Attitudes of Physicians toward Palliative Care in Intensive Care Units: a Nationwide Cross-Sectional Survey in Japan

2021 ◽  
Author(s):  
Yuta Tanaka ◽  
Akane Kato ◽  
Kaori Ito ◽  
Yuko Igarashi ◽  
Satomi Kinoshita ◽  
...  
Keyword(s):  
Palliative Care ◽  
Intensive Care ◽  
Intensive Care Units ◽  
Cross Sectional Survey ◽  
Cross Sectional

Barriers of Palliative Care in Neonatal Intensive Care Units

2016 ◽  
Vol 34 (3) ◽  
pp. 205-211 ◽  
Author(s):  
Mansooreh Azzizadeh Forouzi ◽  
Marjan Banazadeh ◽  
Jila Soltan Ahmadi ◽  
Farideh Razban
Keyword(s):  
Palliative Care ◽  
Organizational Culture ◽  
Intensive Care ◽  
Intensive Care Units ◽  
Neonatal Intensive Care ◽  
Attitude Scale ◽  
Neonatal Intensive Care Units ◽  
Cross Sectional ◽  
Neonatal Nurses ◽  
Eol Care

Objective: Neonatal nurses face numerous barriers in providing end-of-life (EOL) care for neonates and their families. Addressing neonatal nurses’ attitudes could provide insight into barriers that impede neonatal palliative care (NPC). This study thus conducted to examine neonatal nurses’ attitude toward barriers in providing NPC in Southeast Iran. Method: In this cross-sectional study, a translated modified version of Neonatal Palliative Care Attitude Scale was used to examine attitudes of 70 nurses toward barriers of palliative care in 3 neonatal intensive care units in Southeast Iran. Results: Findings indicated that overall 42.63% of nurses were strongly agreed or agreed with the proposed barriers in NPC. Among all categories, the highest and the lowest scores belonged to the categories of “insufficient resources” (3.42 ± 0.65) and “inappropriate personal and social attitudes” (2.33 ± 0.48), respectively. Neonatal nurses who had less education and study regarding NPC reported the presence of more barriers to NPC in the categories of “inappropriate organizational culture” and/or “inadequate nursing proficiency.” Also, younger nurses had more positive attitudes toward the category of inappropriate organizational culture as being a barrier to provision of NPC (4.62). Conclusion: The findings suggest that developing a context-based instrument is required to represent the barrier more precisely. Neonatal palliative care can be improved by establishing a special environment to focus on infants’ EOL care. This establishment requires standard palliative care guidelines and adequate NPC-trained nurses.

scholarly journals Barriers and facilitators to adopting high value practices and de-adopting low value practices in Canadian intensive care units: a multimethod study

BMJ Open ◽  
2019 ◽  
Vol 9 (3) ◽  
pp. e024159 ◽  
Author(s):  
Khara Sauro ◽  
Sean M Bagshaw ◽  
Daniel Niven ◽  
Andrea Soo ◽  
Rebecca Brundin-Mather ◽  
...  
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Fluid Resuscitation ◽  
Healthcare Providers ◽  
Population Based ◽  
Barriers And Facilitators ◽  
Cross Sectional Survey ◽  
Surgical Intensive Care ◽  
Cross Sectional ◽  
Vte Prophylaxis

ObjectiveTo compare and contrast illustrative examples of the adoption of high value practices and the de-adoption of low value practices.Design(1) Retrospective, population-based audit of low molecular weight heparin (LMWH) for venous thromboembolism (VTE) prophylaxis (high value practice) and albumin for fluid resuscitation (low value practice) and (2) cross-sectional survey of healthcare providers.SettingData were collected from nine adult medical-surgical intensive care units (ICUs) in two large Canadian cities. Patients are managed in these ICUs by a group of multiprofessional and multidisciplinary healthcare providers.ParticipantsParticipants included 6946 ICU admissions and 309 healthcare providers from the same ICUs.Main outcome measures(1) The use of LMWH for VTE prophylaxis (per cent ICU days) and albumin for fluid resuscitation (per cent of patients); and (2) provider knowledge of evidence underpinning these practices, and barriers and facilitators to adopt and de-adopt these practices.ResultsLMWH was administered on 38.7% of ICU days, and 20.0% of patients received albumin.Most participants had knowledge of evidence underpinning VTE prophylaxis and fluid resuscitation (59.1% and 84.2%, respectively). Providers perceived these practices to be followed. The most commonly reported barrier to adoption was insufficient knowledge/understanding (32.8%), and to de-adoption was clinical leader preferences (33.2%). On-site education was the most commonly identified facilitator for adoption and de-adoption (67.8% and 68.6%, respectively).ConclusionsDespite knowledge of and self-reported adherence to best practices, the audit demonstrated opportunity to improve. Provider-reported barriers and facilitators to adoption and de-adoption are broadly similar.

scholarly journals Characteristics of physiotherapy staffing levels and caseload: a cross-sectional survey of Chilean adult Intensive Care Units

Medwave ◽  
2019 ◽  
Vol 19 (01) ◽  
pp. e7576-e7576
Author(s):  
Nadine Aranis ◽  
Jorge Molina ◽  
Jaime Leppe ◽  
Ana Cristina Castro-Ávila ◽  
Carolina Fu ◽  
...  
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Staffing Levels

Implementation of ABCDEF care bundle in intensive care units: A cross‐sectional survey

2021 ◽  
Author(s):  
Surui Liang ◽  
Janita Pak Chun Chau ◽  
Suzanne Hoi Shan Lo ◽  
Shunling Li ◽  
Mingrong Gao
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Care Bundle ◽  
Cross Sectional Survey ◽  
Cross Sectional

Epidemiology of Sepsis in Chinese Intensive Care Units: A National Cross-Sectional Survey

2018 ◽  
Author(s):  
Jianfeng Xie ◽  
Hongliang Wang ◽  
Yan Kang ◽  
Lixin Zhou ◽  
Bingyu Qin ◽  
...  
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Cross Sectional Survey ◽  
Cross Sectional

Burnout in Brazilian Intensive Care Units: A Comparison of Nurses and Nurse Technicians

2019 ◽  
Vol 30 (1) ◽  
pp. 16-21 ◽  
Author(s):  
Francino Azevedo Filho ◽  
Maria Cristina Soares Rodrigues ◽  
Jeannie P. Cimiotti
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Emotional Exhaustion ◽  
Maslach Burnout Inventory ◽  
Personal Accomplishment ◽  
Teaching Hospitals ◽  
Additional Patient ◽  
Practice Environment ◽  
Cross Sectional Survey ◽  
Cross Sectional

Job-related burnout has been reported by intensive care nurses worldwide; this study was performed to examine burnout in intensive care unit bedside nurses and nurse technicians in Brazil. A cross-sectional survey that included the Practice Environment Scale and the Maslach Burnout Inventory was completed by 209 nurses and nurse technicians working in 4 Brazilian intensive care units in 3 teaching hospitals. Compared with nurse technicians, nurses reported higher levels of emotional exhaustion and depersonalization, and a lower level of personal accomplishment. A 1-unit increase in the quality of nurse practice environment was associated with a decrease in high levels of emotional exhaustion and low levels of personal accomplishment. Each additional patient added to a nurse’s workload was associated with an increase in high emotional exhaustion and low personal accomplishment. Approximately one-third of Brazilian nurses working in intensive care units report job-related burnout; the practice environment and staffing appear to be contributing factors.

scholarly journals End-of-Life Care Related Distress in the PICU and NICU: A Cross-Sectional Survey in a German Tertiary Center

2021 ◽  
Vol 9 ◽  
Author(s):  
Lars Garten ◽  
Andrea Danke ◽  
Tobias Reindl ◽  
Anja Prass ◽  
Christoph Bührer
Keyword(s):  
Intensive Care ◽  
End Of Life ◽  
Intensive Care Units ◽  
End Of Life Care ◽  
Pediatric Intensive Care ◽  
Private Life ◽  
Life Care ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Pediatric Intensive Care Units

Objective: To investigate and compare nurses' perceived care-related distress and experiences in end-of-life situations in neonatal and pediatric intensive care units.Study design: Single-center, cross-sectional survey. Administration of an anonymous self-report questionnaire survey to nurses of two tertiary neonatal intensive care units (NICUs), and two tertiary pediatric intensive care units (PICUs) in Berlin, Germany.Results: Seventy-three (73/227, response rate 32.2%) nurses completed surveys. Both, NICU (32/49; 65.3%) and PICU (24/24; 100.0%) nurses, reported “staffing shortages” to be the most frequent source of distress in end-of-life situations. However, when asked for the most distressing factor, the most common response by NICU nurses (17/49) was “lack of clearly defined and agreed upon therapeutic goals”, while for PICU nurses (12/24) it was “insufficient time and staffing”. No significant differences were found in reported distress-related symptoms in NICU and PICU nurses. The interventions rated by NICU nurses as most helpful for coping were: “discussion time before the patient's death” (89.6%), “team support” (87.5%), and “discussion time after the patient's death” (87.5%). PICU nurses identified “compassion” (98.8%), “team support”, “personal/private life (family, friends, hobbies)”, and “discussion time after the patient's death” (all 87.5%) as most helpful.Conclusions: Distress-related symptoms as a result of end-of-life care were commonly reported by NICU and PICU nurses. The most frequent and distressing factors in end-of-life situations might be reduced by improving institutional/organizational factors. Addressing the consequences of redirection of care, however, seems to be a more relevant issue for the relief of distress associated with end-of-life situations in NICU, as compared to PICU nurses.

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