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International dialogue on End of Life: challenges in the UK and USA

International dialogue on End of Life: challenges in the UK and USA
International dialogue on End of Life: challenges in the UK and USA
Aim: the aim of this paper was to increase international collaboration on end of life care (EoLC) in critical care. Objectives included highlighting key challenges for critical care nurses in EoLC through a transcribed interview between a clinician, an educationalist and a researcher who all hold an EoLC focus.

Background: EoLC continues to hold high profile within international health care arenas, including critical care units. Whilst end of life care remains well debated, it still presents many challenges for everyday practitioners. Dialogue with international colleagues and disciplines may provide opportunity for further understanding of this complex and sensitive area.

Conclusions: a key issues to arise from this venture of shared learning was that futility of treatment is problematic for all. This is further complicated in the USA where the concept of (family) autonomy strongly shapes EoLC decision making.

Relevance to clinical practice: this paper demonstrates that there are opportunities for nurses within health care teams which could be addressed through education and professional development initiatives. Furthermore, knowledge from other disciplines can provide a useful lens through which to improve our understanding of EoLC
communication skills, critical care, critical care nursing, end of life care, team working
1362-1017
234-240
Coombs, Maureen
e7424ed2-6beb-481d-8489-83f3595fd04c
Long-Sutehall, Tracy
92a6d1ba-9ec9-43f2-891e-5bfdb5026532
Shannon, Sarah
29701437-325e-4ffa-a9a3-7cd051569240
Coombs, Maureen
e7424ed2-6beb-481d-8489-83f3595fd04c
Long-Sutehall, Tracy
92a6d1ba-9ec9-43f2-891e-5bfdb5026532
Shannon, Sarah
29701437-325e-4ffa-a9a3-7cd051569240

Coombs, Maureen, Long-Sutehall, Tracy and Shannon, Sarah (2010) International dialogue on End of Life: challenges in the UK and USA. Nursing in Critical Care, 15 (5), 234-240. (doi:10.1111/j.1478-5153.2010.00408.x). (PMID:20712668)

Record type: Article

Abstract

Aim: the aim of this paper was to increase international collaboration on end of life care (EoLC) in critical care. Objectives included highlighting key challenges for critical care nurses in EoLC through a transcribed interview between a clinician, an educationalist and a researcher who all hold an EoLC focus.

Background: EoLC continues to hold high profile within international health care arenas, including critical care units. Whilst end of life care remains well debated, it still presents many challenges for everyday practitioners. Dialogue with international colleagues and disciplines may provide opportunity for further understanding of this complex and sensitive area.

Conclusions: a key issues to arise from this venture of shared learning was that futility of treatment is problematic for all. This is further complicated in the USA where the concept of (family) autonomy strongly shapes EoLC decision making.

Relevance to clinical practice: this paper demonstrates that there are opportunities for nurses within health care teams which could be addressed through education and professional development initiatives. Furthermore, knowledge from other disciplines can provide a useful lens through which to improve our understanding of EoLC

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Published date: September 2010
Keywords: communication skills, critical care, critical care nursing, end of life care, team working

Identifiers

Local EPrints ID: 169033
URI: http://eprints.soton.ac.uk/id/eprint/169033
ISSN: 1362-1017
PURE UUID: 818a9663-f6e0-4936-9132-9b9cb1c2c5fa
ORCID for Tracy Long-Sutehall: ORCID iD orcid.org/0000-0002-6661-9215

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Date deposited: 09 Dec 2010 10:20
Last modified: 14 Mar 2024 02:46

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Author: Maureen Coombs
Author: Sarah Shannon

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