Table 6.
Factor name (cumulative variance explained by each factor) | Comprising questions | Sum of squared loadings |
---|---|---|
Respecting patients’ wishes (13.9%) | Patients’ interests should be respected in LST limitation decision-making | 0.8173 |
Patients’ autonomy should be respected in LST limitation decision-making | 0.6914 | |
AD should be respected in LST limitation decision-making | 0.6039 | |
Good medical practice should be respected in LST limitation decision-making | 0.5534 | |
Legal regulations should be respected in LST limitation decision-making | 0.5242 | |
Families’ wishes should be respected in LST limitation decision-making | 0.4182 | |
How often are you acquainted with patients’ and families’ wishes? | 0.1061 | |
Respecting religious and cultural principles (22.4%) | Religious and cultural principles expressed by the patient or family should be respected | 1.0298 |
Religious principles should be respected in LST limitation decision-making | 0.4488 | |
Do you think AD are helpful in the decision-making process? | 0.3148 | |
Religious and cultural principles expressed by the physician should be respected | 0.2408 | |
Paramedical aspects of decision-making (30.5%) | Need for beds in the ICU should be respected in LST limitation decision-making | 0.7197 |
Treatment costs should be respected in LST limitation decision-making | 0.6231 | |
Is health care resource allocation important in decision-making? | 0.5253 | |
Decision-making process including nurses (36%) | LST limitation decision-making process includes ICU physicians and nurses | 0.6929 |
Common withdrawal of therapies (12.4%) | Are decisions to withdraw antibiotics made in your ICU? | 0.7639 |
Are decisions to withdraw inotropes made in your ICU? | 0.7477 | |
Are decisions to withhold LST made in your ICU? | 0.7069 | |
Are DNACPR decisions made in your ICU? | 0.6075 | |
Uncommon withdrawal of therapies (21.3%) | Are decisions to withdraw endotracheal tube made in your ICU? | 0.876 |
Are decisions to withdraw mechanical ventilation made in your ICU? | 0.6829 | |
Are decisions to withdraw hydration made in your ICU? | 0.4667 | |
Do you agree that hydration should be withdrawn in end-of-life patients? | 0.0654 | |
Disagreement in decision-making (28.7%) | How often is agreement between physicians not achieved? | 0.7366 |
How often is agreement between physicians and family/legal guardians not achieved? | 0.6122 | |
Have you ever disagreed with the method of LST limitation? | 0.5269 | |
Have you ever refused to be a part of decision-making discussion or implementation? | 0.1134 | |
Do you think there is a difference between withholding and withdrawing LST from an ethical standpoint? | 0.0628 | |
Liberal attitudes towards LST limitation (35%) | Do you think that withholding and withdrawing LST in end-of-life patients is ethically acceptable? | 0.694 |
Do you think DNACPR decisions in end-of-life patients are ethically acceptable? | 0.5893 | |
Do you respect DNACPR decisions? | 0.2799 | |
Do you think LST limitation is the same from an ethical standpoint in the adult patients who are brain dead, terminally ill or in a vegetative state? | 0.1232 |
ICU intensive care unit; LST life-sustaining treatment; DNACPR do-not-attempt cardiopulmonary resuscitation