End Of Life Care In The ICU

ANSWERS

End-of-life (EOL) care is an important aspect of practice in the intensive care unit (ICU), where one out of every five patients will die.

This study aimed to describe clinicians’ experiences with the 3 Wishes Project (3WP) and to understand the project’s impact on ICU care.

The 3WP is a palliative care intervention in which clinicians elicit and implement final wishes for patients dying in the ICU; at the time of this study, it had been in place for seven months. This mixed-methods study includes quantitative and qualitative data from clinician surveys and focuses on groups with clinicians.

Setting: A 24-bed medical intensive care unit in a tertiary academic center.

Subjects: Self-administered surveys were used to collect perspectives from 97 clinicians working in the ICU during the study period. Five focus groups, each with 25 nurses and five physicians, were digitally recorded, transcribed, and analyzed.

Measurements and Results: 67 decedents and their families participated in the 3WP over seven months. The overarching concept discovered through survey and focus group data analysis is that the 3WP improves EOL care in the ICU, which is supported by three main themes:

1. The 3WP promotes meaningful EOL care.
2. The 3WP has a positive impact on nurses and physicians.
3. Clinicians observe the 3WP as having a positive impact on families.

Conclusions: This patient-centered and family-partnered intervention promotes meaningful EOL care, positively influencing the ICU team and family members.

QUESTION

End Of Life Care In The ICU

There is a plethora of research which shows there is a lack of education and knowledge pertaining to nurses in the intensive care unit being prepared to care for patients during their end of life. Prepare an outline of you Doctorate of Nursing Practice (DNP) project pertaining to this topic.

Section 1 includes the introduction, background and significance, the problem statement, and the clinical question. This section includes the conceptual and theoretical framework:

Section 2 is the literature review which is a thorough examination of the literature relating to the clinical issue, the theory, and content in section1.

The student will develop a conceptual framework as foundational preparation for sections 1 & 2 in the DNP Project.

APA format is required. Assignment length is 350 – 500 words.

The student will be graded on:

The student Identifies a creative, focused, and manageable topic that addresses potentially  significant yet previously less-explored aspects of the topic (lack of knowledge/experience of nurses caring for patients during the end of life process). (16.67%)

Synthesizes in-depth information from relevant sources representing various points of view/approaches. (16.67%)

All elements of the methodology or theoretical framework are skillfully developed. Appropriate methodology or theoretical frameworks may be synthesized from across disciplines or from relevant subdisciplines. (16.67%)

Organizes and synthesizes evidence to reveal insightful patterns, differences, or similarities related to focus. (16.67%)

States a conclusion that is a logical extrapolation from the inquiry findings. (16.67%)

Insightfully discusses in detail relevant and supported limitations and implications. (16.67%)