Under the radar: Contributions of the SUPPORT nurses

被引:18
作者
Murphy, PA [1 ]
Price, DM
Stevens, M
Lynn, J
Kathryn, E
机构
[1] Univ Med & Dent New Jersey, Univ Hosp, Newark, NJ 07103 USA
[2] Univ Med & Dent New Jersey, New Jersey Med Sch, Newark, NJ 07103 USA
[3] Dartmouth Hitchcock Med Ctr, Norris Cotton Canc Ctr, Lebanon, NH 03766 USA
[4] RAND, Ctr Improve Care Dying, Arlington, VA USA
[5] Gannon Univ, Villa Maria Sch Nursing, Erie, PA USA
关键词
D O I
10.1067/mno.2001.115444
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
SUPPORT (The Study to Understand Prognoses and references for Outcomes and Risks of Treatment) failed to produce changes in 5 quantitative outcome measures of care received by nearly 10,000 seriously ill patients in major teaching hospitals. This article reports a content analysis of documents produced during the SUPPORT study by the 17 nurses who delivered the intervention. "Effective communication" emerged as the central category, with "educational support" and "emotional support"' as subcategories. "Readiness" of patients and families to accept prognoses, engage in decision making,. and the like also arose from this analysis as an important concept. The investigation suggests that the SUPPORT intervention did have an important impact, albeit not one captured by the main effects analysis.
引用
收藏
页码:238 / 242
页数:5
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