Importance of Registered Nurses in Providing End-of-Life Care in Intensive Care Units

Recommendations to address gaps in
clinical practice, education, research
The Literature has studied about the various causes of the increasing
growth of deaths in Australia. However, there remains a gap in the
literature that there are no evidences and proof where it can be identified
that where are the remedies to the growing rates of death that is taking
place due to fatal diseases in Australia. Therefore, there are no such
evidences that support the implementation interventions to reduce the
rate of fatal diseases from the populations.
Background
For providing the end of life care to the patients, who are dying are in the huge demand of nurses. However the hospice and
the palliative care of the nurses have received the support of the organizational and the emotional for coping with the death
and grief of the family of the patients. However there are huge lack in the support of the nurses in the intensive care units. If
there is a proof about the cause of the stress, burnouts that affect the work performance and the optimal care of the patients
(Coetzee & Klopper 2010; Yoder 2010). ). Clinicians who experience burnout are more likely to depersonalize their patients,
such as referring to them as their disease (Bauer-Wu & Fontaine 2015)
Relevance and significance of the problem
Death is the critical form of situation that occurs at any of the situation that takes place majorly in the neonatal units, the
intensive care units, the emergency departments, the emergency departments and in the community (Kain 2013; Hinderer
2012). The registered nurses are always available for providing the best possible care for the patients who are deteriorating
with every passing day. The patients can be of any age and the nurses engage in building some sort of therapeutic
relationships with the families of the patients (NMBA 2016; van der Riet, Pitt & Blyton 2014).
Various extensive researches have been taken place based on the experiences of the patients who are approaching their death
and the mental conditions of the ailing patients (Hinderer 2012). However, it is a less known fact that how these nurses takes
care of these patients and make them realize about their actual conditions and gives them resilience to sustain their condition.
Moreover, they tend to support the family of the patients and gives them mental strength to adjust to the situation (van der
Riet, Pitt & Blyton 2014).
Research question
What are nurses’ experiences, beliefs and coping strategies when providing end-of-life care for patients and their families in
the intensive care setting?
Five Key Messages
• These nurses have to find the reward for providing care for the dying persons that at last can be created by the
positive environment for the patients and the relatives of them (Bailey, Murphy, & Porock,, 2011).
• Nurses in the emergency care has been established for the expertise by providing care in the three stages that included the
self-investment in the relationships of the nurse and the patient, the emotion impact and the management and the
emotional expertise development (Katherine, 2012)
• Nurses who are in charge of the care home are very much interested in the maintaining their good patient and the nurse
relationship so that it can provide a positive environment around the dying and death patient. Nurses are taking ton his
intensive care as an opportunity and providing good care to dying and death patients (King,& Thomas, 2013).
• The nurses have been giving care to the patients who are in critical conditions and in intensive care units (Ranse, Yates, &
Coyer, 2012)
• Nurses can become visionaries who will be practising and making efforts for rendering peaceful deaths in the ICU
environments
Implement and disseminate your results for relevant target
audiences
For the Patients
The nurses who given the primary care to the patients have developed their expertise in the areas of end to end life.
It commonly follows through the three major stages that include the investments in the relationships between the
nurse, patients and the management. The outcome of the study also mentions that there exist emotional aspects for
the deaths. They try to give the patients who are in the intensive care units the best possible care to fight for their
lives.
For the family of the dead patients
The nurses who are involved in giving critical care have made efforts for making the investments in themselves
that are based on the learning of the several forms of the therapeutic practices that basically manages the emotional
labor that are related to the dying patients and also for their own members of the family. The nurses who tend to
invest for the investment in the therapeutic investments that are more likely to achieve a higher rate of success in
the creation of the positive form of relationships with the patients and their family members.
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IMPORTANCE OF REGISTERED NURSES
Your 4 Primary Research References
Bailey, C., Murphy, R. & Porock, D., 2011,
'Professional tears: developing emotional
intelligence around death and dying in emergency
work' Journal of clinical nursing, 20(23‐24),
pp.3364-3372.
Katherine A. Hinderer, 2012, 'Reactions to Patient
Death The Lived Experience of Critical Care
Nurses''DIMENSCRIT CARE NURSE, 31(4),
King, P.A. & Thomas, S.P., 2013,
'Phenomenological study of ICU nurses’
experiences caring for dying patients' Western
Journal of Nursing Research, 35(10), pp.1292-
1308.
Ranse, K., Yates, P & Coyer, F., 2012, 'End-of-life
care in the intensive care setting: a descriptive
exploratory qualitative study of nurses’ beliefs and
practices.Australian Critical Care, 25(1), pp.4-12.