An exploration of collaboration in end-of-life decision making among intensive care physicians and nurses
| dc.contributor.author | Driver, Lorelei | |
| dc.contributor.supervisor | Starzomski, Rosalie | |
| dc.date.accessioned | 2012-08-08T22:09:52Z | |
| dc.date.available | 2012-08-08T22:09:52Z | |
| dc.date.copyright | 2008 | en_US |
| dc.date.issued | 2012-08-08 | |
| dc.degree.department | School of Nursing | |
| dc.degree.level | Master of Nursing M.N. | en_US |
| dc.description.abstract | “A dying man needs to die, as a sleepy man needs to sleep, and there comes a time when it is wrong, as well as useless, to resist.”---Stewart Alsop The life-saving focus of intensive care, coupled with patients who are too ill to participate in their own end-of-life decisions, creates challenges to ensure healthcare professionals respect and follow patients’ health care wishes. Combining an understanding of patient choices with clinical expertise and compassion is the quintessential goal. Good collaborative communication with families, and within the healthcare team, is the single most important factor for achieving quality end-of-life care for patients and reducing negative outcomes (Boyle & Kochinda, 2004; Curtis, et al., 2001; Levy, 2001; Puntillo & McAdam, 2006). Maximizing nurse physician collaboration holds promise to improve not only patient and family member care, but also has been shown to improve intensive care unit (ICU) nurses and physicians’ workplace satisfaction. Overcoming the barriers for effective communication and collaboration remains the challenge. My purpose, in this paper, is to critically examine and present an in-depth analysis of the multiple factors that both impede, and facilitate, collaborative end-of-life decision-making among intensive care nurses and physicians. Following this analysis, I propose several recommendations to facilitate collaboration among nurses and physicians. | en_US |
| dc.description.scholarlevel | Graduate | en_US |
| dc.identifier.uri | http://hdl.handle.net/1828/4121 | |
| dc.language.iso | en | en_US |
| dc.rights.temp | Available to the World Wide Web | en_US |
| dc.subject | exploration | en_US |
| dc.subject | collaboration | en_US |
| dc.subject | end-of-life | en_US |
| dc.subject | decision making | en_US |
| dc.subject | intensive care | en_US |
| dc.subject | nurses | en_US |
| dc.subject | physicians | en_US |
| dc.title | An exploration of collaboration in end-of-life decision making among intensive care physicians and nurses | en_US |
| dc.type | project | en_US |