title: [Good palliative care in the intensive care unit].
abstract: The aging population, the complexity and irreversibility of certain conditions lead to the deaths of 20% of patients admitted to intensive care units (ICU). However, in Quebec, as elsewhere in America, few of them currently receive palliative care.
  
  
  METHODS
  inspired by a conceptual model considering nursing as a moral practice, this phenomenological study was conducted in four phases: focus groups (n = 6) observation sessions (n = 6) followed by individual interviews and group validation activities (n = 5). In its first part, this study shows that through several caring behaviours, "good palliative care" in the ICU is manifested by the consideration of six dimensions of the person, physical, relational, psychological, moral, social and spiritual. This article presents the second part of this study and reveals three main themes summarizing the conditions facilitating "good the palliative care" according to ICU nurses: Sharing a common vision enhanced by a collective and specific palliative care knowledge, an informed and concerted decision-making process in a favourable organisational and physical environment.
authors.affiliation: Faculté de médecine et des sciences de la santé, Ecole des sciences infirmières, Universitè de Sherbrooke. diane.guay@usherbrooke.ca
authors.forename: Diane
authors.initials: D
authors.lastname: Guay
authors.forename: Cécile
authors.initials: C
authors.lastname: Michaud
authors.forename: Luc
authors.initials: L
authors.lastname: Mathieu
mesh_terms: D001291:Attitude of Health Personnel; D003422:Critical Care; D006801:Humans; D007362:Intensive Care Units; D009741:Nursing Staff, Hospital; D010166:Palliative Care; D011792:Quebec