Cargando…

Providing End-of-Life Care to COVID-19 Patients: The Lived Experiences of ICU Nurses in the Philippines

In the midst of COVID-19, radical change in the work environment further exacerbated the detrimental effects of critical illness in the intensive care unit (ICU). This may be heightened if the patient experiences a lamentable end-of-life experience due to inadequate end-of-life care (EoLC). Anchorin...

Descripción completa

Detalles Bibliográficos
Autores principales: Jimenez, O-Jay B., Trajera, Sheilla M., Ching, Gregory S.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9566295/
https://www.ncbi.nlm.nih.gov/pubmed/36232252
http://dx.doi.org/10.3390/ijerph191912953
_version_ 1784809116212920320
author Jimenez, O-Jay B.
Trajera, Sheilla M.
Ching, Gregory S.
author_facet Jimenez, O-Jay B.
Trajera, Sheilla M.
Ching, Gregory S.
author_sort Jimenez, O-Jay B.
collection PubMed
description In the midst of COVID-19, radical change in the work environment further exacerbated the detrimental effects of critical illness in the intensive care unit (ICU). This may be heightened if the patient experiences a lamentable end-of-life experience due to inadequate end-of-life care (EoLC). Anchoring on the theory of bureaucratic caring and the peaceful end-of-life theory, insights can be gained into the motivations and behaviors that support the delivery of palliative care during COVID-19. With this having been having said, the objective of this study was to use a narrative approach to examine the lived experience of 12 nurses who provided EoLC in the COVID-19 ward of several hospitals in the Western Philippines. Participants’ narratives were transcribed, translated and analyzed. Among the themes that have emerged are: establishing a peaceful journey to death, holistic caring for the end of life, venturing into risky encounters in the call of duty, staying close amidst the reshaped work environment, and preparing the family life after a loved one’s departure. The study identified the importance of assisting patients on their journey to a peaceful death, but this journey was also accompanied by a sense of self-preservation and safety for colleagues and families.
format Online
Article
Text
id pubmed-9566295
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-95662952022-10-15 Providing End-of-Life Care to COVID-19 Patients: The Lived Experiences of ICU Nurses in the Philippines Jimenez, O-Jay B. Trajera, Sheilla M. Ching, Gregory S. Int J Environ Res Public Health Article In the midst of COVID-19, radical change in the work environment further exacerbated the detrimental effects of critical illness in the intensive care unit (ICU). This may be heightened if the patient experiences a lamentable end-of-life experience due to inadequate end-of-life care (EoLC). Anchoring on the theory of bureaucratic caring and the peaceful end-of-life theory, insights can be gained into the motivations and behaviors that support the delivery of palliative care during COVID-19. With this having been having said, the objective of this study was to use a narrative approach to examine the lived experience of 12 nurses who provided EoLC in the COVID-19 ward of several hospitals in the Western Philippines. Participants’ narratives were transcribed, translated and analyzed. Among the themes that have emerged are: establishing a peaceful journey to death, holistic caring for the end of life, venturing into risky encounters in the call of duty, staying close amidst the reshaped work environment, and preparing the family life after a loved one’s departure. The study identified the importance of assisting patients on their journey to a peaceful death, but this journey was also accompanied by a sense of self-preservation and safety for colleagues and families. MDPI 2022-10-10 /pmc/articles/PMC9566295/ /pubmed/36232252 http://dx.doi.org/10.3390/ijerph191912953 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Jimenez, O-Jay B.
Trajera, Sheilla M.
Ching, Gregory S.
Providing End-of-Life Care to COVID-19 Patients: The Lived Experiences of ICU Nurses in the Philippines
title Providing End-of-Life Care to COVID-19 Patients: The Lived Experiences of ICU Nurses in the Philippines
title_full Providing End-of-Life Care to COVID-19 Patients: The Lived Experiences of ICU Nurses in the Philippines
title_fullStr Providing End-of-Life Care to COVID-19 Patients: The Lived Experiences of ICU Nurses in the Philippines
title_full_unstemmed Providing End-of-Life Care to COVID-19 Patients: The Lived Experiences of ICU Nurses in the Philippines
title_short Providing End-of-Life Care to COVID-19 Patients: The Lived Experiences of ICU Nurses in the Philippines
title_sort providing end-of-life care to covid-19 patients: the lived experiences of icu nurses in the philippines
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9566295/
https://www.ncbi.nlm.nih.gov/pubmed/36232252
http://dx.doi.org/10.3390/ijerph191912953
work_keys_str_mv AT jimenezojayb providingendoflifecaretocovid19patientsthelivedexperiencesoficunursesinthephilippines
AT trajerasheillam providingendoflifecaretocovid19patientsthelivedexperiencesoficunursesinthephilippines
AT chinggregorys providingendoflifecaretocovid19patientsthelivedexperiencesoficunursesinthephilippines