Staff perception of obstacles and facilitators when providing end of life care in critical care units of two teaching hospitals: A survey design

Almansour, I.; Seymour, J.E; Aubeeluck, A.

Abstract

Objective: To determine perceptions of Jordanian critical care staff about obstacles and facilitators to end-of-life care.
Research methodology: The ‘‘National Survey of Critical Care Nurses’ Perceptions of End-of-Life Care” wasadapted and distributed to 143 critical care nurses (n = 110) and physicians (n = 33) in two Jordanian hospitals. Nurses and physicians completed items about perceived obstacles to end-of-life care. Nurses only completed items about facilitators to end-of-life care.
Results: The overall response rate was 72.7% (n = 104/143). Seventy–six nurses (69.1%) and 28 physicians (84.5%) responded. Nurses and physicians agreed that the highest scoring obstacles were: ‘family members who do not understand what life-saving measures mean’ and the ‘poor design of critical care units’. Other highly scoring obstacles related to clinicians’ behaviours, characteristics and attitudes. Nurses perceived the highest scoring facilitator was ‘family members who accepted that the patient was dying’.
Conclusion: There is a need to further explore the issues underlying perceptions about clinicians’ behaviours, which were perceived to be key barriers to quality end-of-life care and to find acceptable solutionsthat fit with Islamic culture. It is the first time that the survey has been used to gather perceptions of doctors and nurses in a non-western culture.

Citation

Almansour, I., Seymour, J., & Aubeeluck, A. (2019). Staff perception of obstacles and facilitators when providing end of life care in critical care units of two teaching hospitals: A survey design. Intensive and Critical Care Nursing, 53, 8-14. https://doi.org/10.1016/j.iccn.2019.04.003

• Journal Article Type: Article
• Acceptance Date: Apr 13, 2019
• Online Publication Date: Apr 22, 2019
• Publication Date: Apr 22, 2019
• Deposit Date: May 2, 2019
• Publicly Available Date: Apr 23, 2020
• Journal: Intensive and Critical Care Nursing
• Print ISSN: 0964-3397
• Publisher: Elsevier
• Peer Reviewed: Peer Reviewed
• Volume: 53
• Pages: 8-14
• DOI: https://doi.org/10.1016/j.iccn.2019.04.003
• Keywords: Critical Care
• Public URL: https://nottingham-repository.worktribe.com/output/2014281
• Publisher URL: https://www.sciencedirect.com/science/article/pii/S0964339718302064
• Additional Information: This article is maintained by: Elsevier; Article Title: Staff perception of obstacles and facilitators when providing end of life care in critical care units of two teaching hospitals: A survey design; Journal Title: Intensive and Critical Care Nursing; CrossRef DOI link to publisher maintained version: https://doi.org/10.1016/j.iccn.2019.04.003; Content Type: article; Copyright: Crown Copyright © 2019 Published by Elsevier Ltd. All rights reserved.