Conditions facilitating “good palliative care” in intensive care units: Nurses’ perspectives
The aging population, and the complexity and irreversibility of certain conditions lead to the deaths of 20 percent of patients admitted to intensive care units (ICU). However, in Quebec, as elsewhere in North America, few of these patients currently receive palliative care. Method: inspired by a conceptual model that considers nursing as a moral practice, this phenomenological study was conducted in four phases: focus groups (n=6), observation sessions (n=6), followed by individual interviews and then group validation activities (n=5). The first part of this study shows that through several caring behaviours, “good palliative care” in the ICU is manifested by the consideration of six dimensions of the person: physical, relational, psychological, moral, social, and spiritual. This article presents the second part of this study and reveals the main themes summarizing the conditions facilitating “good palliative care” according to ICU nurses: sharing a common vision enhanced by a collective and specific palliative care knowledge, and an informed and concerted decisionmaking process in a favorable organizational and physical environment.
Key words
- palliative care
- intensive care
- facilitating conditions
- good care