A content analysis of forms, guidelines, and other materials documenting end-of-life care in intensive care units

Journal of Critical Care
Ellen B ClarkeRobert Wood Johnson Foundation Critical Care End-of-Life Peer Workgroup

Abstract

The purpose of this study was to determine the extent to which data entry forms, guidelines, and other materials used for documentation in intensive care units (ICUs) attend to 6 key end-of-life care (EOLC) domains: 1) patient and family-centered decision making, 2) communication, 3) continuity of care, 4) emotional and practical support, 5) symptom management and comfort care, and 6) spiritual support. A second purpose was to determine how these materials might be modified to include more EOLC content and used to trigger clinical behaviors that might improve the quality of EOLC. Fifteen adult ICUs-8 medical, 2 surgical, and 4 mixed ICUs from the United States, and 1 mixed ICU in Canada, all affiliated with the Critical Care End-of-Life Peer Workgroup Physician-nurse teams in each ICU received detailed checklists to facilitate and standardize collection of requested documentation materials. Content analysis was performed on the collected documents, aimed at characterizing the types of materials in use and the extent to which EOLC content was incorporated. The domain of symptom management and comfort care was integrated most consistently on forms and other materials across the 15 ICUs, particularly pain assessment and management...Continue Reading

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Citations

Oct 24, 2006·Intensive Care Medicine·Erwin J O Kompanje
Sep 25, 2010·Wiener medizinische Wochenschrift·Christian J WiedermannAndreas Valentin
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Dec 5, 2020·Journal of Pain and Symptom Management·Maja Magdalena OlssonTheresa L Green

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