ICU Bedside Nurses' Involvement in Palliative Care Communication

A Multicenter Survey

Wendy G. Anderson, Kathleen Puntillo, Deborah Boyle, Susan Barbour, Kathleen Turner, Jenica Cimino, Eric Moore, Janice Noort, John MacMillan Jr, Diana Pearson, Michelle Grywalski, Solomon Liao, Bruce Ferrell, Jeannette Meyer, Edith O'Neil-Page, Julia Cain, Heather Herman, William Mitchell, Steven Pantilat

Research output: Contribution to journalArticle

18 Citations (Scopus)

Abstract

Context: Successful and sustained integration of palliative care into the intensive care unit (ICU) requires the active engagement of bedside nurses. Objectives: To describe the perspectives of ICU bedside nurses on their involvement in palliative care communication. Methods: A survey was designed, based on prior work, to assess nurses' perspectives on palliative care communication, including the importance and frequency of their involvement, confidence, and barriers. The 46-item survey was distributed via e-mail in 2013 to bedside nurses working in ICUs across the five academic medical centers of the University of California, U.S. Results: The survey was sent to 1791 nurses; 598 (33%) responded. Most participants (88%) reported that their engagement in discussions of prognosis, goals of care, and palliative care was very important to the quality of patient care. A minority reported often discussing palliative care consultations with physicians (31%) or families (33%); 45% reported rarely or never participating in family meeting discussions. Participating nurses most frequently cited the following barriers to their involvement in palliative care communication: need for more training (66%), physicians not asking their perspective (60%), and the emotional toll of discussions (43%). Conclusion: ICU bedside nurses see their involvement in discussions of prognosis, goals of care, and palliative care as a key element of overall quality of patient care. Based on the barriers participants identified regarding their engagement, interventions are needed to ensure that nurses have the education, opportunities, and support to actively participate in these discussions.

Original languageEnglish (US)
JournalJournal of Pain and Symptom Management
DOIs
StateAccepted/In press - 2015

Fingerprint

Palliative Care
Intensive Care Units
Nurses
Communication
Patient Care Planning
Quality of Health Care
Patient Care
Physicians
Surveys and Questionnaires
Postal Service
Referral and Consultation
Education

Keywords

  • Critical care nursing
  • Family
  • Interdisciplinary communication
  • Palliative care

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine
  • Clinical Neurology
  • Nursing(all)

Cite this

Anderson, W. G., Puntillo, K., Boyle, D., Barbour, S., Turner, K., Cimino, J., ... Pantilat, S. (Accepted/In press). ICU Bedside Nurses' Involvement in Palliative Care Communication: A Multicenter Survey. Journal of Pain and Symptom Management. https://doi.org/10.1016/j.jpainsymman.2015.11.003

ICU Bedside Nurses' Involvement in Palliative Care Communication : A Multicenter Survey. / Anderson, Wendy G.; Puntillo, Kathleen; Boyle, Deborah; Barbour, Susan; Turner, Kathleen; Cimino, Jenica; Moore, Eric; Noort, Janice; MacMillan Jr, John; Pearson, Diana; Grywalski, Michelle; Liao, Solomon; Ferrell, Bruce; Meyer, Jeannette; O'Neil-Page, Edith; Cain, Julia; Herman, Heather; Mitchell, William; Pantilat, Steven.

In: Journal of Pain and Symptom Management, 2015.

Research output: Contribution to journalArticle

Anderson, WG, Puntillo, K, Boyle, D, Barbour, S, Turner, K, Cimino, J, Moore, E, Noort, J, MacMillan Jr, J, Pearson, D, Grywalski, M, Liao, S, Ferrell, B, Meyer, J, O'Neil-Page, E, Cain, J, Herman, H, Mitchell, W & Pantilat, S 2015, 'ICU Bedside Nurses' Involvement in Palliative Care Communication: A Multicenter Survey', Journal of Pain and Symptom Management. https://doi.org/10.1016/j.jpainsymman.2015.11.003
Anderson, Wendy G. ; Puntillo, Kathleen ; Boyle, Deborah ; Barbour, Susan ; Turner, Kathleen ; Cimino, Jenica ; Moore, Eric ; Noort, Janice ; MacMillan Jr, John ; Pearson, Diana ; Grywalski, Michelle ; Liao, Solomon ; Ferrell, Bruce ; Meyer, Jeannette ; O'Neil-Page, Edith ; Cain, Julia ; Herman, Heather ; Mitchell, William ; Pantilat, Steven. / ICU Bedside Nurses' Involvement in Palliative Care Communication : A Multicenter Survey. In: Journal of Pain and Symptom Management. 2015.
@article{99d75b9d4b0e470b9b7cd790d1c7ef41,
title = "ICU Bedside Nurses' Involvement in Palliative Care Communication: A Multicenter Survey",
abstract = "Context: Successful and sustained integration of palliative care into the intensive care unit (ICU) requires the active engagement of bedside nurses. Objectives: To describe the perspectives of ICU bedside nurses on their involvement in palliative care communication. Methods: A survey was designed, based on prior work, to assess nurses' perspectives on palliative care communication, including the importance and frequency of their involvement, confidence, and barriers. The 46-item survey was distributed via e-mail in 2013 to bedside nurses working in ICUs across the five academic medical centers of the University of California, U.S. Results: The survey was sent to 1791 nurses; 598 (33{\%}) responded. Most participants (88{\%}) reported that their engagement in discussions of prognosis, goals of care, and palliative care was very important to the quality of patient care. A minority reported often discussing palliative care consultations with physicians (31{\%}) or families (33{\%}); 45{\%} reported rarely or never participating in family meeting discussions. Participating nurses most frequently cited the following barriers to their involvement in palliative care communication: need for more training (66{\%}), physicians not asking their perspective (60{\%}), and the emotional toll of discussions (43{\%}). Conclusion: ICU bedside nurses see their involvement in discussions of prognosis, goals of care, and palliative care as a key element of overall quality of patient care. Based on the barriers participants identified regarding their engagement, interventions are needed to ensure that nurses have the education, opportunities, and support to actively participate in these discussions.",
keywords = "Critical care nursing, Family, Interdisciplinary communication, Palliative care",
author = "Anderson, {Wendy G.} and Kathleen Puntillo and Deborah Boyle and Susan Barbour and Kathleen Turner and Jenica Cimino and Eric Moore and Janice Noort and {MacMillan Jr}, John and Diana Pearson and Michelle Grywalski and Solomon Liao and Bruce Ferrell and Jeannette Meyer and Edith O'Neil-Page and Julia Cain and Heather Herman and William Mitchell and Steven Pantilat",
year = "2015",
doi = "10.1016/j.jpainsymman.2015.11.003",
language = "English (US)",
journal = "Journal of Pain and Symptom Management",
issn = "0885-3924",
publisher = "Elsevier Inc.",

}

TY - JOUR

T1 - ICU Bedside Nurses' Involvement in Palliative Care Communication

T2 - A Multicenter Survey

AU - Anderson, Wendy G.

AU - Puntillo, Kathleen

AU - Boyle, Deborah

AU - Barbour, Susan

AU - Turner, Kathleen

AU - Cimino, Jenica

AU - Moore, Eric

AU - Noort, Janice

AU - MacMillan Jr, John

AU - Pearson, Diana

AU - Grywalski, Michelle

AU - Liao, Solomon

AU - Ferrell, Bruce

AU - Meyer, Jeannette

AU - O'Neil-Page, Edith

AU - Cain, Julia

AU - Herman, Heather

AU - Mitchell, William

AU - Pantilat, Steven

PY - 2015

Y1 - 2015

N2 - Context: Successful and sustained integration of palliative care into the intensive care unit (ICU) requires the active engagement of bedside nurses. Objectives: To describe the perspectives of ICU bedside nurses on their involvement in palliative care communication. Methods: A survey was designed, based on prior work, to assess nurses' perspectives on palliative care communication, including the importance and frequency of their involvement, confidence, and barriers. The 46-item survey was distributed via e-mail in 2013 to bedside nurses working in ICUs across the five academic medical centers of the University of California, U.S. Results: The survey was sent to 1791 nurses; 598 (33%) responded. Most participants (88%) reported that their engagement in discussions of prognosis, goals of care, and palliative care was very important to the quality of patient care. A minority reported often discussing palliative care consultations with physicians (31%) or families (33%); 45% reported rarely or never participating in family meeting discussions. Participating nurses most frequently cited the following barriers to their involvement in palliative care communication: need for more training (66%), physicians not asking their perspective (60%), and the emotional toll of discussions (43%). Conclusion: ICU bedside nurses see their involvement in discussions of prognosis, goals of care, and palliative care as a key element of overall quality of patient care. Based on the barriers participants identified regarding their engagement, interventions are needed to ensure that nurses have the education, opportunities, and support to actively participate in these discussions.

AB - Context: Successful and sustained integration of palliative care into the intensive care unit (ICU) requires the active engagement of bedside nurses. Objectives: To describe the perspectives of ICU bedside nurses on their involvement in palliative care communication. Methods: A survey was designed, based on prior work, to assess nurses' perspectives on palliative care communication, including the importance and frequency of their involvement, confidence, and barriers. The 46-item survey was distributed via e-mail in 2013 to bedside nurses working in ICUs across the five academic medical centers of the University of California, U.S. Results: The survey was sent to 1791 nurses; 598 (33%) responded. Most participants (88%) reported that their engagement in discussions of prognosis, goals of care, and palliative care was very important to the quality of patient care. A minority reported often discussing palliative care consultations with physicians (31%) or families (33%); 45% reported rarely or never participating in family meeting discussions. Participating nurses most frequently cited the following barriers to their involvement in palliative care communication: need for more training (66%), physicians not asking their perspective (60%), and the emotional toll of discussions (43%). Conclusion: ICU bedside nurses see their involvement in discussions of prognosis, goals of care, and palliative care as a key element of overall quality of patient care. Based on the barriers participants identified regarding their engagement, interventions are needed to ensure that nurses have the education, opportunities, and support to actively participate in these discussions.

KW - Critical care nursing

KW - Family

KW - Interdisciplinary communication

KW - Palliative care

UR - http://www.scopus.com/inward/record.url?scp=84969308170&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84969308170&partnerID=8YFLogxK

U2 - 10.1016/j.jpainsymman.2015.11.003

DO - 10.1016/j.jpainsymman.2015.11.003

M3 - Article

JO - Journal of Pain and Symptom Management

JF - Journal of Pain and Symptom Management

SN - 0885-3924

ER -