About My Health Careers Internship MedBlogs Contact us
Medindia LOGIN REGISTER
Advertisement

Nurses Can Provide Better End-Of-Life Care If The Opportunity Is Given

by Rishika Gupta on December 18, 2018 at 10:31 PM
Font : A-A+

 Nurses Can Provide Better End-Of-Life Care If The Opportunity Is Given

Nurses could be the solution to the current End-of-life care quality, finds a new study. They have found that nearly 53% of the patients often experience painful procedures that are not likely to change their clinical outcome.

Everyone wants a dignified death - yet few actually experience one. Despite preferring to remain at home, most older adults spend their final days in hospitals, where they often undergo medical care that neither improves survival nor quality of life.

Advertisement


A new study from the University of Pennsylvania School of Nursing's Center for Health Outcomes and Policy Research (CHOPR) describes the quality of end of life care in nearly 500 U.S. hospitals, utilizing nearly 13,000 bedside nurses as informants of quality. The study has been published online first. It will also be in a future issue of the Journal of the American Geriatrics Society.

The majority of nurses (58%) rate their hospital's end of life care unfavorably. The most common quality problem nurses cite (53% of nurses) is that patients often experience painful procedures that are not likely to change their clinical outcome. This finding is consistent with growing trends towards aggressive medical intervention in the final days of life, which is widely recognized as inappropriate for terminally ill individuals.
Advertisement

More than one-third (37.7%) of nurses report being discouraged from discussing alternative care options with patients/families.

A similar percentage of nurses say they often disagree with their physician colleagues about the end of life care decisions - and feel decisions are not made as a team.

"Even the best hospitals have significant room for improvement when it comes to providing better care for patients at the end of life," says lead-author Karen Lasater, Ph.D., RN, Assistant Professor of Nursing. "Hospitals are failing to capitalize on an already available cadre of the skilled end of life care providers available for every patient in every hospital - registered nurses at the bedside."

The study found that end of life care is best in hospitals characterized by effective nurse-physician teamwork, where authority is devolved to nurses to act in their areas of expertise, where nurses have manageable workloads, and where nurses are highly engaged in hospital decision making.

"For patients and families, making health care decisions at the end of life is stressful. They want to be cared for by a team of providers that elicit and respect their care preferences. They want information about disease progression, symptom management, and the full array of care options. They want to be acknowledged as a whole person - with goals beyond prolonging life. This is at the heart of nurses' work," says Lasater.

Source: Eurekalert
Advertisement

Advertisement
News A-Z
A B C D E F G H I J K L M N O P Q R S T U V W X Y Z
Advertisement
News Category
What's New on Medindia
International Day of Persons with Disabilities 2021 - Fighting for Rights in the Post-COVID Era
Effect of Blood Group Type on COVID-19 Risk and Severity
Woman with Rare Spinal Cord Defect from Birth Sues Doctor
View all

Medindia Newsletters Subscribe to our Free Newsletters!
Terms & Conditions and Privacy Policy.


Recommended Reading
Racial-ethnic Disparities in the Quality of Lung Cancer End-of-life Care
A retrospective analysis to examine racial-ethnic disparities in the quality of lung cancer ......
Wider Acceptance of End-of-Life Care Orders in California
The Physician Orders for Life-Sustaining Treatment or POLST is an effective tool for communicating ....
Quality Of End-Of-Life Care for Patients Should be Improved
Patients who had been seen by a palliative care doctor -a physician who specializes in symptom ......
Need for Improvement in End-Of-Life Care for Children
Spinal muscular atrophy is a rare disorder characterized by slowly progressing muscle weakness; ......

Disclaimer - All information and content on this site are for information and educational purposes only. The information should not be used for either diagnosis or treatment or both for any health related problem or disease. Always seek the advice of a qualified physician for medical diagnosis and treatment. Full Disclaimer

© All Rights Reserved 1997 - 2021

This site uses cookies to deliver our services. By using our site, you acknowledge that you have read and understand our Cookie Policy, Privacy Policy, and our Terms of Use