Perception of disproportional care among staff physicians, training physicians, nurses and nursing auxiliaries in an intensive care unit
Keywords:
Unidades de Terapia Intensiva, Percepção, Cuidados Críticos, Futilidade Médica, Práticas Interdisciplinares, Estresse OcupacionalAbstract
INTRODUCTION: Growing use of life-sustaining measures in patients with poor long and middle-term expectation of survival concerns health practitioners with disproportionate care. We aim to report prevalence of perceived inappropriate care among intensive care unit (ICU) staff physicians, training physicians, nurses and nursing auxiliaries in a public Brazilian hospital.
METHODS: Cross-sectional study of medical and nursing team at the 34-bed multidisciplinary ICU of a tertiary teaching hospital in southern Brazil from January to July 2019. In total, 151 professionals completed an anonymous electronic survey.
RESULTS: Response rate was 49.5%. One-hundred and eighteen (78.1%) respondents pointed out disproportional care in working environment. Both nurses and nurse auxiliaries were less likely than doctors to receive formal training on communication of end-of-life information (10.6% vs 57.6%, p< 0.001). Twenty-nine (28.1%) nurses and nurse auxiliaries versus 4 (0.08%) doctors claimed there was no palliative care deliberations in ICU (p= 0.006). Forty-three out of 48 (89.5%) senior and junior doctors believed collaboration between physicians and nurses was good, whereas 58 out of 103 (56.3%) of nurses and nurses auxiliaries disagreed on that (p< 0.001).
CONCLUSIONS: This is the first survey regarding perception of inappropriate care conducted in Latin America, and included junior doctors and nursing auxiliares. Despite being a unicentric population sample, it represents view of health care providers who work at a high complexity medical center in a public health system.
Downloads
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2022 Clinical & Biomedical Research
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).
