Palliative Care Implementation in the Intensive Care Unit
DOI:
https://doi.org/10.35730/jk.v14i2.1023Abstract
Introduction, Palliative care is a treatment approach whose goal is to improve and optimize the quality of life of patients with serious, incurable illnesses, including ICU patients. The purpose of this study is to see an overview of the implementation of palliative care in the Intensive Care Unit (ICU).
Method. This literature review was conducted by using PRISMA guidance, a literature survey through electronic databases namely CINAHL, Science Direct and Pubmed using the keywords ‘palliative care’, ‘intensive care unit’, and; ‘critical care’.
Result, there were 6628 articles have been identified, there were 4070 duplicates. There were 2,508 articles that were not related to the title. A total of 50 article titles were available to be analyzed worthly and 10 articles were found that matched the criteria, full text, using Indonesian and English, and publications in the range of year in 2013-2023 period.
Conclusion, Palliative care in the ICU has received support from major intensive care organizations such as the American Association of Critical Care Nurses (2017). Despite much support, the quality of palliative care in the ICU has shown little or almost no improvement over time (Ganz & Sapir, 2019). Until now there has been no research that describes the overall implementation of palliative care in the ICU, including in Indonesia. There are still found the obstacles in the implementation of palliative care in the ICU that have not been resolved, so, further research is expected on the implementation of palliative care in the ICU, especially in Indonesia.
References
Adams, A. M. N., Mannix, T., & Harrington, A. (2017). Nurses’ communication with families in the intensive care unit - a literature review. Nursing in Critical Care, 22(2), 70–80. https://doi.org/10.1111/NICC.12141
A’la, M. Z., Farikhah, Z., & Hakam, M. (2020). Nurses’ Attitude Toward End of Life Care in Emergency Departement and Intensive Care Unit In Rural Hospital. Indonesian Journal of Nursing Practices, 4(June), 14–20. https://doi.org/10.18196/ijnp.41103
American Association of Critical Care Nurses. (2017). Palliative & End-of-Life Care. Columbia, Aliso Viejo, CA. https://www.aacn.org/clinical-resources/palliative-end-of-life#
Anderson, W. G., Puntillo, K., Cimino, J., Noort, J., Pearson, D., Boyle, D., Grywalski, M., Meyer, J., O’Neil-Page, E., Cain, J., Herman, H., Barbour, S., Turner, K., Moore, E., Liao, S., Ferrell, B., Mitchell, W., Edmonds, K., Fairman, N., … Pantilat, S. Z. (2017). Palliative care professional development for critical care nurses: A multicenter program. American Journal of Critical Care, 26(5), 361–371. https://doi.org/10.4037/ajcc2017336
Anissa, Hafifah, I., & Nasution, T. H. (2022). Gambaran Pengetahuan Perawatan Paliatif Pada Perawat Icu Di Rsud Ulin Banjarmasin. Community of Publishing in Nursing, 10, 385–391.
Beckstrand, R. L., Lamoreaux, N., Luthy, K. E., & Macintosh, J. L. B. (2017). Critical Care Nurses’ Perceptions of End-of-Life Care Obstacles: Comparative 17-Year Data. Dimensions of Critical Care Nursing : DCCN, 36(2), 94–105. https://doi.org/10.1097/DCC.0000000000000234
Brooks, L. A., Manias, E., & Nicholson, P. (2017). Barriers, enablers and challenges to initiating end-of-life care in an Australian intensive care unit context. Australian Critical Care, 30(3), 161–166. https://doi.org/10.1016/j.aucc.2016.08.001
Cox, C. E., & Randall Curtis, J. (2016). Using Technology to Create a More Humanistic Approach to Integrating Palliative Care into the Intensive Care Unit. American Journal of Respiratory and Critical Care Medicine, 193(3), 242–250. https://doi.org/10.1164/RCCM.201508-1628CP
Enggune, M., Ibrahim, K., Agustina, H. R., Bethesda, A. K., Keperawatan, F., & Padjadjaran, U. (2014). Persepsi Perawat Neurosurgical Critical Care Unit terhadap Perawatan Pasien Menjelang Ajal Nurses Perception toward End-of-Life Care. Jurnal Keperawatan Padjadjaran, 2(April 2014), 35–42.
Ganz, F. D. K., & Sapir, B. (2019). Nurses’ perceptions of intensive care unit palliative care at end of life. Nursing in Critical Care, 24(3), 141–148. https://doi.org/10.1111/nicc.12395
Grant, M. (2015). Resolving communication challenges in the intensive care unit. AACN Advanced Critical Care, 26(2), 123–130. https://doi.org/10.1097/NCI.0000000000000076
Gulini, J. E. H. M. de B., do Nascimento, E. R. P., Moritz, R. D., da Rosa, L. M., Silveira, N. R., & Vargas, M. A. de O. (2017). Intensive Care Unit team perception of palliative care: The discourse of the collective subject. Revista Da Escola de Enfermagem, 51, 15–20. https://doi.org/10.1590/S1980-220X2016041703221
Ho, A., & Tsai, D. F. C. (2016). Making good death more accessible: end-of-life care in the intensive care unit. Intensive Care Medicine, 42(8), 1258–1260. https://doi.org/10.1007/S00134-016-4396-2
Huff, N. G., Nadig, N., Ford, D. W., & Cox, C. E. (2015). Therapeutic Alliance between the Caregivers of Critical Illness Survivors and Intensive Care Unit Clinicians. Annals of the American Thoracic Society, 12(11), 1646–1653. https://doi.org/10.1513/ANNALSATS.201507-408OC
Huriani, E., Susanti, M., & Sari, R. D. (2022). Pengetahuan dan kepercayaan diri tentang perawatan paliatif pada perawat icu. Jurnal Endurance : Kajian Ilmiah Problema Kesehatan, 7(1), 74–84.
Koh, M., & Hwee, P. C. (2015). End-of-life care in the intensive care unit: how Asia differs from the West. JAMA Internal Medicine, 175(3), 371–372. https://doi.org/10.1001/JAMAINTERNMED.2014.7397
Kurnia, T. A., Trisyani, Y., & Prawesti, A. (2020). The relationship between nurses’ knowledge and self-confidence in implementing palliative care in an intensive care unit. International Journal of Palliative Nursing, 26(4), 183–190.
Liberati, A., Altman, D. G., Tetzlaff, J., Mulrow, C., Gøtzsche, P. C., Ioannidis, J. P. A., Clarke, M., Devereaux, P. J., Kleijnen, J., & Moher, D. (2009). The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate health care interventions: explanation and elaboration. PLoS Medicine, 6(7). https://doi.org/10.1371/JOURNAL.PMED.1000100
Ma, J., Chi, S., Buettner, B., Pollard, K., Muir, M., Kolekar, C., Al-Hammadi, N., Chen, L., Kollef, M., & Dans, M. (2019). Early Palliative Care Consultation in the Medical ICU: A Cluster Randomized Crossover Trial. Critical Care Medicine, 47(12), 1707–1715. https://doi.org/doi:10.1097/CCM.0000000000004016.
Rochmawati, E., Wiechula, R., & Cameron, K. (2016). Current status of palliative care services in Indonesia: a literature review. International Nursing Review, 63(2), 180–190. https://doi.org/10.1111/INR.12236
Sprung, C. L., Ricou, B., Hartog, C. S., Maia, P., Mentzelopoulos, S. D., Weiss, M., Levin, P. D., Galarza, L., de La Guardia, V., Schefold, J. C., Baras, M., Joynt, G. M., Bülow, H. H., Nakos, G., Cerny, V., Marsch, S., Girbes, A. R., Ingels, C., Miskolci, O., … Avidan, A. (2019). Changes in End-of-Life Practices in European Intensive Care Units From 1999 to 2016. JAMA, 322(17), 1692–1704. https://doi.org/10.1001/JAMA.2019.14608
Tripathy, S., Routray, P., & Mishra, J. (2017). Intensive care nurses’ attitude on palliative and end of life care. Indian Journal of Critical Care Medicine, 21(10), 655–659. https://doi.org/10.4103/ijccm.IJCCM_240_16
World Health Organization. (2020). Palliative care. https://www.who.int/news-room/fact-sheets/detail/palliative-care
Wysham, N. G., Hua, M., Hough, C. L., Gundel, S., Docherty, S. L., Jones, D. M., Reagan, O., Goucher, H., McFarlin, J., & Cox, C. E. (2017). Improving ICU-Based Palliative Care Delivery: A Multicenter, Multidisciplinary Survey of Critical Care Clinician Attitudes and Beliefs. Critical Care Medicine, 45(4), e372–e378. https://doi.org/10.1097/CCM.0000000000002099
Zalenski, R. J., Jones, S. S., Courage, C., Waselewsky, D. R., Kostaroff, A. S., Kaufman, D., Beemath, A., Brofman, J., Castillo, J. W., Krayem, H., Marinelli, A., Milner, B., Palleschi, M. T., Tareen, M., Testani, S., Soubani, A., Walch, J., Wheeler, J., Wilborn, S., … Welch, R. D. (2017). Impact of Palliative Care Screening and Consultation in the ICU: A Multihospital Quality Improvement Project. Journal of Pain and Symptom Management, 53(1), 5-12.e3. https://doi.org/10.1016/j.jpainsymman.2016.08.003