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:12/20/2014)... Columbus, OH (PRWEB) December 20, 2014 ... contend they suffered uncontrollable bleeding and other ... District Court, Eastern District of Louisiana for coordinated pretrial ... Panel on Multidistrict Litigation (JPML) issued an order Friday ... tag-along actions pending in 22 federal courts to the ...
(Date:12/19/2014)... It’s very easy to become overwhelmed with the ... to the wayside until Christmas and the New Year are ... and that burning desire to just escape it all and ... to Telluride with a no-fuss, affordable package. Montrose Days Inn ... resort, and ensure that all accommodations are met. Plus, everyone ...
(Date:12/19/2014)... Branson, Missouri (PRWEB) December 19, 2014 ... a new official world record -- for the first time ... most prestigious record book, Guinness World Records 2015, listing the ... Steepest Wooden Roller Coaster. In additional awards announced this week, ... to See Christmas Lights in the US,” USA Today’s 10Best ...
(Date:12/19/2014)... The Medspa at Hendrick in Abilene, TX ... cosmetic brand Juvéderm. Voluma XC treats volume loss in ... at Hendrick is pleased to be able to offer ... its clients. , Voluma is the first and only ... the mid-face and cheek area. This non-invasive treatment targets ...
(Date:12/19/2014)... 19, 2014 (HealthDay News) -- Potentially illness-causing E. coli ... at farmers markets, according to a new study. ... vendors from 13 farmers markets in Los Angeles and ... Out of almost 150 samples tested, 24 percent were ... salmonella, according to the researchers. Both types of ...
Breaking Medicine News(10 mins):Health News:Xarelto Bleeding Lawsuits Consolidated To Louisiana Federal Court For Multi-District Litigation Reports Wright & Schulte LLC 2Health News:Xarelto Bleeding Lawsuits Consolidated To Louisiana Federal Court For Multi-District Litigation Reports Wright & Schulte LLC 3Health News:Xarelto Bleeding Lawsuits Consolidated To Louisiana Federal Court For Multi-District Litigation Reports Wright & Schulte LLC 4Health News:Days Inn Montrose Colorado Delivers Last Minute Holiday Season Ski Getaway Accommodations 2Health News:Silver Dollar City Nets New Titles: Guinness Book of World Records, Plus CNN Travel, USA Today & Fodor’s Top Places for Christmas Lights 2Health News:Breakthrough New Injectable Dermal Filler Voluma XC Offered by The MedSpa at Hendrick 2Health News:E. Coli Germs Found on Farmers Market Herbs 2
... too closely to pacemakers, ICDs , , SUNDAY, Nov. 9 ... into your coat pocket might not be exactly heart-stopping, ... your implanted cardiac device. , Harvard researchers ... sessions, in New Orleans, report that magnets in these ...
... The NHS Human,Services Foundation held its fifth annual Leading ... Regency Penn,s Landing in Philadelphia. This event is,one of ... mission,of NHS Human Services, one of the largest providers ... year the Foundation presents the Leading the Way Award ...
... The 2008 Joint Meeting of the American Academy of ... the largest and most comprehensive ophthalmic educational meeting in ... to 11 at the Georgia World Congress Center, Atlanta. ... "Breakfast with the Experts" roundtables, 95 skills transfer courses, ...
... Surgery Patients can Better Understand Their Condition at CataractSurgery.com , ... ... surgery patients and their caregivers now have a new online educational ... Cataracts affect nearly 20 million Americans age 60 and ...
... uric acid in dog breed , , FRIDAY, Nov. 7 (HealthDay ... of uric acid that lead to bladder stones in Dalmatians ... may provide clues about kidney stones in humans. , Among ... of uric acid in their urine and blood. Other dog ...
... treating colorectal cancer varies widely, with newer, life-extending therapies ... older agents, according to a study led by a ... , "The total cost of chemotherapy to treat colorectal ... patient, depending on the regimen," said Gary Lyman, M.D., ...
Cached Medicine News:Health News:MP3 Player Headphones May Throw Off Cardiac Devices 2Health News:MP3 Player Headphones May Throw Off Cardiac Devices 3Health News:Gala Raises Funds for NHS Human Services 2Health News:AAO-SOE Joint Meeting research highlights 2Health News:AAO-SOE Joint Meeting research highlights 3Health News:AAO-SOE Joint Meeting research highlights 4Health News:Alcon Sponsors Online Educational Initiative for Patients Considering Cataract Surgery 2Health News:Gene Mutation in Dalmatians Sheds Light on Kidney Stones in Humans 2Health News:Cost of treating colorectal cancer can vary by thousands per patient 2
(Date:12/17/2014)... , Alemania, December 17, 2014 ... anterior, con un alto nivel de gasto en investigación ... fiscal 2013/14 (finalizado el 30 de septiembre de 2014) ... a 4.287 millones de euros (año anterior: 4.190 millones ... moneda desfavorables. Las ganancias (EBIT) crecieron un 14 por ...
(Date:12/17/2014)... 2014  Strategic Health Services, Inc. (SHS), a leading ... a strategic agreement with QualCare, Inc., a leading provider of ... regional marketplace.  This agreement will further QualCare,s population ... solutions QualCare brings to its clients in ... QualCare plans cover more than 800,000 member ...
(Date:12/17/2014)... YORK , Dec. 17, 2014 ... imaging (MRI), the MRI market is seeing new ... and breast MRI scans account for the majority ... a higher resolution of images, which are creating opportunities ... imaging (MRI) market is growing at a rate ...
Breaking Medicine Technology:ZEISS confirma su posición en un entorno difícil 2Strategic Health Services to collaborate with QualCare on Population Health and Wellness Technology for QualCare Members 2Strategic Health Services to collaborate with QualCare on Population Health and Wellness Technology for QualCare Members 3Kalorama: 3T Advancements Bringing New Growth to the MRI Market 2Kalorama: 3T Advancements Bringing New Growth to the MRI Market 3
... Ferring Pharmaceuticals presented an interim study analysis indicating that ... in vitro fertilization (IVF) cycles using a gonadotropin-releasing ... poster at the 65th Annual Meeting of the American ... 2009. , MENOPUR® vs. rFSH in ...
... NANJING, China, Oct. 20 /PRNewswire-Asia/ -- ... the "Company"), a leading pharmaceutical company,specializing in development, ... in China, today announced an agreement with,OSI Pharmaceuticals, ... OSI-930 in China. , ...
Cached Medicine Technology:Research Compares MENOPUR(R) With rFSH in GnRH Antagonist IVF Cycles 2Research Compares MENOPUR(R) With rFSH in GnRH Antagonist IVF Cycles 3Simcere Pharmaceutical Group Announces Collaboration with OSI Pharmaceuticals 2Simcere Pharmaceutical Group Announces Collaboration with OSI Pharmaceuticals 3
... double lumen tube made of silicone rubber with ... to the characteristics of silicone rubber, Silbronco is ... insertion. Furthermore, the tube will not soften like ... term surgery., ,Silbronco is also especially useful ...
The Pedia-Trake® is designed to reduce the possibility of over penetration., ,Pedia-Trake® is used to establish an emergency airway in pediatric patients more than one year old....
Used for emergency airway access when endotracheal intubation cannot be performed. Supplied sterile in peel-open packages. Intended for one-time use....
Used for emergency airway access when conventional endotracheal intubation cannot be performed. Supplied sterile in peel-open packages. Intended for one-time use....
Medicine Products: