作者
Ruth D Piers, Elie Azoulay, Bara Ricou, Freda DeKeyser Ganz, Adeline Max, Andrej Michalsen, Paulo Azevedo Maia, Radoslaw Owczuk, Francesca Rubulotta, Anne-Pascale Meert, Anna K Reyners, Johan Decruyenaere, Dominique D Benoit
发表日期
2014/8/1
期刊
Chest
卷号
146
期号
2
页码范围
267-275
出版商
Elsevier
简介
BACKGROUND
ICU care providers often feel that the care given to a patient may be inconsistent with their professional knowledge or beliefs. This study aimed to assess differences in, and reasons for, perceived inappropriate care (PIC) across ICU care providers with varying levels of decision-making power.
METHODS
We present subsequent analysis from the Appropricus Study, a cross-sectional study conducted on May 11, 2010, which included 1,218 nurses and 180 junior and 227 senior physicians in 82 European adult ICUs. The study was designed to evaluate PIC. The current study focuses on differences across health-care providers regarding the reasons for PIC in real patient situations.
RESULTS
By multivariate analysis, nurses were found to have higher PIC rates compared with senior and junior physicians. However, nurses and senior physicians were more distressed by perceived disproportionate care …
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