Table 2.
Nurse manager response | Medical director response | P-value | |
---|---|---|---|
Intensivist physician staffing (high vs. low) | 14 (60.9%) | 18 (78.3%) | 0.05 |
Weekday providers | |||
Physician trainees | 19 (82.6%) | 17 (73.9%) | 0.32 |
Nurse practitioner/Physician assistants | 13 (56.5%) | 11 (47.8%) | 0.15 |
Night-time providers | |||
Intensivists | 20 (86.9%) | 19 (82.61%) | 0.57 |
Physician trainees | 19 (82.6%) | 15 (65.2%) | 0.05 |
Nurse practitioner/Physician assistants | 6 (26.1%) | 5 (21.7%) | 0.32 |
Clinicians involved in patient care | |||
Respiratory therapistsb | 23 (100%) | 23 (100%) | – |
Clinical pharmacists | 21 (91.3%) | 23 (100%) | 0.16 |
Nutritionists | 18 (78.3%) | 21 (91.3%) | 0.18 |
Social worker | 18 (78.3%) | 18 (78.3%) | 1.00 |
Physical therapist | 22 (95.7%) | 19 (82.6%) | 0.08 |
Daily multidisciplinary rounds | 20 (86.9%) | 19 (82.6%) | 0.32 |
Daily rounds with | |||
Respiratory therapy | 14 (60.9%) | 16 (69.6%) | 0.48 |
Clinical pharmacy | 17 (73.9%) | 17 (73.9%) | 1.00 |
Nutrition | 6 (26.1%) | 8 (34.8%) | 0.32 |
Social work | 9 (39.1%) | 11 (47.8%) | 0.48 |
Physical therapy | 3 (13.0%) | 3 (13.0%) | 1.00 |
Protocols | |||
Liberation from mechanical ventilation | 19 (82.6%) | 21 (91.3%) | 0.41 |
Lung-protective ventilation strategy | 11 (47.8%) | 17 (73.9%) | 0.03 |
Sedation | 14 (60.9%) | 20 (86.9%) | 0.06 |
Daily interruption of sedation | 21 (91.3%) | 22 (95.7%) | 0.32 |
Checklists | |||
Central line insertions | 16 (69.6%) | 16 (69.6%) | 1.00 |
Checklist for morning rounds | 12 (52.2%) | 14 (60.9%) | 0.32 |
Delirium screening | 5 (21.7%) | 3 (13.0%) | 0.32 |
aResponses above describe group-level summary statistics for each organizational characteristic and do not describe percent agreement. This should be interpreted as the prevalence of the organizational characteristics in the sample according to each respondent group.
bMcNemar's test was not applicable for respiratory therapists involved in care as all indicated that these clinicians were involved and thus no testable difference.