End-of-life care in the intensive care unit: a research agenda.

Title

End-of-life care in the intensive care unit: a research agenda.

Creator

Rubenfeld GD; Randall CJ; The End-of-Life Care in the ICU Working Group

Publisher

Critical Care Medicine

Date

2001

Subject

Female; Humans; Male; United States; Program Evaluation; Quality of Health Care; Evidence-Based Medicine; Palliative Care/standards; Palliative Care/trends; Attitude to Death; Health Services Research/organization & administration; Intensive Care Units; Intensive Care/standards; Intensive Care/trends; Outcome Assessment (Health Care)

Description

BACKGROUND: The intensive care unit (ICU) represents a unique clinical setting in which mortality is relatively high and the professional culture tends to be one of "rescue therapy" using technological and invasive interventions. For these reasons, the ICU is an important environment for understanding and improving end-of-life care. Although there have been consensus statements and review articles on end-of-life care in the ICU, there is limited evidence on which to base an assessment of best practices for providing high-quality end-of-life care in this setting. OBJECTIVE: To convene a Working Group of experts in critical care, palliative medicine, medical ethics, and medical law to address the question "What research needs to be done to improve end-of-life care to patients in the ICU?" METHODS: Participants were identified for membership in the Working Group by purposive sampling within the fields of critical care medicine and nursing, palliative medicine, and medical ethics; others were chosen to represent social work and hospital chaplains. Through a process of breakout and plenary sessions, the group identified important questions that need to be addressed in the areas of defining the problem, identifying solutions, evaluating solutions, and overcoming barriers. CONCLUSIONS: Outlining unanswered questions on end-of-life care in the ICU is a first step to providing the answers that will allow us to improve care to patients dying in the ICU. These questions also serve to focus clinicians and educators on the important areas for improving quality of care. [References: 25]
2001

Rights

Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).

Type

Journal Article

Citation List Month

Backlog

Pages

2001-2006

Issue

10

Volume

29

Citation

Rubenfeld GD; Randall CJ; The End-of-Life Care in the ICU Working Group, “End-of-life care in the intensive care unit: a research agenda.,” Pediatric Palliative Care Library, accessed September 27, 2021, https://pedpalascnetlibrary.omeka.net/items/show/11995.

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