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Article
End-of-Life Care: Improving Communication and Reducing Stress
Critical Care Nursing Quarterly
  • Joan Carr Myers, Maine Medical Center
  • Kristiina Hyrkas, Maine Medical Center
Document Type
Article
Publication Date
4-1-2021
Institution/Department
Nursing
Disciplines
MeSH Headings
Communication; Critical Care Nursing; Humans; Intensive Care Units; Nursing Staff; Quality Improvement; Terminal Care
Abstract

This quality improvement initiative originated in the cardiac intensive care unit (CICU) at a 637-bed licensed Magnet teaching hospital with the rating of level 1 trauma center. The CICU has 12 beds, with a staff of 59 nurses (RNs). The nursing staff expressed increased stress and discomfort when communicating with patients and their families when providing end-of-life care. Selected evidence-based techniques for stress reduction and active listening skills were taught in 4- to 5-minute mini sessions during the morning huddle 3 days per week for 4 weeks. The program was evaluated using pretest, posttest, and 2 follow-up surveys composed of 5 statements and 2 open-ended questions. The survey tool was developed by researchers in accordance with the relevant literature. The results showed improved communication as demonstrated by the surveys. Nurses also reported feeling more supported by their colleagues and supervisors. The project was conducted in 1 CICU, therefore limiting the generalizability of the results.

Citation Information
Myers JC, Hyrkas K. End-of-Life Care: Improving Communication and Reducing Stress. Crit Care Nurs Q. 2021;44(2):235-247. doi:10.1097/CNQ.0000000000000357