作者
Bo Van den Bulcke, Ruth Piers, Hanne Irene Jensen, Johan Malmgren, Victoria Metaxa, Anna K Reyners, Michael Darmon, Katerina Rusinova, Daniel Talmor, Anne-Pascale Meert, Laura Cancelliere, Làszló Zubek, Paolo Maia, Andrej Michalsen, Johan Decruyenaere, Erwin JO Kompanje, Elie Azoulay, Reitske Meganck, Ariëlla Van de Sompel, Stijn Vansteelandt, Peter Vlerick, Stijn Vanheule, Dominique D Benoit
发表日期
2018/10/1
期刊
BMJ quality & safety
卷号
27
期号
10
页码范围
781-789
出版商
BMJ Publishing Group Ltd
简介
Background
Literature depicts differences in ethical decision-making (EDM) between countries and intensive care units (ICU).
Objectives
To better conceptualise EDM climate in the ICU and to validate a tool to assess EDM climates.
Methods
Using a modified Delphi method, we built a theoretical framework and a self-assessment instrument consisting of 35 statements. This Ethical Decision-Making Climate Questionnaire (EDMCQ) was developed to capture three EDM domains in healthcare: interdisciplinary collaboration and communication; leadership by physicians; and ethical environment. This instrument was subsequently validated among clinicians working in 68 adult ICUs in 13 European countries and the USA. Exploratory and confirmatory factor analysis was used to determine the structure of the EDM climate as perceived by clinicians. Measurement invariance was tested to make sure that variables used in …
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B Van den Bulcke, R Piers, HI Jensen, J Malmgren… - BMJ quality & safety, 2018