Obstacles and Supportive Behaviors of Emergency Nurses Regarding End-of-life Patient Care
Keywords:
Obstacles, Supportive behaviors, End of life care, Emergency nursesAbstract
Emergency department (ED)care focuses on caring for patients with life-threatening conditions, causing end-of-life (EOL) care to be neglected. This descriptive study aimed to explore obstacles and supportive behaviors of emergency nurses regarding end-of-life patient care. The sample was comprised of 385 emergency nurses, conveniently recruited according to inclusion criteria. The research instrument consisted of the Perceived Obstacles and Supportive Behaviors in Caring for End of Care of ED Nurses Questionnaire. The Cronbach’s alpha coefficients of the Perceived Obstacles and Supportive Behaviors in Caring for End of Care subscales were .85 and .80, respectively. The data were organized and analyzed using descriptive statistics.
The study found that the top three obstacles in caring for EOL patients among ED nurses were: restrictions on family members in the ED during cardiopulmonary resuscitation (M = 3.39, SD = 0.81), insufficient time to provide quality EOL care because nurses have to do activities to save the patient's life (M = 3.31, SD = 0.84), and the ED design is poorly conducive to the privacy of dying patients and their grieving family (M = 3.30, SD = 0.83). The top three supportive behaviors in caring for the EOL of patients among ED nurses were: good communication between doctors and nurses caring for dying patients (M = 3.52, SD = 0.68), a process for physicians involved in the patient's care to agree on the same care guidelines (M = 3.36, SD = 0.81), and a process for family members to accept that the patient is dying (M = 3.23, SD = 0.77).
The results of the study could be used as basic information for planning and improving the quality of EOL patient care among ED nurses in the future.
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