Impact of perceived inappropiate cardiopulmonary resuscitation on emergency clinicians' intention to leave the job: Results from a cross-sectional survey in 288 centres across 24 countries

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dc.contributor.authorDruwe, Patrick
dc.contributor.authorMonsieurs, Koenraad G.
dc.contributor.authorGagg, James
dc.contributor.authorNakahara, Shinji
dc.contributor.authorCocchi, Michael N.
dc.contributor.authorElo, Gabor
dc.contributor.authorvan Schuppen, Hans
dc.contributor.authorAlpert, Evan Avraham
dc.contributor.authorTruhlar, Anatolij
dc.contributor.authorHuybrechts, Sofie A.
dc.contributor.authorMpotos, Nicolas
dc.contributor.authorPaal, Peter
dc.contributor.authorBjorshol, Conrad
dc.contributor.authorXanthos, Theodoros
dc.contributor.authorJoly, Luc-Marie
dc.contributor.authorRoessler, Markus
dc.contributor.authorDeasy, Conor
dc.contributor.authorSvavarsdottir, Hildigunnur
dc.contributor.authorNurmi, Jouni
dc.contributor.authorOwczuk, Radoslaw
dc.contributor.authorSalmeron, Pascual Pinera
dc.contributor.authorCimpoesu, Diana
dc.contributor.authorFuenzalida, Pablo Aguilera
dc.contributor.authorRaffay, Violetta
dc.contributor.authorSteen, Johan
dc.contributor.authorDecruyenaere, Johan
dc.contributor.authorDe Paepe, Peter
dc.contributor.authorPiers, Ruth
dc.contributor.authorBenoit, Dominique D.
dc.date.accessioned2025-01-20T23:54:38Z
dc.date.available2025-01-20T23:54:38Z
dc.date.issued2021
dc.description.abstractIntroduction: Cardiopulmonary resuscitation (CPR) in patients with a poor prognosis increases the risk of perception of inappropriate care leading to moral distress in clinicians. We evaluated whether perception of inappropriate CPR is associated with intention to leave the job among emergency clinicians.
dc.description.abstractMethods: A cross-sectional multi-centre survey was conducted in 24 countries. Factors associated with intention to leave the job were analysed by conditional logistic regression models.
dc.description.abstractResults are expressed as odds ratios with 95% confidence intervals. Results: Of 5099 surveyed emergency clinicians, 1836 (36.0%) were physicians, 1313 (25.7%) nurses, 1950 (38.2%) emergency medical technicians. Intention to leave the job was expressed by 1721 (33.8%) clinicians, 3403 (66.7%) often wondered about the appropriateness of a resuscitation attempt, 2955 (58.0%) reported moral distress caused by inappropriate CPR. After adjustment for other covariates, the risk of intention to leave the job was higher in clinicians often wondering about the appropriateness of a resuscitation attempt (1.43 [1.23-1.67]), experiencing associated moral distress (1.44 [1.24 -1.66]) and who were between 30-44 years old (1.53 [1.21-1.92] compared to <30 years). The risk was lower when the clinician felt valued by the team (0.53 [0.42-0.66]), when the team leader acknowledged the efforts delivered by the team (0.61 [0.49-0.75]) and in teams that took time for debriefing (0.70 [0.60-0.80]).
dc.description.abstractConclusion: Resuscitation attempts perceived as inappropriate by clinicians, and the accompanying moral distress, were associated with an increased likelihood of intention to leave the job. Interprofessional collaboration, teamwork, and regular interdisciplinary debriefing were associated with a lower risk of intention to leave the job.
dc.fuente.origenWOS
dc.identifier.doi10.1016/j.resuscitation.2020.10.043
dc.identifier.eissn1873-1570
dc.identifier.issn0300-9572
dc.identifier.urihttps://doi.org/10.1016/j.resuscitation.2020.10.043
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/95038
dc.identifier.wosidWOS:000608110100031
dc.language.isoen
dc.pagina.final48
dc.pagina.inicio41
dc.revistaResuscitation
dc.rightsacceso restringido
dc.subjectEmergency department
dc.subjectEmergency medical services
dc.subjectFutility
dc.subjectInappropriate cardiopulmonary resuscitation
dc.subjectMoral distress
dc.subjectOut of hospital cardiac arrest
dc.subject.ods03 Good Health and Well-being
dc.subject.odspa03 Salud y bienestar
dc.titleImpact of perceived inappropiate cardiopulmonary resuscitation on emergency clinicians' intention to leave the job: Results from a cross-sectional survey in 288 centres across 24 countries
dc.typeartículo
dc.volumen158
sipa.indexWOS
sipa.trazabilidadWOS;2025-01-12
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