https://doi.org/10.4081/scenario.2017.28
Assistenza infermieristica nel fine vita in pronto soccorso: revisione narrativa della letteratura.
Submitted: 3 January 2018
Accepted: 3 January 2018
Published: 1 April 2017
Accepted: 3 January 2018
Abstract Views: 456
PDF (Italiano): 142
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Authors
Scopo: valutare il livello di assistenza fornita nel fine vita; indagare le competenze e i vissuti dell’infermiere rispetto al fine vita; valutare le barriere che ostacolano l’assistenza; proporre dei suggerimenti per migliorare l’assistenza in tale contesto.
Metodo: è stata condotta una revisione narrativa della letteratura internazionale nelle banche dati Pubmed e CINAHL combinando le parole chiave: emergenza, infermiere, fine vita, assistenza infermieristica nel fine vita. Sono stati inclusi articoli pubblicati dal 2012 ad aprile 2017, in lingua inglese e in lingua italiana.
Risultati: l’analisi dei 13 articoli, presi in esame ha evidenziato l’opinione comune che il Pronto Soccorso non è percepito come un luogo dove morire, a causa della sua natura ad elevata complessità assistenziale e di alcune barriere percepite dagli stessi operatori. L’assistenza al morente genera sentimenti contrastanti nell’infermiere, sia positivi che negativi. Sono emersi anche dei suggerimenti: redistribuzione dei carichi di lavoro, aumento del tempo diretto di assistenza, creazione di programmi di training specifici e di supporto, implementazione di protocolli e linee guida in supporto a questo tipo di assistenza.
Conclusione: l’assistenza nel fine vita in Pronto Soccorso mette l’infermiere e l’equipe dinanzi a questioni etiche così come negli altri setting assistenziali di emergenza; è un campo che presenta delle criticità che devono essere colmate. Garantire un’assistenza di qualità nel fine vita deve essere un obiettivo che l’infermiere deve raggiungere.
chAn gk. End-of-life models and emergency department care. Acad Emerg Med 2004; 11(1):79-86.
rAmAcciAti n. Quando si muore in Pronto Soccorso: approccio ai vissuti emozionali. Scenario 2010; 27(2): 37.
Wright AA, kEAting nl, BAlBoni tA, mAtuloniS uA, Block SD, PrigErSon hg. Place of death: correlations with quality of life patients with cancer and predictors of bereaved caregivers’ mental health. J Clin Onc 2010; 28(29): 4457-64.
EmErgEncy nurSES ASSociAtion. Position state- ment: end-of-life care in the emergen- cy department. Des Plaines, IL. http:// www.ena.org/about/position/position/ Pages/Default.aspx. [Ultimo accesso 01/04/2017].
kArDAmAniDiS k, lim k, DA cunhA c, tAylor lk, Jorm lr. Hospitals costs of older people in New South Wales in the last year of life. Med J Aust 2007; 187(7):383-6.
roch A, WirAmuS S, PAuly v, ForEl Jm, guErvilly c, gAinniEr m Et Al. Long-term outcomes in medical patients aged 80 or over following admission to an intensive care unit. Crit Care 2011; 15(1).
glArE P, virik k, JonES m, huDSon m, EychmullEr S, SimES J Et Al. A systematic review of physicians’ survival predictions in terminally ill cancer patients. Br Med J 2003; 327(7408): 195-8.
SmAll n, gArDinEr c, BArnES S, gott m, PAynE S, SEAmArk D Et Al. Using a prediction of death in the next 12 months as a prompt for referral to palliative care acts to the detriment of patient with heart failure and chronic obstructive pulmonary disease. Palliat Med 2010; 24(7):740-1.
gott m, gArDinEr c, SmAll n, PAynE S, SEAmArk D, BArnES S Et Al. Barriers to advance care planning in chronic obstructive pulmonary disease. Palliat Med 2009; 23(7):642-8.
mccArron m, mccAllion P, FAhEy-mccArthy E, conAirE k. The role of timing of palliative care in supporting persons with intellectual disability and advanced dementia. J Appl Res Intellect 2011; 24(3): 189-98.
rAmAcciAti n, Doricchi gP. L’impatto re- lazionale nel primo soccorso: il conteni- mento del caos emozionale nel soccorso extraospedaliero. Scenario (suppl) 2002; 19(2):31-4.
ShErmAn DW, mAtzo ml, PitorAk E, FErrEll Br, mAlloy P. Preparation and care at the time of death. Journal for nurses in staff development 2005; 21(3): 93-100.
DEckEr k, lEE S, morPhEt J. The experiences of emergency nurses in providing end-of-life care to patients in the emergency department. Australas Emerg Nurs J 2015; 18(2): 68-74.
BEckStrAnD rl, gilES vc, luthy kE, cAlliStEr lc, hEASton S. The last frontier: rural emergency nurses’ perceptions of end-of-life care obstacles. J Emerg Nurs 2012 Sep; 38: 15-25.
BEckStrAnD rl, rASmuSSEn rJ, luthy kE, hEASton S. Emergency nurses’ perception of department design as an obstacle to providing end-of-life care. J Emerg Nurs 2012 Sep; 38: 27-32.
kA-ming ho J. Resuscitation versus end- of-life care: exploring the obstacles and supportive behaviors to providing end- of-life care as perceived by emergency nurses after implementing the end-of-life care pathway. Appl Nurs Res. 2016; 29: e7-e13.
BEckStrAnD rl, WooD D, cAlliStEr lc, luthy kE, hEASton S. Emergency nurses’ suggestions for improving end-of-life care obstacles. J Emerg Nurs 2012 Sep; 38: 7-14.
hogAn kA, FothErgill-BourBonnAiS F, BrAJmAn S, PhiliPS S, WilSon gA. When someone dies in the emergency department: perspectives of emergency nurses. J Emerg Nurs 2015; 42(3): 207-12.
ShEArEr Fm, rogErS ir, montEroSSo l, roSS-ADJE g, rogErS Jr. Understanding emergency department staff needs and perceptions in the provision of palliative care. Emerg Med Australas 2014; 26: 249-55.
PEtErS l, cAnt r, PAynE S, o’connor m, mcDErmott F, hooD k. Emergency and palliative care nurses’ levels of anxiety about death and coping with death: a questionnaire survey. Australas Emerg Nurs J 2013;16:152-9.
ruSS A, mountAin D, rogErS ir, ShEArEr F, montEroSSo l Et Al. Staff perceptions of palliative care in a public Australian, metropolitan emergency department. Emerg Med Australas. 2015; 27(4): 287-94.
kEllogg E. Understanding advance care documents: what the nurse advocate needs to know. J Emerg Nurs 2017. pii:S0099-1767(16)30330-0. doi:10.1016/j.jen.2016.12.001.
WAlkEr Wm. Emergency care staff experiences of lay presence during adult cardiopulmonary resuscitation: a phenomenological study. Emerg Med J 2014; 31:453-8.
JohnSon c. A literature review examin- ing the barriers to the implementation of family witnessed resuscitation in the Emergency Department. Int Emerg Nurs; 30(2017):31-35.
kongSuWAn W, mAtchim y, nilmAnAt k, locSin rc, tAniokA t Et Al. Lived experience of caring for dying patients in emergency room. Int Nur Rev 2016; 63:132-8.
WolF lA, DElAo Am, PErhAtS c, clArk Pr, moon mD Et Al. Exploring the management of death: emergency nurses’ perception of challenges and facilitators in the provision of end-of-life care in the emergency department. J Emerg Nurs 2015; 41(5): 23-33.
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How to Cite
Resta, L., & Ramacciati, N. (2017). Assistenza infermieristica nel fine vita in pronto soccorso: revisione narrativa della letteratura. Scenario® - Il Nursing Nella Sopravvivenza, 34(2), 29–35. https://doi.org/10.4081/scenario.2017.28
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