Dissertation/Thesis Abstract

Exploring Critical Care Nurses' Perceptions and Practices of Palliative Care in the ICU Environment
by Miller, Monica June, M.S., University of California, Davis, 2014, 44; 1560153
Abstract (Summary)

Palliative care has been recognized as an essential component of high quality ICU care, yet inconsistencies in the performance of palliative care processes are found across hospitals. Improving palliative care in the ICU is a national health priority. This study sought to better understand how critical care nurses think about palliative care in the ICU and how they perceive their role in providing palliative care. This was a descriptive, qualitative study using in-depth, semi-structured interviews with six critical care nurses from different hospitals within a medium-sized city in Northern California. Three main themes were identified in describing palliative care: communication, comfort, and maximizing life. Perceived differences between palliative care and hospice varied, as did explanations of who should receive palliative care in the ICU. Most nurses reported palliative care activities to be part of their routine care of all patients. Many barriers and suggestions for improvement were identified. Results from this study illuminate the need for more education about the practice of palliative care in the ICU, including national standards for quality palliative care practice.

Indexing (document details)
Advisor: Siegel, Elena O.
Commitee: Apesoa-Varano, Ester C., Noort, Janice
School: University of California, Davis
Department: Nursing
School Location: United States -- California
Source: MAI 53/03M(E), Masters Abstracts International
Subjects: Nursing
Keywords: Critical care, Critical care nurse, End-of-life care, ICU, Nurse, Palliative care
Publication Number: 1560153
ISBN: 978-1-321-01978-0
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