Nurses and physicians in ICUs in Europe and Israel have indicated that perceptions of inappropriate care for patients are common, according to a study published in the Journal of the American Medical Association.
Providers' belief that patients receive excessive care in the ICU can put them at risk for burnout and "acute moral distress" as the care they deliver clashes with their professional knowledge. Study authors say the situation could jeopardize the quality of care and increase staff turnover.
Of the 1,651 clinicians who provided responses, 439 (27 percent) reported perceived inappropriateness of care in at least one patient. Of the 1,218 nurses who completed the perceived inappropriateness of care questionnaire, 300 (25 percent) reported perceived inappropriateness of care. Of the 407 ICU physicians who provided care, 132 (32 percent) reported perceived inappropriateness of care in at least one of their patients.
"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," researchers wrote, according to the news release.
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Providers' belief that patients receive excessive care in the ICU can put them at risk for burnout and "acute moral distress" as the care they deliver clashes with their professional knowledge. Study authors say the situation could jeopardize the quality of care and increase staff turnover.
Of the 1,651 clinicians who provided responses, 439 (27 percent) reported perceived inappropriateness of care in at least one patient. Of the 1,218 nurses who completed the perceived inappropriateness of care questionnaire, 300 (25 percent) reported perceived inappropriateness of care. Of the 407 ICU physicians who provided care, 132 (32 percent) reported perceived inappropriateness of care in at least one of their patients.
"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," researchers wrote, according to the news release.
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