Communication skills and its related factors in Ardabil Alavi Hospital nurses and staff

Background: Communication skills (CS) is an important topic which help the nurses and staff to maintain effective relationships and have professional standards in all legal, ethical and clinical areas. So low level of CS between nurses could be led to more medical mistakes and reduce the patient’s quality of care. The aim of this study was to determine the level of CS among Ardabil teaching hospitals nurses and staff and its related factors.Methods: This descriptive-analytical study was conducted on 145 Ardabil Alavi hospitals’ nurses and staff from May 2019 to November 2019. The data collection tool was communication skills questionnaire of Burton G (1990) which included demographic data and interpersonal communication skills test (18 items) with a range of 18-90. Data analyzed in SPSS version 21 by using descriptive and analytical statistics tests such as; Spearman, Mann-Whitney U, and Kruskal Wallis at significant level of p<0.05.Results: Of all students, 72.4% were women and the rest were men. The average age of participants, was 36.9±8.4 years. The mean score of total communication skills was calculated 59.2±7.3. The mean score of verbal skill, listening skill, and feedback skill were calculated in order to 20.8±3.43, 17.6±4, and 20.7±3.2, respectively. Total Communication skills was significantly related with past work experience but other demographic variables hadn’t significant relation with CS.Conclusions: The results indicated that the CS of Ardabil hospital nurses and staff were in moderate levels. So, providing training programs for raising their CS in future is essential.

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Communication skills (verbal, listening, feedback) among Ardabil Azad university medical students and related factors

International Journal of Scientific Reports ◽

10.18203/issn.2454-2156.intjscirep20170886 ◽

2017 ◽

Vol 3 (3) ◽

pp. 76

Author(s):

Rahim Masoumi ◽

Anahita Zakeri ◽

Habib Ojaghi ◽

Esmaeil Farzaneh

Keyword(s):

Medical Students ◽

Interpersonal Communication ◽

Communication Skills ◽

Cross Sectional Study ◽

Sectional Study ◽

Significant Relation ◽

Related Factors ◽

Cross Sectional ◽

The Mean ◽

Medical University

Background: The aim of this study was to investigate the level of communication skills (verbal, listening, feedback) among Ardabil Azad university medical students and related factors.Methods: In this descriptive-cross sectional study, 150 medical university students selected randomly from September 2014 to September 2015. The necessary data collected by a standardized questionnaire named Interpersonal communication skills test containing 34 items having five points scale and its score ranged 34-170. Data were analyzed by descriptive and analytical statistical methods in SPSS.16. Results: 71.3% of participants were female. The mean score of student’s communication skills (CS) level was 100.8±13.6 and in girls was 110.1±13.7 and in boys was 102.5±13.1 which hasn’t significant differences between two genders in CS scores. There wasn’t significant relation between CS in students with age, student’s grade, residence place, term and participated in the CS workshop.Conclusions: Results showed that level of CS in students was in moderate level which doing interventional studies in future for raising their CS level is necessary.

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Investigation of work ability index (WAI) and its relationship with maximal aerobic capacity (VO2max) among cement industry employer

Occupational Medicine ◽

10.18502/tkj.v12i2.4372 ◽

2020 ◽

Author(s):

M Kavousian ◽

A Salehi sashlabadi ◽

MJ Jafari ◽

S Khodakarim ◽

H Rabiei

Keyword(s):

Sleep Quality ◽

Aerobic Capacity ◽

Work Experience ◽

Cement Industry ◽

Maximal Aerobic Capacity ◽

Work Ability Index ◽

Sports Activity ◽

Related Factors ◽

Cross Sectional ◽

The Mean

Introduction: Given the importance of adapting workers' physical and mental capabilities to their job needs, measuring their ability to work, maintaining, and upgrading, it has become an essential task. This study aimed to investigate WAI and its relationship with VO2max at one of the cement companies. Materials and Methods: This cross-sectional study was conducted among 130 employees of a cement company in Iran in 2018. For data collection, the WAI, Queens's test for maximum oxygen consumption, and a questionnaire designed by researchers (socio-demographic and work-related factors) were used. SPSS 21 was used to analyze the data. Results: The results showed that the mean ± standard deviation of WAI in staff was 39.35 ± 4.64. Among the demographic and related variables, sports activity (P > 0.04) and sleep quality (P < 0.001), and work experience (P> 0.046) were significantly correlated with WAI. There was a significant positive correlation between the mean score of WAI and Vo2max (r = 0.21, p < 0.05). Regression modeling showed that Vo2max was the only significant predictor of WAI. Conclusion: According to the results of the study, to control and enhance the ability of the staff of the study, occupational intervention programs should focus on improving sleep quality and increased exercise. Also, considering the positive relationship of Vo2max to the WAI of the surveyed staff, it is recommended to select suitable employees in terms of aerobic capacity according to the workload of the job.

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Nurses’ Knowledge, Attitude, and Performance about Disaster Management: A Case of Iran

The Open Public Health Journal ◽

10.2174/1874944502013010441 ◽

2020 ◽

Vol 13 (1) ◽

pp. 441-446

Author(s):

Sedighe S. T. Far ◽

Milad A. Marzaleh ◽

Nasrin Shokrpour ◽

Ramin Ravangard

Keyword(s):

Disaster Management ◽

Health Care Providers ◽

Work Experience ◽

Three Dimensions ◽

Teaching Hospitals ◽

Care Providers ◽

Medical Sciences ◽

Significant Relationships ◽

The Mean ◽

And Performance

Background: Iran is a disaster-prone country in which many natural and man-made disasters happen every year. Because the health sector is vital due to its nature of treatment and rehabilitation of the injured after the disasters, all health care providers, especially hospital nurses, should be prepared to provide the services they need. Objective: The present study aimed to determine the level of knowledge, attitude, and performance of nurses about disaster management in teaching hospitals affiliated to Iran, Shiraz University of Medical Sciences in 2019. Methods: This cross-sectional and descriptive-analytical study was conducted on a sample of 230 nurses working in the teaching hospitals of Iran, Shiraz University of Medical Sciences, who were selected using the stratified sampling proportional to size and simple random sampling methods. The data were collected using a valid and reliable questionnaire containing 20 questions in three dimensions of knowledge, attitude, and performance. Then, the collected data were analyzed using SPSS 25.0 through independent samples t-test, ANOVA and Tukey tests at the significance level of 5%. Results: The results showed that the highest and lowest mean scores were related to the attitude (2.38±0.19) and knowledge (1.70±0.50) of the nurses, respectively. However, all three dimensions were at a moderate level. The results showed significant relationships between the mean score of performance and the gender, marital status, age, and work experience of the nurses. In addition, statistically significant relationships were found between the mean score of knowledge and their age and work experience (p<0.05). Conclusion: According to the findings, the following suggestions can be made to increase the knowledge and performance of the nurses for being prepared in critical situations: reducing the duration and increasing the quality of training classes and workshops on disaster preparedness; providing some incentives for nurses, especially female, married, older, and more experienced ones to attend these classes; and improving the methods of training materials related to disaster management.

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The Relationship Between Communication Skills and Early Maladaptive Schemas in Pediatric Nurses

Journal of Holistic Nursing and Midwifery ◽

10.32598/jhnm.30.4.2021 ◽

2020 ◽

Vol 30 (4) ◽

pp. 240-246

Author(s):

Golnaz Mohammadi ◽

Farzaneh Sheikholeslami ◽

MinooMitra Chehrzad ◽

Ehsan Kazemnezhad Leili

Keyword(s):

Child Care ◽

Interpersonal Communication ◽

Communication Skills ◽

Work Experience ◽

Urban Areas ◽

Short Form ◽

Early Maladaptive Schemas ◽

Maladaptive Schemas ◽

Spearman Correlation Test ◽

And Performance

Abstract Introduction: In nursing, the communication between the nurse and the child is the core of child care. Some barriers can affect the nurse-patient relationship to have proper communication skills for child care. Objective: This study aimed to examine the correlation between communication skills and early maladaptive schemas in nurses working in pediatric wards. Materials and Methods: This is an analytical and correlational study. The participants were 178 nurses working in a children’s hospital in Rasht City, Iran in 2016. The data collection tool was a three-part questionnaire: A demographic form, the interpersonal communication skills scale (ASMA), and the Young Schema Questionnaire-Short Form (YSQ-SF). The collected data were analyzed using descriptive statistics and the Friedman and Spearman tests. Results: The majority of nurses were younger than 30 years (80.8%), had a bachelor’s degree in nursing (89.0%), were married (65.1%), had children (54.8%), were living in urban areas (95.2%), had employment status (63.3%) and less than 15 years of work experience (46.5%). The highest mean scores of ASMA (44.12±0.53) and YSQ-SF tools (2.65±1.04) were related to general communication skills and then disconnection and rejection, respectively. The results of the Spearman correlation test showed that the overall ASMA score had significant negative correlations with early maladaptive schemas of impaired autonomy and performance (r= -0.283), impaired limits (r= -0.421), other-directedness (r= -0.303), and disconnection and rejection (r= -0.302) (P=0.0001). Conclusion: Nurses who have a higher level of early maladaptive schemas showed poorer communication skills. Examining maladaptive schemas in nurses may provide appropriate strategies to improve their communication skills.

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Relationship between caregiver related factors and their proxy report of quality of life of children with cerebral palsy in Kano City, Nigeria

Nigerian Journal of Medical Rehabilitation ◽

10.34058/njmr.v20i1.176 ◽

2019 ◽

Vol 20 (1) ◽

Author(s):

Umaru Muhammad Badaru ◽

O O Ogwumike ◽

A Fatai Adeniyi ◽

A I Naziru

Keyword(s):

Quality Of Life ◽

Marital Status ◽

Rank Order ◽

Demographic Data ◽

Well Being ◽

Cross Sectional Survey ◽

Related Factors ◽

Proxy Report ◽

The Mean

Background: Caregivers have intimate knowledge of their children and can provide reliable information on their quality of life (QoL). Objective: This study assessed the factors that could influence caregiver report of QoL of children with Cerebral Palsy.Methods: The cross-sectional survey recruited 30 caregivers and children diagnosed with CP using purposive sampling technique. QoL was assessed with CP-QoL questionnaire, depression with Patient Health Questionnaire (PHQ-9) and functional level with Gross Motor Function Classification System (GMFCS). Socio-demographic data and perceived stress were assessed with a pro-forma. The data were summarised with descriptive statistics and analysed with Spearman Rank Order correlation at alpha level of 0.05. Results: The mean age of caregivers and that of children with CP were 34.40 ± 7.02 years and 7.23 ± 2.08 years respectively. The mean QoL score was 60.06±4.27. The ‘social well-being and acceptance’ (75.07 ± 9.52) and ‘Access to services’ (66.65±7.87) domains have the highest mean scores. Marital status has significant relationship with proxy report of children’s overall QoL (Rho=0.40; P<0.05) and caregiver depression (Rho=-0.414; P<0.05). Conclusion: Children with CP in Kano City have moderate QoL. Proxy report of overall QoL was significantly related to marital status with married caregivers’ more likely to report better QoL. Child’s functional status, caregivers’ age and their level of income have also influenced the proxy report of some QoL domains. Researchers should always endeavor to compare parents’ and children’s reports in order to obtain a more accurate measure of children’s QoL.

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Factors Related to Nurses and Physicians’ Knowledge of and Attitudes Towards Palliative Care

10.21203/rs.3.rs-1037441/v1 ◽

2021 ◽

Author(s):

Hadis Ashrafizadeh ◽

Leila Khanali-Mojen ◽

Salman Barasteh ◽

Samira Beiranvand ◽

Azam Shirinabadi Farahani ◽

...

Keyword(s):

Palliative Care ◽

Work Experience ◽

General Medicine ◽

Teaching Hospitals ◽

P Value ◽

Practical Training ◽

Care Providers ◽

The Mean ◽

Nurses And Physicians ◽

Knowledge And Attitude

Abstract Background With the increase of the elderly population, the need for palliative care has increased, which is one of the requirements of effective palliative care services, sufficient knowledge and positive attitude of nurses and physicians towards this care approach. The aim of this study was to determine the factors related to the knowledge and attitudes of nurses and physicians about palliative care. Methods This descriptive correlational study was performed in 2021 on 277 nurses and physicians working in selected teaching hospitals in Iran who were selected by convenience sampling method. The data collection tool was an online and researcher-made questionnaire consisting of three sections: demographics and occupation, knowledge (30 items) and attitude (37 items) that were designed and validated in the present study. To analyze the data, spss-v24 software was used for descriptive statistics tests (means and frequency tables) and inferential tests (correlation and univariate regression). Results The mean scores of knowledge and attitude of care providers were 19.36 ± 2.73 and 140.90 11 11.56, respectively. There was a positive relationship between knowledge and attitude variables (P-value = 0.000, r = 0.378). Meaning of relationship between the mean score of attitude and knowledge with age ranges of 31-60 and 60-51 years, level of education, workplace, work experience in palliative care, need for formal education in palliative care and need to pass palliative care course there was. Conclusion Based on the results of this study, the level of knowledge and attitude of palliative care providers was moderate. Therefore, in order to further promote the knowledge and attitude of nurses and physicians, it is recommended to hold theoretical and practical training courses in the form of skill and retraining courses, reviewing the curricula of general medicine and bachelor's degree in nursing.

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Correlation between Creativity and Entrepreneurial Skills in Managers of Educational Hospitals

Depiction of Health ◽

10.34172/doh.2021.24 ◽

2021 ◽

Vol 12 (3) ◽

pp. 240-250

Author(s):

Mahdi Amraei ◽

Mahdi Rezheh ◽

Mahshid Salari Hamzekhani ◽

Farzad Faraji-Khiavi

Keyword(s):

Linear Regression ◽

Correlation Coefficient ◽

Negative Correlation ◽

Work Experience ◽

Pearson Correlation ◽

Teaching Hospitals ◽

Pearson Correlation Coefficient ◽

Managerial Skills ◽

Entrepreneurial Skills ◽

The Mean

Background and Objectives The aim of this study was to investigate the correlation between creativity and entrepreneurial skills in health system managers of the educational hospitals. Material and Methods This research is descriptive-analytical and applied in terms of purpose. The study population includes the managers of teaching hospitals in Ahvaz, south west Iran. The data was collected by census method from 110 senior and middle managers by validated questionnaire. Data were analyzed using absolute and relative frequency, mean, standard deviation, independent samples t-test, ANOVA, Pearson correlation coefficient and stepwise linear regression in SPSS software version 22. Results The mean score of creativity for managers was 44.74 7.91. 64.6% of the managers were highly creative and 35.4% of them were considered relatively creative. The average score of entrepreneurial skills of managers was 3 0.67 and was estimated to be appropriate. The correlation between creativity and entrepreneurial skills was 0.645, which showed a positive and strong relationship between these two variables (P <0.001). Simple linear regression showed that managerial skills among entrepreneurial skills determine 44.4% of creativity (P <0.001). Conclusion It is suggested to strengthen the level of managerial skills among managers by training courses Extended Abstract Background and Objectives Since creativity is assumed to be the mainstay of the spirit of entrepreneurship, thereforeit is necessary due measures be taken to establish the degree of creativity of health managers if one is to have any reasonable hope of developing enterepreueship in healthcare organizations. One way to do so might be to assess health managers’ creativity and determine if there is a correlation between their creativity and entrepreurship. Therefore, this study aimed to investigate the correlation between creativity and entrepreneurship skills among managers of educational hospitals in Ahvaz. Material and Methods This research was descriptive-analytical and applied in terms of purpose. The present research population consisted of managers of educational hospitals in Ahvaz city and data were collected by census method from 110 senior (management, metrons, educational assistants of hospitals) and mid-level (Supervisors, Head Nurses, Service Officers, Heads of Finance and Administration, Laboratory and Radiology Officers) managers through a questionnaire. In this study, two questionnaires were used: the Creativity Questionnaire, developed by Dorabjee et al., and the Smith Entrepreneurship Skills Questionnaire. The former consists of 12 five-point Likert scale items indicating the extent of the organization's support for creativity while the latter consists of 16 questions summarized in four components with each component having four questions. The validity of the questionnaire was confirmed in accordance with professors’ and experts’ opinions. The reliability of the questionnaires was estimated using Cronbach's alpha coefficient, which was 0.83 and 0.88 for for creativity questionnaire and entrepreneurial skills questionnaire, respectively. Data were analyzed using absolute and relative frequency, mean, standard deviation, independent samples t-test, ANOVA, Pearson correlation coefficient and stepwise linear regression in SPSS software version 22. Results The mean score of creativity for managers was 44.74±7.91. 64.6% of managers were found to be very creative and 35.4% were relatively creative. The mean score of managers' entrepreneurship skills was 3±0.67 which was considered at an appropriate level. Pearson correlation coefficient was estimated -0.27 (P=0.017) between age and creativity and-0.31 (P=0.04) between work experience and creativity indicating a small size and negative correlation between the former variables and a moderate and negative correlation between the latter ones. Likewise, Pearson correlation coefficient between age and entrepreneurial skills was calculated -0.28 (P=0.01) pointing to a small size and negative correlation between these two variables. As for the correlation coefficient between work experience and entrepreneurial skills was -0.32 (P=0.005) showing that these two variables have a moderate negative correlation. However, creativity and entrepreneurial skills were found to be positively and strongly correlated (r= 0.645, P<0.001). Simple linear regression showed that managerial skills among entrepreneurial skills come to determine 44.4% of creativity (P<0.001). Conclusion Managers of Ahvaz teaching hospitals were found to possess the required level of creativity and entrepreneurial skills as measured by the research tools in the present study with the creativity component showing a strong correlation with entrepreneurial skills. Management skills might be the most important indicators of creativity among hospital managers, it is suggested the barriers to creativity in the organization be removed, a financial system be formulated to encourage entrepreneurs, support creativity and innovation in the organization by formulating the necessary policies and guidelines, as well as holding classes and training courses to strengthen management skills among managers. Also, given the negative correlation between age/work experience on the one hand, and creativy/entrepreneurial skills on the other, it seems reasonable that due measures had best be taken to pave the way for the younger generation taking on managerial responsibilities. Practical implications of research The findings of the present study seem to point toa strong and significant relationship between creativity and entrepreneurial skills. Therefore, appropriate training programs should be designed and implemented to increase the creativity of hospital managers. Also, due to the high level of creativity and entrepreneurial skills of the managers of educational hospitals in Ahvaz, the trustees should take action to provide the best possible conditions for benefiting from this capacity. Ethical considerations Observance of ethical instructions: This study is based on the protocols of the ethics committee in the research of Ahvaz Jundishapur University of Medical Sciences with the code of ethics number IR.AJUMS.REC.1399.269 and also the study was conducted with the consent of the statistical population of the study. Conflict of interest The authors state that there is no conflict of interest in the present study. Aknowledgment This research has been done with the financial support of the Student Research Committee of Ahvaz Jundishapur University of Medical Sciences with the number 99S27. The authors are grateful to all the directors who participated in this study.

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Prevalence of workplace violence against nurses in Iran and its related factors

10.21203/rs.3.rs-22321/v1 ◽

2020 ◽

Author(s):

Shahrokh Aghayan ◽

Zahra Bagherian ◽

Pouneh Zolfaghari ◽

Batoul Daghyanous ◽

Mohammad Bagher Sohrabi

Keyword(s):

Nursing Staff ◽

Workplace Violence ◽

Work Experience ◽

Health Sector ◽

Medical Personnel ◽

Psychological Violence ◽

Emergency Ward ◽

Related Factors ◽

The Mean ◽

Male Sex

Abstract Background: Workplace violence is a relatively common problem in most jobs. The medical personnel especially nursing staff has been exposed to a great deal of violence from patients, companions, and colleagues, and it is necessary to determine its frequency by controlling it. The aim of this study was to investigate the prevalence of workplace violence against nurses. Materials and Methods: This study was a descriptive study which was performed among 200 qualified nursing staff working in Imam Hossain Hospital in Shahroud of Iran. In this study, after selecting individuals and obtaining informed consent, demographic and workplace violence questionnaires in health sector were collected. Results: Of the 200 participants, 177 (88.5%) were female and the rest were male. The mean age of the participants was 35.8 ± 13.5 years. 81.5% of who were nurses. Also, was showed that psychological violence with the prevalence of 68.5% during the last year was the most violent occurrence against the nurses working in this center. Workplace violence variables were significantly associated with job of nurses (p<0.033), work experience of less than 5 years (p<0.027), work of service in emergency ward (p<0.029), work shift of nurses in circulate shirt (p<0.001), violent male sex (p<0.036) and time of violence in discharge time (p<0.011). Conclusion: The results of this study showed that the incidence of violence against nurses was relatively common and the most frequent was psychological abuse. Although it is not easy to accurately calculate violence against medical staff, it is important to carefully examine the same.

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Care Burden and Related Factors on the Caregivers of Patients Receiving Service from Hemodialysis Unit

10.22541/au.162732612.21006226/v1 ◽

2021 ◽

Author(s):

Mucahit AKCIN ◽

Mahcube CUBUKCU

Keyword(s):

Quality Of Life ◽

Short Form ◽

Demographic Data ◽

Hemodialysis Patients ◽

Related Factors ◽

Care Burden ◽

Hemodialysis Unit ◽

Sf 36 ◽

The Mean

Introduction Caregivers of hemodialysis patients may experience stress, depression, fatigue, and decreased quality of life. This study aimed to examine the caregiver burden and related factors in patients’ caregivers under dialysis treatment. Method Our study was conducted between February and April 2019 in the Hemodialysis Unit of our Hospital Internal Diseases Clinic. Eighty-three people providing primary care to patients who had received hemodialysis service for at least three months were included in the study. The socio-demographic data of the caregivers were recorded. Care burden was evaluated by Zarit Burden Interview (ZBI) and dependency status with Katz Activities of Daily Living (ADL) instrument. Quality of life was evaluated with the 36-Item Short Form Survey (SF-36). Results The mean age of 183 caregivers included in the study was 46.35 ± 24.20 years; 67.5% of them were female. The mean ZBI score of the caregivers was 32.5 ± 14.4. Care burden was observed to be absent or very mild in 20.5% of the caregivers, mild-moderate in 57.8%, moderate-heavy in 19.3%, and heavy in 2.4%. The care burden was higher in those who felt insufficient to provide care or did not receive help from other family members for patient care (p<0.05). Besides, if the hemodialysis frequency was more than three times a week, the care burden was higher (p=0.003). Care burden was higher in functionally dependent patient (p=0.013). ZBI was negatively correlated with the SF-36 subscales, except for the physical function subscale (p<0.05). Conclusion The care burden was high in primary caregivers of hemodialysis patients. The care burden was higher in caregivers of patients with bedridden, high frequency of hemodialysis, and low quality of life. In addition to hemodialysis patients’ routine treatment, it may be appropriate to develop support groups and new care approaches for caregivers to reduce the care burden.

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Abstract TP3: Rate of Utilization and Determinants of Withdrawal of Care Among Acute Ischemic Stroke Patients Treated with Thrombolytics

Stroke ◽

10.1161/str.44.suppl_1.atp3 ◽

2013 ◽

Vol 44 (suppl_1) ◽

Author(s):

Adnan I Qureshi ◽

Malik M Adil ◽

Haseeb A Rahman ◽

M Fareed K Suri

Keyword(s):

Ischemic Stroke ◽

Acute Ischemic Stroke ◽

Teaching Hospitals ◽

Stepwise Logistic Regression ◽

Routine Practice ◽

Stroke Patients ◽

Related Factors ◽

Data Files ◽

The Mean ◽

Restricted Use

Background: Our current practices for utilization of thrombolytics are based on the results of clinical trials with no or restricted use of “withdrawal of care” among treated patients. The increasing use of “withdrawal of care” in routine practice may lead to suboptimal outcomes among acute ischemic stroke patients treated with thrombolytics. Objective: To identify the rate and determinants of “withdrawal of care” among acute ischemic stroke patients treated with thrombolytics in Nationwide Inpatient Survey (NIS) data files from 2002 to 2010. Methods: We determined the frequency of “withdrawal of care” and compared the demographic, clinical characteristics, and in-hospital outcomes among thrombolytic treated ischemic stroke patients stratified by use of “withdrawal of care”. Results: “Withdrawal of care” during hospitalization was instituted in 4327 (3.1%) of the 136854 acute ischemic stroke patients treated with thrombolytics. The mean age [±standard deviation] of the patients who underwent “withdrawal of care” was significantly higher (79±11.5 years versus 68±14.7, p<0.001). In the stepwise logistic regression, female sex (odds ratio [OR] 1.4, 95% confidence interval [1.1-1.7]), presence of atrial fibrillation (OR 2.1, 95% CI 1.8-2.5), and intracerebral hemorrhage (OR 3.2, 95% CI 2.5-4.1) were significant predictors of “withdrawal of care” among thrombolytic treated ischemic stroke patient. Large sized hospitals (OR 1.5, 95% CI 1.1-2.0), and teaching hospitals (OR 1.4, 95% CI 1.0-1.9) were more likely to use withdrawal of care. The rate of intubation and mechanical ventilation were significantly higher among patients who underwent “withdrawal of care”. In-hospital mortality (61% versus 8.6%, p=<0.0001) and the mean hospitalization charges ($84,072±79674 versus $69,104±75014, p<0.0001) were significantly higher among those with “withdrawal of care." Conclusions: Our results identify several individual and institution related factors that determine the use of “withdrawal of care” among thrombolytic treated ischemic stroke patients. The excessively high mortality and resource utilization mandates a more evidence based policy for “withdrawal of care” in these patients.

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