Dokument: Triggers of intensive care patients with palliative care needs from nurses’ perspective: a mixed methods study

Titel:Triggers of intensive care patients with palliative care needs from nurses’ perspective: a mixed methods study
URL für Lesezeichen:https://docserv.uni-duesseldorf.de/servlets/DocumentServlet?id=68191
URN (NBN):urn:nbn:de:hbz:061-20250121-115700-8
Kollektion:Publikationen
Sprache:Englisch
Dokumententyp:Wissenschaftliche Texte » Artikel, Aufsatz
Medientyp:Text
Autoren: Schallenburger, Manuela [Autor]
Schwartz, Jacqueline [Autor]
Icks, Andrea [Autor]
Schmitten, in der Jürgen [Autor]
Batzler, Yann-Nicolas [Autor]
Meier, Stefan [Autor]
Mendez-Delgado, Miguel [Autor]
Tenge, Theresa [Autor]
Neukirchen, Martin [Autor]
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Dateien vom 21.01.2025 / geändert 21.01.2025
Stichwörter:Trigger factors, Intensive care, Interdisciplinary care, Interprofessional care, Intensive care nurses, Palliative care
Beschreibung: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.
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.
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%.
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.
Rechtliche Vermerke:Originalveröffentlichung:
Schallenburger, M., Schwartz, J., Icks, A., in der Schmitten, J., Batzler, Y.-N., Meier, S., Mendez-Delgado, M., Tenge, T., & Neukirchen, M. (2024). Triggers of intensive care patients with palliative care needs from nurses’ perspective: a mixed methods study. Critical Care, 28, Article 181. https://doi.org/10.1186/s13054-024-04969-1
Lizenz:Creative Commons Lizenzvertrag
Dieses Werk ist lizenziert unter einer Creative Commons Namensnennung 4.0 International Lizenz
Fachbereich / Einrichtung:Medizinische Fakultät
Dokument erstellt am:21.01.2025
Dateien geändert am:21.01.2025
english
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