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Evaluation of Factors Affecting Quality of Nursing Cares for Dying Patients in ICUs


Affiliations
1 MSc in Nurisng, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran, Islamic Republic of
2 Associate Professor, Department of Cardiac Anesthesia, Shahid Rajaei Cardiovascular Medical & Research Center, Tehran, Iran, Islamic Republic of
3 Assistant Professor of Epidemiology, Shahid Rajaei Cardiovascular Medical & Research Center, Tehran, Iran, Islamic Republic of
4 Assistant Professor in Nursing, Social Determinants of Health Research Center, Research Institute for Health Development; Clinical Care Research Center, Kurdistan University of Medical Sciences, Sanandaj, Iran, Islamic Republic of
5 Assistant Professor in Nursing, Medical Surgical Department, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran, Islamic Republic of
     

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Nursing managers have paid special attention to quality assessment as an important management tool for improving nursing performance and the quality of nursing care. This study aimed to evaluate the aspects and factors involved in the quality of nursing cares for dying patients in ICUs in 2016-7. This descriptive and analytical study was conducted in ICUs of Imam Khomeini Hospital Complex and Shahid Rajaei Cardiovascular Medical & Research Center, Tehran.In total, 191 working nurses were selected via convenience sampling. Data collection tool was quality patient care scale (QUALPACS). In addition, data analysis was performed in PSSS version 20 using descriptive and inferential statistics. The mean score for end-of-life care was 83.62 ° 8.62 in the psychosocial, 85.36 ° 7.74 in the communication and 92.23 ° 10.88 in the physical aspects. According to the results, a significant relationship was observed between passing educational courses related to end-of-life care and quality of end-of-life care in the physical (P = 0.002), psychosocial (P = 0.02) and communication (P = 0.01) aspects. According to the results of the study, the quality of care for dying patients was higher in the physical aspect, compared to other aspects. However, the quality of nursing care was poor in the psychosocial aspect.

Keywords

Quality, End-of-Life Care, Nursing Care, Intensive Care Unit.
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  • Evaluation of Factors Affecting Quality of Nursing Cares for Dying Patients in ICUs

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Authors

Mahnaz Varedi Kolahi
MSc in Nurisng, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran, Islamic Republic of
Mohammad Ziae Totonchi Bagheri
Associate Professor, Department of Cardiac Anesthesia, Shahid Rajaei Cardiovascular Medical & Research Center, Tehran, Iran, Islamic Republic of
Hooman Bakhshandeh
Assistant Professor of Epidemiology, Shahid Rajaei Cardiovascular Medical & Research Center, Tehran, Iran, Islamic Republic of
Reza Ghanei Gheshlagh
Assistant Professor in Nursing, Social Determinants of Health Research Center, Research Institute for Health Development; Clinical Care Research Center, Kurdistan University of Medical Sciences, Sanandaj, Iran, Islamic Republic of
Esmaeil Mohammadnejad
Assistant Professor in Nursing, Medical Surgical Department, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran, Islamic Republic of

Abstract


Nursing managers have paid special attention to quality assessment as an important management tool for improving nursing performance and the quality of nursing care. This study aimed to evaluate the aspects and factors involved in the quality of nursing cares for dying patients in ICUs in 2016-7. This descriptive and analytical study was conducted in ICUs of Imam Khomeini Hospital Complex and Shahid Rajaei Cardiovascular Medical & Research Center, Tehran.In total, 191 working nurses were selected via convenience sampling. Data collection tool was quality patient care scale (QUALPACS). In addition, data analysis was performed in PSSS version 20 using descriptive and inferential statistics. The mean score for end-of-life care was 83.62 ° 8.62 in the psychosocial, 85.36 ° 7.74 in the communication and 92.23 ° 10.88 in the physical aspects. According to the results, a significant relationship was observed between passing educational courses related to end-of-life care and quality of end-of-life care in the physical (P = 0.002), psychosocial (P = 0.02) and communication (P = 0.01) aspects. According to the results of the study, the quality of care for dying patients was higher in the physical aspect, compared to other aspects. However, the quality of nursing care was poor in the psychosocial aspect.

Keywords


Quality, End-of-Life Care, Nursing Care, Intensive Care Unit.



DOI: https://doi.org/10.37506/v14%2Fi1%2F2020%2Fijfmt%2F192909