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End of life clinician-family communication in ICU: a retrospective observational study - implications for nursing

Bloomer, Melissa, Lee, Susan and O'Connor, Margaret 2010, End of life clinician-family communication in ICU: a retrospective observational study - implications for nursing, Australian journal of advanced nursing, vol. 28, no. 2, pp. 17-23.

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Title End of life clinician-family communication in ICU: a retrospective observational study - implications for nursing
Author(s) Bloomer, MelissaORCID iD for Bloomer, Melissa orcid.org/0000-0003-1170-3951
Lee, Susan
O'Connor, Margaret
Journal name Australian journal of advanced nursing
Volume number 28
Issue number 2
Start page 17
End page 23
Total pages 7
Publisher Royal Australian Nursing Federation
Place of publication Melbourne, Vic.
Publication date 2010-12
ISSN 0813-0531
1447-4328
Summary Objective: The objective of this study was to identify practice issues that influence end of life communication and care of patients and families in the intensive care unit (ICU).

Design: This study used a retrospective observational approach utilising a medical record review. Setting: An Australian metropolitan mixed medical/surgical ICU. Subjects: There are two parts to this study. The first part related to all of the patients who died in the ICU in one calendar year, a total of 97. The second part of this study related to a random selection of 25% of these patients, a total of 24.

Results:
This study showed that death in the ICU was often anticipated, and that whilst communication between family and medical personnel was evident in the medical record, the involvement or occurrence of communication between the nurse and the family was not recorded, and that nurses were included in only 25% of formal family meetings.

Conclusion:
Whilst this study confirmed that death is often predicted for critically ill patients, and opportunities for communication with the family or next of kin assists to achieve consensus on end of life decisions, the involvement of nurses, as primary care-givers is not well represented in the medical record, thus undermining the importance of the nurses role in direct patient care that extends to the family in the ICU.
Language eng
Field of Research 1110 Nursing
111099 Nursing not elsewhere classified
Socio Economic Objective 920210 Nursing
HERDC Research category C1.1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2010, Royal Australian Nursing Federation
Free to Read? Yes
Persistent URL http://hdl.handle.net/10536/DRO/DU:30082188

Document type: Journal Article
Collections: School of Nursing and Midwifery
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Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.