Assessment of self-perceived end-of-life care competencies of intensive care unit providers. J Palliat Med 2012 Jan;15(1):29-36
Date
12/17/2011Pubmed ID
22171962DOI
10.1089/jpm.2011.0265Scopus ID
2-s2.0-84856246118 (requires institutional sign-in at Scopus site) 36 CitationsAbstract
BACKGROUND: The need for improved (end-of-life) EOL care in the intensive care unit (ICU) has gained attention in the medical literature over the last 10 years. The purpose of this study is to describe ICU health care providers' self-perceived knowledge, attitudes, and behaviors related to the provision of EOL care as a first step in planning educational interventions for ICU staff.
METHODS AND RESULTS: One hundred eighty-five ICU staff members of an academic affiliated tertiary medical center in Milwaukee, Wisconsin received the survey, the Scale of End-of-Life Care in the ICU (EOLC-ICU), a new questionnaire developed for this study. The response rate was 50.3%.
CONCLUSION: We found that having previous EOL care education was common among ICU staff. However, several deficiencies in self-perceived EOL competencies were identified among staff, particularly in the areas of communication, continuity of care, and decision-making process. Nursing and medical staff also had different perceptions on how certain EOL behaviors were carried out in the ICU. Educational interventions will be implemented in our ICU in an effort to improve staff preparedness for the provision of quality EOL care.
Author List
Montagnini M, Smith H, Balistrieri TAuthor
Heather M. Smith PhD Associate Professor in the Psychiatry and Behavioral Medicine department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
Clinical CompetenceHealth Care Surveys
Health Personnel
Humans
Intensive Care Units
Self Efficacy
Terminal Care
Wisconsin
