The Korean Journal of Hospice and Palliative Care

Difficulties Felt by ICU Nurses Providing End-of-Life Care (Qualitative) (N=19).

 Variable  Theme  Category
Difficulties felt by ICU nurses providing end-of-life care Limitation of ICU as a dying place No space to prepare for patient’s end-of-life phase
Restricted environment to spend time with families
Consideration on surrounding patients’ agitation
Lack of resources of end-of-life care No time for end-of-life care due to administrative works
Work overload due to the increased severity of the patient’s state right before death
Lack of time to provide end-of-life care, share emotions and grieve due to caring other patients
Lack of training and counseling on death for patients and family
Psychological burden on the providing of end-of-life care Nurses’ emotions when facing a patient’s end-of-life phase: Guilty, mechanical sensation, depressed feeling, shock, fear, difficulty of judgment
Nurses’ concern for patients in their end-of-life phase and their families: Consolation, psychological conflict, empathy, regret
The difficulties of end-of-life care for patients and their families The difficulties of end-of-life care for patients’ families in the end-of-life phase
The difficulties of end-of-life care for patients’ families who encounter the unprepared sudden death of patients
The difficulties of end-of-life care for patients’ families who are dissatisfied and uncooperative
Conflict on excessive treatment when a patient is in the end-of-life phase. Skepticism over end-of-life phase treatment
Conflict over the restriction of family visits for end-of-life phase patient
Educational needs Guidelines of professional end-of-life care
Spiritual care
Program of affective care for feelings of patients, families, and nurses
Activities for contemplating upon death

ICU: Intensive Care Unit.

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