Utilization of Hospice Resources in Adult Intensive Care Units: A Comparison Between Users and Non-Users

Background: The application of palliative care is limited and challenging in intensive care units (ICUs) because of complex factors such as time constraints and unpredictable disease progression. Although research results and international consensus stress the early use of palliative care, utilizati...

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Published inHu li za zhi Vol. 70; no. 6; pp. 48 - 57
Main Authors Su, Chieh-Han, Yeh, Yu-Chang, Tsai, Jaw-Shiun, Tang, Chia-Chun
Format Journal Article
LanguageChinese
Published Taipei Taiwan Nurses Association 01.12.2023
Subjects
Clinical decision making
Health services utilization
Hospice care
Intensive care
Ostomy
Palliative care
Taiwan
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Summary:Background: The application of palliative care is limited and challenging in intensive care units (ICUs) because of complex factors such as time constraints and unpredictable disease progression. Although research results and international consensus stress the early use of palliative care, utilization remains low, resulting in increased risks of ineffective medical care and poor quality of death. Improving this situation requires a comprehensive understanding of the palliative condition in ICUs. Purpose: This study was designed to investigate the utilization of hospice resources in adult ICUs and to compare this utilization between users and non-users. Methods: This retrospective correlation study recruited cases from the adult ICU database of a medical center in northern Taiwan between June and July 2022. Descriptive statistics, independent t-test and chi-square were used to analyze the data. Results: A total of 1,181 records were analyzed, including 458 (38.8%) females and 723 (61.2%) males. Two hundred and
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ISSN:0047-262X
DOI:10.6224/JN.202312_70(6).07