End-of-life Care auf Intensivstationen. Belastungen und Ressourcen von Pflegekrften

Magisterarbeit aus dem Jahr 2008 im Fachbereich Gesundheitswissenschaften, Note: 1,3, Universitt Bremen, Sprache: Deutsch, Anmerkungen: Die Arbeit ist einfhlsam, aber dennoch przise geschrieben und klar gegliedert. Sie besticht durch das hohe Engagement der Autorin, das von Respekt gegenber den Patientinnen und Patienten einerseits und dem Pflegepersonal andererseits gekennzeichnet ist. In beeindruckender Weise liefert Frau Meyer-Suter ein Pldoyer fr ein wrdevolles Sterben, das durch eine breite Diskussion um End of life-Care untermauert sein soll. Die Arbeit ist damit nicht nur in ihrer Grundintention sondern auch in der Umsetzung herausragend. , Abstract: Background: It is extremely difficult to provide terminal care in intensive care units since doctors and nurses specialize in saving human lives and prognoses are often ambiguous. So far, few German studies have researched the pressures on intensive care nurses, and the resources available to them, in relation to end-of-life care.
Objektive: This paper investigates both the above-mentioned relationship and the requests and needs nurses have with respect to EOLC.
Methods: This study is based on a written survey of the nursing staff (n=193) of five ICUs in two big hospitals which was carried out in the summer of 2001.
Results: 85 questionnaires were analyzed (44% response rate). The death rate was considerably higher on internal wards than on surgical wards and varied between 1.2 percent and 9.3 percent. According to the respondents, stress factors consist of young age of the patient, unexpected death, ambiguous therapy and empathy with the patient, while bad prognoses relieve the strain on the nursing staff. Both the available time budget and the specific resource utilization have a significant effect on stress levels. In this context, the presence of relatives and pleasant experiences which distract the patient are factors that relieve the stress felt by the nursing staff. Two-thirds of the responden