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| 41. |
Interhospital variability in satisfaction with withdrawal of life support: Room for improvement? |
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Critical Care Medicine,
Volume 31,
Issue 2,
2003,
Page 626-631
Sean,
Keenan Cathy,
Mawdsley Donna,
Plotkin William,
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摘要:
ObjectiveTo develop instruments to measure the current level of satisfaction with the withdrawal of life support among nurses and respiratory therapists and to use these instruments to determine whether differences in satisfaction levels with the withdrawal of life support could be found among different institutions.DesignA multicenter, self-administered, questionnaire-based study.SettingThe intensive care units of three academic and 11 community hospitals.SubjectsA total of 412 critical care nurses and 117 respiratory therapists working in these intensive care units.InterventionsNone.Measurements and Main ResultsAfter developing two similar questionnaires for critical care nurses and respiratory therapists, we assessed the reliability of the individual items for each questionnaire and only used those found to be reliable in the analyses. We found variability in the satisfaction level of critical care nurses among different intensive care units and among academic and community hospital intensive care units. Being involved in the plan for withdrawal of life support, comfort with the way discussions with the family had gone, comfort with patient sedation, and increasing experience with withdrawal of life support were items associated with increased nurse satisfaction. For respiratory therapists, there seemed to be similar differences among institutions in satisfaction level, although numbers were limited. Having the physician explain the plan to them and becoming more comfortable with withdrawal of life support as a result of increased experience were found to be associated with increased satisfaction levels for respiratory therapists.ConclusionsSatisfaction levels of intensive care unit nurses and respiratory therapists with the process of withdrawing life support vary among institutions. This variation may represent an opportunity for improvement in the process of withdrawing life support within this region.
ISSN:0090-3493
出版商:OVID
年代:2003
数据来源: OVID
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| 42. |
Circulating substances and energy metabolism in septic shock* |
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Critical Care Medicine,
Volume 31,
Issue 2,
2003,
Page 632-633
Anand,
Kumar Kenneth,
Wood Joseph,
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ISSN:0090-3493
出版商:OVID
年代:2003
数据来源: OVID
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| 43. |
Hormone replacement therapy for the critically ill* |
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Critical Care Medicine,
Volume 31,
Issue 2,
2003,
Page 634-635
Djillali,
Annane Jean,
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ISSN:0090-3493
出版商:OVID
年代:2003
数据来源: OVID
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| 44. |
Granulocyte colony-stimulating factor for severe pneumonia: What do we do when the best laid plans for men (and mice and rats…) fail?* |
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Critical Care Medicine,
Volume 31,
Issue 2,
2003,
Page 635-637
Michael,
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ISSN:0090-3493
出版商:OVID
年代:2003
数据来源: OVID
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| 45. |
NO way to warm the big toe* |
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Critical Care Medicine,
Volume 31,
Issue 2,
2003,
Page 637-639
Graziano,
Carlon Arthur,
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ISSN:0090-3493
出版商:OVID
年代:2003
数据来源: OVID
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| 46. |
Shocking?* |
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Critical Care Medicine,
Volume 31,
Issue 2,
2003,
Page 639-640
Karl,
Donovan Bernard,
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ISSN:0090-3493
出版商:OVID
年代:2003
数据来源: OVID
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| 47. |
Efficacy of lung recruiting maneuvers: It’s all relative* |
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Critical Care Medicine,
Volume 31,
Issue 2,
2003,
Page 641-642
John,
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ISSN:0090-3493
出版商:OVID
年代:2003
数据来源: OVID
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| 48. |
Chaos, computers, and critical care* |
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Critical Care Medicine,
Volume 31,
Issue 2,
2003,
Page 642-644
Adam,
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ISSN:0090-3493
出版商:OVID
年代:2003
数据来源: OVID
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| 49. |
In critically ill patients with acute renal failure, outcomes, not dollars, should drive modality choice* |
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Critical Care Medicine,
Volume 31,
Issue 2,
2003,
Page 644-646
Ravindra,
Mehta Glenn,
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ISSN:0090-3493
出版商:OVID
年代:2003
数据来源: OVID
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| 50. |
Assessing futility of medical interventions—Is it futile?* |
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Critical Care Medicine,
Volume 31,
Issue 2,
2003,
Page 646-648
Neal,
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ISSN:0090-3493
出版商:OVID
年代:2003
数据来源: OVID
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