Đang chuẩn bị liên kết để tải về tài liệu:
Báo cáo hóa học: " Variability in the pediatric intensivists’ threshold for withdrawal/limitation of life support as perceived by bedside nurses: a multicenter survey study"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành hóa học dành cho các bạn yêu hóa học tham khảo đề tài: Variability in the pediatric intensivists’ threshold for withdrawal/limitation of life support as perceived by bedside nurses: a multicenter survey study | Gresiuk and Joffe Annals of Intensive Care 2011 1 31 http www.annalsofintensivecare.eom content 1 1 31 Ù Annals of Intensive Care a SpringerOpen Journal RESEARCH Open Access Variability in the pediatric intensivists threshold for withdrawal limitation of life support as perceived by bedside nurses a multicenter survey study Colleen S Gresiuk1 and Ari R Joffe1 2 Abstract Background We hypothesized that bedside nurses perceive significant variability in the pediatric intensivist thresholds for approaching a family about withdrawal limitation of life-sustaining therapy. Methods All nurses working in four university-affiliated medical-surgical pediatric intensive care units staffed by 11 7 6 and 5 intensivists with 36 18 10 and 8 beds were sent three mailings of a survey asking questions about intensivist decisions for withdrawal limitation of life-sustaining therapy. Responses were tabulated chi-square compared results among centers a p 0.05 after Bonferroni correction was significant. Results The response rate was 205 of 415 49 152 of 205 74 disagreed with the statement that each of the intensivists had the same threshold for approaching a family to suggest withdrawal limitation of life-sustaining therapy with no significant difference between centers. Also 110 of 205 54 and 119 of 205 58 disagreed with the statement that each intensivist has the same threshold of the patient s chance for survival or projected quality of life when making a decision to withdraw limit life-sustaining therapy with no significant difference between centers. The threshold to suggest withdraw limit life-sustaining therapy based on chance of survival or projected quality of life differs between intensivists by at least 10 according to 113 of 184 61 and 121 of 184 66 nurses the two larger centers had significantly higher difference among intensivists for projected quality of life. Fifty-five of 200 27 disagreed with the statement that they would have equal confidence in each intensivist .