作者
Ruth D Piers, Elie Azoulay, Bara Ricou, Freda DeKeyser Ganz, Johan Decruyenaere, Adeline Max, Andrej Michalsen, Paulo Azevedo Maia, Radoslaw Owczuk, Francesca Rubulotta, Pieter Depuydt, Anne-Pascale Meert, Anna K Reyners, Andrew Aquilina, Maarten Bekaert, Nele J Van den Noortgate, Wim J Schrauwen, Dominique D Benoit, Appropricus Study Group of the Ethics Section of the ESICM
发表日期
2011/12/28
期刊
Jama
卷号
306
期号
24
页码范围
2694-2703
出版商
American Medical Association
简介
Context
Clinicians in intensive care units (ICUs) who perceive the care they provide as inappropriate experience moral distress and are at risk for burnout. This situation may jeopardize patient quality of care and increase staff turnover.
Objective
To determine the prevalence of perceived inappropriateness of care among ICU clinicians and to identify patient-related situations, personal characteristics, and work-related characteristics associated with perceived inappropriateness of care.
Design, Setting, and Participants
Cross-sectional evaluation on May 11, 2010, of 82 adult ICUs in 9 European countries and Israel. Participants were 1953 ICU nurses and physicians providing bedside care.
Main Outcome Measure
Perceived inappropriateness of care, defined as a specific patient-care situation in which the clinician acts in a manner contrary to his or her personal and professional beliefs, as assessed using a …
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RD Piers, E Azoulay, B Ricou, FDK Ganz… - Jama, 2011