: A consensus from the Robert Wood Johnson Foundation critical care workgroup. Crit Care Med 2006;34:S404-411.
4. Truog RD, Campbell ML, Curtis JR, Haas CE, Luce JM, Rubenfeld GD, Rushton CH, Kaufman DC; American Academy of Critical Care Medicine: Recommendations for end-of-life care in the intensive care unit: A consensus statement by the American College [corrected] of critical care medicine. Crit Care Med 2008;36:953-963.
5. Priority Areans for National Action: Transforming Health Care Quality. Adams K, Corrigan JM (eds): Washington, DC: National Academy Press, 2003.
6. Nelson JE, Bassett R, Boss RD, Brasel KJ, Campbell ML, Cortez TB, Curtis JR, Lustbader DR, Mulkerin C, Puntillo KA, Ray DE, Weissman DE; Improve Palliative Care in the Intensive Care Unit Project: Models for tructuring a clinical initiative to enhance palliative care in the intensive care unit: A report from the IPAL-ICU project (improving palliative care in the ICU). Crit Care Med 2010;38:1765-1772.
7. Lilly CM, De Meo DL, Sonna LA, Haley KJ, Massaro AF, Wallace RF, Cody S: An intensive communication intervention for the critically ill. Am J Med 2000;109:469-475.
8. Lilly CM, Sonna LA, Haley KJ, Massaro AF: Intensive communication: Four-year follow-up from a clinical practice study. Crit Care Med 2003;31:S394-399.
9. Lautrette A, Darmon M, Megarbane B, Joly LM, Chevret S, Adrie C, Barnoud D, Bleichner G, Bruel C, Choukroun G, Curtis JR, Fieux F, Galliot R, Garrouste-Orgeas M, Georges H, Goldgran-Toledano D, Jourdain M, Loubert G, Reignier J, Saidi F, Souweine B, Vincent F, Barnes NK, Pochard F, Schlemmer B, Azoulay E: A communication strategy and brochure for relatives of patients dying in the ICU. NEJM 2007;356:469-478.
10. Campbell ML, Guzman JA: Impact of a proactive approach to improve end-of-life care in a medical ICU. Chest 2003; 123:266-271.
11. Campbell ML, Guzman JA: A proactive approach to improve end-of-life care in a medical intensive care unit for patients with terminal dementia. Crit Care Med 2004;32:1839-1843.
12. Curtis JR, Treece PD, Nielsen EL, Downey L, Shannon SE, Braungardt T, Owens D, Steinberg KP, Engelberg RA: Integrating palliative and critical care: Evaluation of a qualityimprovement intervention. Am J Respir Crit Care Med 2008;178:269-275.
13. Mosenthal AC, Murphy PA, Barker LK, Lavery R, Retano A, Livingston DH: Changing the culture around end-of-life care in the trauma intensive care unit. J Trauma 2008;64:1587-1593.
14. Ahrens T, Yancey V, Kollef M: Improving family communications at the end of life: Implications for length of stay in the intensive care unit and resource use. Amer J Crit Care 2003;12:317-323.
15. Norton SA, Hogan LA, Holloway RG, Temkin-Greener H, Buckley MJ, Quill TE: Proactive palliative care in the medical intensive care unit: Effects on length of stay for selected high-risk patients. Crit Care Med 2007;35:1530-1535.
16. McCormick AJ, Curtis JR, Stowell-Weiss P, Toms C, Engelberg R. Improving social work in intensive care unit palliative care: Results of a quality improvement intervention. J Palliat Med 2010;13:297-304.
17. Cassell J. Life and Death in Intensive Care. Philadelphia: Temple University Press, 2005.
18. Cassell J, Buchman TG, Streat S, Stewart RM: Surgeons, intensivists, and the covenant of care: Administrative models and values affecting care at the end of life-updated.including commentary by Buchman TG and Stewart RM. Crit Care Med 2003;31:1551-1559.
19. Penkoske PA, Buchman TG: The relationship between the surgeon and the intensivist in the surgical intensive care unit. Surg Clin North Am 2006;86:1351-1357.
20. Dunn GP, Milch RA, Mosenthal AC, Lee KF, Easson AM, Huffman JL: Palliative care by the surgeon: How to do it. J Am Coll Surg 2002;194:509-537.
21. Mosenthal AC: Palliative care in the surgical ICU. Surg Clin North Am 2005;85:303-313.
22. Buchman TG, Cassell J, Ray SE, Wax ML: Who should manage the dying patient?: Rescue, shame, and the surgical ICU dilemma. J Am Coll Surg 2002;194:665-673.
23. Nuland S. How We Die. New York: Knopf, 1993, pp. 250-253.
24. Krizek T: Spiritual dimensions of surgical palliative care. Surg Oncol Clin N Am 2001;10:51.
25. Prendergast T, Luce J: Increasing incidence of withholding and withdrawal of life support from the critically ill. Am J Respir Crit Care Med 1997;155:15-20.
26. Aslakson RA, Wyskiel R, Shaeffer D, Zyra M, Ahuja N, Nelson JE, Pronovost PJ: Surgical intensive care unit clinician estimates of the adequacy of communication regarding patient prognosis. Crit Care 2010;14:R218.
27. Asch DA, Shea JA, Jedrziewski MK, Bosk CL: The limits of suffering: Critical care nurses' views of hospital care at the end of life. Soc Sci Med 1997;45:1661-1668.
28. Jezewski MA, Scherer Y, Miller C, Battista E: Consenting to DNR: Critical care nurses' interactions with patients and family members. Am J Crit Care 1993;2:302-309.
29. Simpson SH: Reconnecting: The experiences of nurses caring for hopelessly ill patients in intensive care. Intensive Crit Care Nurs 1997;13:189-197.
30. Baggs JG, Schmitt MH, Mushlin AI, Eldredge DH, Oakes D, Hutson AD: Nurse-physician collaboration and satisfaction with the decision-making process in three critical care units. Am J Crit Care 1997;6:393-399.
31. Pronovost PJ, Angus DC, Dorman T, Robinson KA, Dremsizov TT, Young TL: Physician staffing patterns and clinical outcomes in critically ill patients: A systematic review. JAMA 2002;6:2151-2162.
32. Evans LR, Boyd EA, Malvar G, Apatira L, Luce JM, Lo B, White DB: Surrogate decision-makers' perspectives on discussing prognosis in the face of uncertainty. Am J Respir Crit Care Med 2009;179:48-53.
33. Apatira L, Boyd EA, Malvar G, Evans LR, Luce JM, Lo B, White DB: Hope, truth, and preparing for death. Ann Int Med 2008;149:861-868.