A qualitative study on ICU doctors’ opinions and suggestions on implementing palliative care
10.12026/j.issn.1001-8565.2024.08.11
- VernacularTitle:重症监护室医生对实施安宁疗护看法与建议的质性研究
- Author:
Sijia ZHOU
1
;
Changyan LYU
2
;
Weisi PENG
3
;
Wuhong DENG
1
;
Wei LI
2
;
Xiufen YANG
3
;
Weixiang LUO
3
Author Information
1. Department of Geriatrics, Shenzhen People’s Hospital/Second Clinical Medical College of Jinan University/the First Affiliated Hospital of Southern University of Science and Technology, Shenzhen 518020, China
2. Department of Critical Care Medicine, Shenzhen People’s Hospital/Second Clinical Medical College of Jinan University/the First Affiliated Hospital of Southern University of Science and Technology, Shenzhen 518020, China
3. Department of Nursing, Shenzhen People’s Hospital/Second Clinical Medical College of Jinan University/the First Affiliated Hospital of Southern University of Science and Technology, Shenzhen 518020, China
- Publication Type:Journal Article
- Keywords:
palliative care;
intensive care unit;
humanistic care
- From:
Chinese Medical Ethics
2024;37(8):941-948
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo understand intensive care unit （ICU） doctors’ opinions and suggestions on implementing palliative care， and provides a reference basis for the implementation of palliative care in Chinese ICU. MethodsA purposive sampling technique was used to conduct one-on-one semi-structured interviews with 11 ICU doctors. Colaizzi’s phenomenological analysis method was utilized to code， classify， interpret， and comprehensively analyze the interview data. ResultsA total of 4 themes and 18 sub-themes was extracted， including cognitive biases toward palliative care， the belief that implementing palliative care in the ICU has significant humanistic implications （palliative care practice is the most perfect embodiment of medical humanities， palliative care in the ICU can alleviate patient pain and reduce invasive operations， palliative care can achieve comfortable care for ICU patients， palliative care focuses on maintaining the dignity of ICU patients， palliative care can pay attention to the inner voice of ICU patients， and implementing palliative care will help to more effectively allocate resources）， difficulties faced by ICU in carrying out palliative care （lack of clarity in relevant policies at the legal level， closed management environment in the ICU， insufficient manpower in the ICU and lack of palliative care professional team， inadequate understanding of ICU patients’ families， lack of death education， not included in medical insurance payments， and lack of communication skills of young doctors）， strategies to promote the development of palliative care in the ICU （ICU palliative care can be piloted first， the development of ICU palliative care screening tools will help with the development of palliative care， the palliative environment and the handling of death procedures can be further optimized， and the application and implementation of scientific methods to shorten the gap between evidence and practice of palliative care）. ConclusionsThe integration of palliative care and ICU in China is still blank. The significance of implementing palliative care in ICU should be emphasized， ICU doctors’ knowledge and skills of palliative care should be improved from multiple perspectives， patient preference should be emphasized to improve the knowledge and acceptance of palliative care of ICU patients’ families， and the promotion of palliative care in ICU clinical practice should be pioneered and piloted.
