作者
Deborah J Cook, Gordon H Guyatt, Roman Jaeschke, Joan Reeve, Allen Spanier, Derek King, D Willie Molloy, Andrew Willan, David L Streiner, DJ Cook, M Tweeddale, C Bradley, V Eliopoulos, ML Hales, K Boroomand, V Berstein, C Mackenzie, S Wannamaker, DE Stollery, M Anderson, Hamilton Hamilton, R Johnston, MK Heule, D Roberts, S Bodnar, L Pronger, B Light, K O'Rourke, J Thomas, G Diehl, S Ihme, A Kirby, K Perkin, R Wexler, L Robinson, F Rutledge, G Janus, K Petti, J Kojlak, C Hamielec, R Santucci, P Powles, H Fuller, P Upton, J Hewson, A Kidd, A Grilli, AP McLellan, M Miller, G Buczko, M Cassidy, E Ferris, SR Reid, M Burke, N Lazar, M Medaglia, C McLeod, P Houston, A Hall, R Hyland, I Ip, L Hulton, B Mahon, S Moffatt, J Menard, R McIntyre, J Armstrong, S Izzi, G Jones, W Fortier, A Spanier, D Fleiszer, C Stone, J Boyer, M Piccirilli, P LaRiccia, S Magder, F Beauchamps, N Desbiens, L DiLorenzo, J Quesnel, J Bilodeau, C Pelletier, AR MacNeil, R Hall, C Hay, C Aquino-Russell, P Wong, C Fraser, P Poirier, S Peters, C Kunz, E Warren, GH Guyatt, R Jaeschke, DW Molloy, J Reeve, DR King, A Willan, DL Streiner, D Maddock, L Buckingham, E Ling, BK Reeve, S Reeve
发表日期
1995/3/1
期刊
Jama
卷号
273
期号
9
页码范围
703-708
出版商
American Medical Association
简介
Objective
—To examine the attitudes of health care workers regarding the withdrawal of life support.
Design
—Cross-sectional survey.
Participants
—Attending staff, house staff, and intensive care unit (ICU) nurses in 37 Canadian university-affiliated hospitals.
Main Outcome Measures
—Health care workers' ratings of the importance of 17 factors considered in the decision to withdraw life support, and their ratings of five levels of care ranging from comfort measures to intensive care in two of 12 different clinical scenarios.
Results
—We surveyed 1361 respondents (149 of 167 potentially eligible ICU attending staff, 142 of 173 ICU house staff, and 1070 of 1455 ICU nurses, with response rates of 89%, 82% and 74%, respectively). The most important factors were likelihood of surviving the current episode, likelihood of long-term survival, premorbid cognitive function, and age of the patient. In choosing the level of care for the …
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