Table 2.
Questions/statements | Answers | All | Physicians | Nurses | Male | Female | |||||
---|---|---|---|---|---|---|---|---|---|---|---|
N | % | N | % | N | % | N | % | N | % | ||
Are DNACPR decisions made in your ICU? | Frequently | 81 | 18.5 | 52 | 38.0 | 29 | 9.6 | 31 | 30.7 | 48 | 14.5 |
Rarely | 217 | 49.5 | 64 | 46.7 | 153 | 50.8 | 49 | 48.5 | 165 | 49.7 | |
Never | 84 | 19.2 | 14 | 10.2 | 70 | 23.3 | 12 | 11.9 | 72 | 21.7 | |
Are decisions to withhold LST made in your ICU? | Frequently | 60 | 13.7 | 37 | 27.0 | 23 | 7.6 | 20 | 19.8 | 37 | 11.1 |
Rarely | 213 | 48.6 | 83 | 60.6 | 130 | 43.2 | 52 | 51.5 | 160 | 48.2 | |
Never | 106 | 24.2 | 9 | 6.6 | 97 | 32.2 | 18 | 17.8 | 87 | 26.2 | |
Are decisions to withdraw mechanical ventilation made in your ICU? | Frequently | 14 | 3.2 | 5 | 3.7 | 9 | 3.0 | 6 | 5.9 | 7 | 2.1 |
Rarely | 120 | 27.4 | 36 | 26.3 | 84 | 27.9 | 25 | 24.8 | 92 | 27.7 | |
Never | 243 | 55.5 | 87 | 63.5 | 156 | 51.8 | 60 | 59.4 | 183 | 55.1 | |
Are decisions to withdraw endotracheal tube made in your ICU? | Frequently | 22 | 5.0 | 2 | 1.5 | 20 | 6.6 | 3 | 3.0 | 19 | 5.7 |
Rarely | 90 | 20.6 | 32 | 23.4 | 58 | 19.3 | 21 | 20.8 | 68 | 20.5 | |
Never | 267 | 61.0 | 95 | 69.3 | 172 | 57.1 | 67 | 66.3 | 197 | 59.3 | |
Are decisions to withdraw inotropes made in your ICU? | Frequently | 98 | 22.4 | 52 | 38.0 | 46 | 15.3 | 34 | 33.7 | 60 | 18.1 |
Rarely | 178 | 40.6 | 62 | 45.3 | 116 | 38.5 | 43 | 42.6 | 135 | 40.7 | |
Never | 105 | 24.0 | 14 | 10.2 | 91 | 30.2 | 16 | 15.8 | 89 | 26.8 | |
Are decisions to withdraw antibiotics made in your ICU? | Frequently | 87 | 19.9 | 40 | 29.2 | 47 | 15.6 | 29 | 28.7 | 56 | 16.9 |
Rarely | 151 | 34.5 | 56 | 40.9 | 95 | 31.6 | 37 | 36.6 | 113 | 34.0 | |
Never | 142 | 32.4 | 32 | 23.4 | 110 | 36.5 | 25 | 24.8 | 116 | 34.9 | |
Are decisions to withdraw hydration made in your ICU? | Frequently | 16 | 3.7 | 3 | 2.2 | 13 | 4.3 | 5 | 5.0 | 11 | 3.3 |
Rarely | 59 | 13.5 | 15 | 11.0 | 44 | 14.6 | 18 | 17.8 | 41 | 12.4 | |
Never | 302 | 69.0 | 109 | 79.6 | 193 | 64.1 | 67 | 66.3 | 231 | 69.6 | |
Are DNACPR decisions made and noted in the patient's medical records? | Yes. written | 36 | 8.2 | 3 | 2.2 | 33 | 11.0 | 4 | 4.0 | 32 | 9.6 |
Yes. verbal | 266 | 60.7 | 92 | 67.2 | 174 | 57.8 | 64 | 63.4 | 198 | 59.6 | |
No | 123 | 28.1 | 38 | 27.7 | 85 | 28.2 | 27 | 26.7 | 95 | 28.6 | |
Are decisions to limit LST made and noted in the patient’s medical records? | Yes. written | 56 | 12.8 | 11 | 8.0 | 45 | 15.0 | 12 | 11.9 | 44 | 13.3 |
Yes. verbal | 259 | 59.1 | 92 | 67.2 | 167 | 55.5 | 66 | 65.4 | 189 | 56.9 | |
No | 104 | 23.7 | 34 | 24.8 | 70 | 23.3 | 21 | 20.8 | 82 | 24.7 | |
Do you respect DNACPR decisions? | Always | 295 | 67.4 | 93 | 67.9 | 202 | 67.1 | 78 | 77.2 | 213 | 64.2 |
Rarely | 85 | 19.4 | 26 | 19.0 | 59 | 19.6 | 14 | 13.9 | 70 | 21.1 | |
Never | 33 | 7.5 | 8 | 5.8 | 25 | 8.3 | 4 | 4.0 | 29 | 8.7 | |
Have you been included in LST limitation decision-making? | Yes | 128 | 29.2 | 98 | 71.5 | 30 | 10.0 | 48 | 47.5 | 80 | 24.1 |
No | 287 | 65.5 | 31 | 22.6 | 256 | 85.1 | 51 | 50.5 | 231 | 69.6 | |
LST limitation decision-making process includes ICU physicians and other physicians included in patient’s treatment | Very true | 142 | 32.4 | 77 | 56.2 | 65 | 21.6 | 38 | 37.6 | 102 | 30.7 |
True | 131 | 29.9 | 46 | 33.6 | 85 | 28.2 | 38 | 37.6 | 92 | 27.7 | |
I cannot decide | 41 | 9.4 | 5 | 3.7 | 36 | 12.0 | 6 | 5.9 | 35 | 10.5 | |
Not true | 22 | 5.0 | 4 | 2.9 | 18 | 6.0 | 4 | 4.0 | 18 | 5.4 | |
Not true at all | 61 | 13.9 | 3 | 2.2 | 58 | 19.3 | 10 | 9.9 | 50 | 15.1 | |
LST limitation decision-making process includes ICU physicians and nurses | Very true | 43 | 9.8 | 18 | 13.1 | 25 | 8.3 | 14 | 13.9 | 29 | 8.7 |
True | 60 | 13.7 | 21 | 15.3 | 39 | 13.0 | 18 | 17.8 | 42 | 12.7 | |
I cannot decide | 70 | 16.0 | 16 | 11.7 | 54 | 17.9 | 14 | 13.9 | 55 | 16.6 | |
Not true | 81 | 18.5 | 32 | 23.4 | 49 | 16.3 | 19 | 18.8 | 62 | 18.7 | |
Not true at all | 119 | 27.2 | 35 | 25.6 | 84 | 27.9 | 28 | 27.7 | 88 | 26.5 | |
Who initiates LST limitation discussion? | Physicians | 292 | 66.7 | 106 | 77.4 | 186 | 61.8 | 69 | 68.3 | 220 | 66.3 |
Nurses | 11 | 2.5 | 2 | 1.5 | 9 | 3.0 | 4 | 4.0 | 7 | 2.1 | |
Family/legal guardians | 21 | 4.8 | 5 | 3.7 | 16 | 5.3 | 2 | 2.0 | 19 | 5.7 | |
Family members/legal guardians are included in LST limitation decision-making | Very true | 90 | 20.6 | 17 | 12.4 | 73 | 24.3 | 16 | 15.8 | 74 | 22.3 |
True | 125 | 28.5 | 38 | 27.7 | 87 | 28.9 | 27 | 26.7 | 94 | 28.3 | |
Not true | 127 | 29.0 | 51 | 37.2 | 76 | 25.3 | 37 | 36.6 | 90 | 27.1 | |
Not true at all | 74 | 16.9 | 27 | 19.7 | 47 | 15.6 | 18 | 17.8 | 55 | 16.6 |
ICU Intensive care unit; LST Life-sustaining treatment; DNACPR Do-not-attempt cardiopulmonary resuscitation