Emergency Nurses’ Perceptions of End-of-Life Care Obstacles and Supportive Behaviors in Chengdu, the People’s Republic of China
Keywords:
End-of-life care, Obstacles, Supportive behaviors, Emergency nursesAbstract
Emergency nurses play significant roles in end-of-life (EOL) care. Assessment of EOL care obstacles and supportive behaviors as perceived by emergency nurses will provide basic information for enhancing the quality of EOL care in emergency departments. This research aimed to explore emergency nurses' perceptions of EOL care obstacles and supportive behaviors. A survey was conducted with 261 emergency nurses working in hospitals in Chengdu, China, using the Emergency Nurses’ Perceptions of EOL Care Questionnaire. Data were analyzed using descriptive statistics.
The results revealed that the top three perceived obstacles in EOL care were 1) the nurse having to deal with angry family members (perceived obstacle magnitude: POM score =7.77); 2) family members not understanding what "life-saving measures" really means (POM = 7.39); and 3) lack of nursing education and training regarding family grieving and quality EOL care (POM = 6.86). The top three perceived supportive behaviors in EOL care were 1) having family members accept that the patient is dying (the perceived supportive behavior magnitude score: PSBM = 8.95); 2) emergency medical technician/paramedic personnel assisting with resuscitation efforts for the dying patient (PSBM = 8.88); and 3) having the physicians involved in the patient's care agree about the direction care should go (PSBM = 8.26).
These findings could be used as basic information for developing strategies to enhance the quality of EOL care among emergency nurses in China.
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