The Korean Journal of Hospice and Palliative Care

Difficulties Felt by ICU Nurses Providing End-of-Life Care (Quantitative) (N= 106).

Difficulties felt by ICU nurses (total)3.41±0.39
 Limitation of ICU as a dying place.3.61±0.69
  ICU is not an appropriate place to die.3.14±1.00
  Patients cannot approach peaceful death in the ICU.3.52±0.99
  Patients do not want to die in the ICU, I suppose.3.84±0.86
  When death is unavoidable, the patient had better leave the ICU quickly.3.93±0.81
 Lack of resources of end-of-life care.3.57±0.62
  No time to care for dying patient.3.25±0.97
  Nursing system for end-of-life care is not established.3.45±0.94
  No time to discuss among nurses about end-of-life care. 3.56±0.84
  More nurses are needed for providing end-of-life care.3.60±0.86
  There are nurses to consult about end-of-life care. 3.77±0.75
  There are no model nurses in providing for end- of-life care.3.80±0.75
 Psychological burden on the providing of end-of-life care.3.03±0.63
  I am frightened to tell the family that a patient’s condition is worsening.3.59±0.95
  I often feel a pang of guilt when I face patient death.3.06±0.98
  I want to avoid the family when a patient’s conditioning is worsening3.03±1.06
  I often feel that it is my responsibility when a patient’s condition is worsening.2.45±0.84
  No confidence to provide end-of-life care.2.96±0.82
  I would like to avoid care for dying patients, if possible.3.12±1.00
  No knowledge and skills to provide end-of-life care.3.00±0.85
 The difficulties of end-of-life care for patients and their families.3.44±0.45
  Not enough contact with families.3.56±0.76
  It is difficult to provide care for families in the ICU.3.72±0.81
  It is difficult to fulfill patients’ wishes of end of life.3.78±0.69
  No wish to develop a relationship with the family.2.64±0.87
  It is difficult to provide care for dying patients in the ICU.3.32±0.86
  Family has difficulty accepting death in the ICU.3.57±0.77
  It is difficult to fulfill family’s wishes.3.53±0.73
 Conflict on excessive treatment when a patient is in the end-of-life phase.3.57±0.59
  Doctors are too late in deciding that treatment is ineffective, I feel.3.42±0.94
  It is difficult to attend to the family when a patient is dying.3.53±0.82
  Life-sustaining treatment is often given excessively.3.90±0.82
  Even in the end-of-life phase, limits on visiting hours and people are unavoidable.3.43±1.03

ICU: Intensive Care Unit.

Korean J Hosp Palliat Care 2019;22:87~99
© Korean J Hosp Palliat Care