Navigation Links
Perception of inappropriate care frequent among ICU workers
Date:12/27/2011

ness of care questionnaires. Perceived disproportionate care was the most common reported reason (65 percent) for perceived inappropriateness of care; in 89 percent of these cases, the amount of care was perceived as excessive and in 11 percent as insufficient. Feeling that other patients would benefit more from ICU care than the present patient was the second most common reason (38 percent) for perceived inappropriateness of care. This feeling of distributive injustice was significantly more common among physicians than among nurses, the authors write.

Analysis indicated that several factors were independently associated with lower perceived inappropriateness of care rates: decisions about symptom control shared by nurses and physicians as opposed to being made by the physicians only; involvement of nurses in end-of-life decisions; good collaboration between nurses and physicians; work autonomy (freedom to decide how to perform work-related tasks); and perceived lower workload (only among nurses).

"In conclusion, perceived inappropriateness of care is common among nurses and physicians in ICUs and is significantly associated with an intent to leave the current clinical position, suggesting a major impact on clinician well-being. The main reported reason for perceived inappropriateness of care is a mismatch between the level of care and the expected patient outcome, usually in the direction of perceived excess intensity of care," the researchers write.

The authors add that the challenge for ICU managers is "to create ICUs in which self-reflection, mutual trust, open communication, and shared decision making are encouraged in order to improve the well-being of the individual clinicians and, thereby, the quality of patient care."

(JAMA. 2011;306[24]:2694-2703. Available pre-embargo to the media at www.jamamedia.org)

Editor's Note: Please see the article for additional informat
'/>"/>

Contact: Ruth D. Piers, M.D.
ruth.piers@ugent.be
JAMA and Archives Journals
Source:Eurekalert

Page: 1 2 3

Related medicine news :

1. Perception of poor sleep may predict postpartum mood disturbances in healthy new mothers
2. Perception: Skinny people arent lazy but overweight people are
3. Sleep colors your view of the world: Study suggests sleep may restore color perception
4. California Family Raising Confident, Blind Child Sharing Successes to Change Perceptions of Blindness
5. Male breast cancer in family leads to high perception of risk, low likelihood of genetic counseling
6. The impact of chronic diseases on patients also depends on their perception of the disease
7. Team colors on cans change perceptions of alcohol risks, MU study finds
8. Acupuncture changes brains perception and processing of pain
9. Widening our perceptions of reading and writing difficulties
10. Sense of Touch May Influence Gender Perception
11. How does anesthesia disturb self-perception?
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:6/30/2015)... New York (PRWEB) , ... June 30, 2015 ... ... ( http://www.xareltolawsuit2015.com/ ) currently pending in a federal multidistrict litigation now underway in ... Court convenes its next monthly Status Conference. According to the Court’s calendar, that ...
(Date:6/30/2015)... ... June 30, 2015 , ... Rocky Mountain Oils, a leading non-MLM supplier ... added a new CEO, Mr. Darold Francis. The changes will help enhance the company’s ... that customers have come to know and respect for over eight years. , “I ...
(Date:6/30/2015)... ... June 30, 2015 , ... Allied ... from Allied’s Fullerton division volunteered to help provide free outpatient procedures to some ... 21, at St. Jude Medical Center. , The event was coordinated by ...
(Date:6/30/2015)... , ... June 30, 2015 , ... ... president and general manager of HRA Healthcare Research & Analytics , a ... J. Hennessy Associates, Inc. (MJH) family of businesses. HRA offers quantitative and qualitative, ...
(Date:6/30/2015)... ... , ... Red Hot & Blue Restaurants, Inc. took home the ... and was selected as “Best BBQ” in a Texas-based Living Magazine ... Blue President Randy McCann said, “Everyone knows Red Hot & Blue serves smokin’ fresh ...
Breaking Medicine News(10 mins):Health News:Progress of Federal Xarelto Lawsuits Pending in Multidistrict Litigation to Be Discussed During July 9th Status Conference 2Health News:Progress of Federal Xarelto Lawsuits Pending in Multidistrict Litigation to Be Discussed During July 9th Status Conference 3Health News:Rocky Mountain Oils Adds New CEO, Announces Relocation of Operations to Orem, Utah 2Health News:Allied Anesthesia Physicians Volunteer to Help Orange County’s Uninsured During Annual Super Surgery Saturday 2Health News:Allied Anesthesia Physicians Volunteer to Help Orange County’s Uninsured During Annual Super Surgery Saturday 3Health News:HRA Healthcare Research & Analytics Welcomes 'Creative Problem Solver' as New Executive Vice President 2Health News:HRA Healthcare Research & Analytics Welcomes 'Creative Problem Solver' as New Executive Vice President 3Health News:Red Hot & Blue BBQ Restaurants Voted "Best Burger" in Virginia and "Best Barbecue" in Texas 2Health News:Red Hot & Blue BBQ Restaurants Voted "Best Burger" in Virginia and "Best Barbecue" in Texas 3
... ... retailer of vision care products, is delighted to announce the arrival of their new spring/summer ... Vancouver, ... retailer of vision care products, is delighted to announce the arrival of their new spring/summer ...
... ... are not a problem at Mainstreet Property Group, despite the turbulent economic conditions affecting ... of such development services at an estimated $16.6 million in value. , ... Cicero, Ind. (PRWEB) June 3, ...
... for everyone. One of the most promising solutions is ... worksite wellness solution and created a stand alone program for ... can participate in behavior change programs that improve employee health. ... companies pay more for employee health care than larger companies. ...
... ... to More Distributors in Pennsylvania. LeadConfirm Professional, the first and only non-invasive and oral-based ... health care professionals in Kansas through a wider distribution base. , ... San Diego, CA (Vocus) June 3, ...
... June 3 Dr. Mark E. Schafer, Chief Technology ... expert in ultrasonic technology, recently presented a paper on ... the Acoustical Society of America in Portland, OR. , ... ultrasound, or HIFU, has driven the need for reliable, ...
... HARBIN, China, June 2 /PRNewswire-Asia-FirstCall/ -- China ... Company") (Nasdaq: CSKI ), a leading,fully integrated ... China ("PRC"), today announced that it obtained,approval from the ... the,production of Diclofenac Sodium eye drops. The document number ...
Cached Medicine News:Health News:Clearly Contacts Introduces New Spring Eyewear Lineup 2Health News:Clearly Contacts Introduces New Spring Eyewear Lineup 3Health News:Wall Street Not Affecting Mainstreet Property Group; Group Breaks Ground on Another Senior Care Campus in Lafayette, IN 2Health News:Wall Street Not Affecting Mainstreet Property Group; Group Breaks Ground on Another Senior Care Campus in Lafayette, IN 3Health News:Wall Street Not Affecting Mainstreet Property Group; Group Breaks Ground on Another Senior Care Campus in Lafayette, IN 4Health News:MyWellSteps(TM) Delivers an Important Key to Healthcare Reform - Wellness Programs for Small Businesses 2Health News:Parents In Kansas Can Now Test Their Children For Lead Exposure Using Saliva 2Health News:Parents In Kansas Can Now Test Their Children For Lead Exposure Using Saliva 3Health News:Parents In Kansas Can Now Test Their Children For Lead Exposure Using Saliva 4Health News:Sound Surgical Technologies' Chief Technology Officer Presents Paper on Focused Ultrasound Technology 2Health News:China Sky One Medical, Inc. Obtains SFDA Approval for Diclofenac Sodium Eye Drops 2Health News:China Sky One Medical, Inc. Obtains SFDA Approval for Diclofenac Sodium Eye Drops 3
(Date:6/30/2015)... Millar, Inc. , a leader in catheter-based and wireless ... Craig Thummel , President/CEO and member of the ... the Company. The Company also announced its leadership succession ... Management team as his successors. The Board of Directors ... Sales and Marketing, as President, and also a member ...
(Date:6/30/2015)... CENTER VALLEY, Pa. , June 30, 2015 ... designing and delivering innovative solutions for medical and ... it is guaranteeing next-day replacements for surgical equipment ... surgical product manufacturer to offer this type of ... an Olympus Full Service Agreement earlier this year. ...
(Date:6/30/2015)... , June 30, 2015  Ardelyx, Inc. (NASDAQ: ... gastrointestinal and metabolic diseases, today announced that the Company ... 2015, from 8:00 a.m.- 1:00 pm EDT in ... The Ardelyx senior management team will present an overview ... tenapanor, which has completed Phase 2b clinical trials for ...
Breaking Medicine Technology:Millar, Inc. Announces Leadership Changes 2Millar, Inc. Announces Leadership Changes 3Olympus Introduces Industry-First Next-Day Product Replacement Guarantee for Surgical Business 2Olympus Introduces Industry-First Next-Day Product Replacement Guarantee for Surgical Business 3Ardelyx to Host Inaugural R&D Investor Day in New York City on July 14, 2015 2
... - Novel, ... 15 Carrington,Laboratories, Inc. (Nasdaq: CARN ) today ... toxicology studies of its,GelVac(TM) nasal powder influenza vaccine, incorporating ... a critical step during the vaccine,development and will assess ...
... N.C., Aug. 16 Cancer patients fraught with,flare-ups ... some assistance,in the form of a new easy-to-use ... to quickly deliver pain medication. Cancer patients ... Persistent cancer pain is characterized as continuous pain,present ...
Cached Medicine Technology:Carrington Subsidiary DelSite Initiates Critical Toxicology Studies of Its Nasal Powder Bird Flu Vaccine 2Carrington Subsidiary DelSite Initiates Critical Toxicology Studies of Its Nasal Powder Bird Flu Vaccine 3Novel Technology Breaks Through Cancer Pain 2
... determines osmolality at room temperature with the ... get are cryoscopic artifacts due to high ... interfere with freezing point determinations. The superbly ... Vapro osmometer has a much broader range ...
Rapid assay, results in 1 hours,Range 20-800 ng/mL; sensitivity 2.5 ng/mL,Can be used for animal sera; requires extraction protocol and steroid free serum...
... IMMULITE 2000 assays are ... the IMMULITE 2000, a ... immunoassay analyzer. IMMULITE 2000 ... centralization, and a rapidly ...
... in specimen radiography. The XPERT represents a research ... of gray in every digital x-ray image, thus ... density that heretofore were lost to the human ... x 2 to 8 x 8 in size, ...
Medicine Products: