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Triggers of intensive care patients with palliative care needs from nurses' perspective: a mixed methods study.
- Source :
-
Critical care (London, England) [Crit Care] 2024 May 28; Vol. 28 (1), pp. 181. Date of Electronic Publication: 2024 May 28. - Publication Year :
- 2024
-
Abstract
- Purpose: Triggers have been developed internationally to identify intensive care patients with palliative care needs. Due to their work, nurses are close to the patient and their perspective should therefore be included. In this study, potential triggers were first identified and then a questionnaire was developed to analyse their acceptance among German intensive care nurses.<br />Methods: For the qualitative part of this mixed methods study, focus groups were conducted with intensive care nurses from different disciplines (surgery, neurosurgery, internal medicine), which were selected by convenience. Data were analysed using the "content-structuring content analysis" according to Kuckartz. For the quantitative study part, the thus identified triggers formed the basis for questionnaire items. The questionnaire was tested for comprehensibility in cognitive pretests and for feasibility in a pilot survey.<br />Results: In the qualitative part six focus groups were conducted at four university hospitals. From the data four main categories (prognosis, interprofessional cooperation, relatives, patients) with three to 15 subcategories each could be identified. The nurses described situations requiring palliative care consults that related to the severity of the disease, the therapeutic course, communication within the team and between team and patient/relatives, and typical characteristics of patients and relatives. In addition, a professional conflict between nurses and physicians emerged. The questionnaire, which was developed after six cognitive interviews, consists of 32 items plus one open question. The pilot had a response rate of 76.7% (23/30), whereby 30 triggers were accepted with an agreement of ≥ 50%.<br />Conclusion: Intensive care nurses see various triggers, with interprofessional collaboration and the patient's prognosis playing a major role. The questionnaire can be used for further surveys, e.g. interprofessional triggers could be developed.<br /> (© 2024. The Author(s).)
- Subjects :
- Humans
Surveys and Questionnaires
Female
Male
Adult
Middle Aged
Intensive Care Units organization & administration
Intensive Care Units statistics & numerical data
Attitude of Health Personnel
Qualitative Research
Germany
Nurses psychology
Nurses statistics & numerical data
Critical Care methods
Critical Care psychology
Critical Care Nursing methods
Critical Care Nursing standards
Critical Care Nursing statistics & numerical data
Palliative Care methods
Palliative Care psychology
Focus Groups methods
Subjects
Details
- Language :
- English
- ISSN :
- 1466-609X
- Volume :
- 28
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- Critical care (London, England)
- Publication Type :
- Academic Journal
- Accession number :
- 38807236
- Full Text :
- https://doi.org/10.1186/s13054-024-04969-1