RELEVANT FACTORS TO END OF LIFE CARE BY NURSE IN INTENSIVE CARE UNIT

Tahir, Rusna and Mediani, Henny Suzana and Emaliyawati, Etika and Iqra S, Iqra S (2021) RELEVANT FACTORS TO END OF LIFE CARE BY NURSE IN INTENSIVE CARE UNIT. In: the 2nd Virtual-Gorontalo International Nursing Conference (V-GINC)Reflections on theCovid-19 Pandemic: Disaster Management and Emergency Preparedness, 2021, Gorontalo.

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Abstract

The mortality rate of patients who were admitted in the intensive care unit has been increased. Therefore, end of life care is needed in ICU. Goals of end of life care is to help the patients die with dignity and to help the family receive bereavement. End of life care is related with internal and external factors. This study aimed to analyze the factors that related to end of life care. This study was a quantitative research with analytic-correlation design. The samples were 62 critical care nurse chosen by total sampling. This study was conducted in ICU of Kendari Hospital, Southeast Sulawesi. Data collection was done by using questionnaire which were further analyzed using bivariate through Spearman’s Rho and multivariate through logistic regression. The implementation of end of life care in ICU of Kendari Hospital was optimal (74%, median = 55), which was related to several factors such as knowledge (p = 0.000), moral distress (p = 0.002), patient and family characteristics (p = 0.009), and organizational structure and culture (p = 0.000). Knowledge was the most relevant factor in improving the quality of end of life care (OR = 45.542) with probability of 97%. Optimization of end of life care is related with the personal (internal) of the nurse factors, patient and family, and organizational structure and culture. Relevant factors to end of life care will enrich the thought that delivered nursing care, nurse need to align knowledge with professionalism, leaving the pressures and dilemmas due to moral stress, as well foster a deep understanding of the nature of spirituality and culture sensitivity when accompanying dying patients, grows awareness that the best preferences of critical patient care are one benefit for the patients and family.

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