prikaz prve stranice dokumenta Experiences and attitudes of medical professionals on treatment of end-of-life patients in intensive care units in the Republic of Croatia: a cross-sectional study
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Experiences and attitudes of medical professionals on treatment of end-of-life patients in intensive care units in the Republic of Croatia: a cross-sectional study
BMC Medical Ethics, 23 (2022), 1; 12. https://doi.org/10.1186/s12910-022-00752-5
Špoljar, Diana; Vučić, Marinko; Peršec, Jasminka; Merc, Vlasta; Kereš, Tatjana; Radonić, Radovan; Poljaković, Zdravka; Nesek Adam, Višnja; Karanović, Nenad; Čaljkušić, Krešimir; Župan, Željko; Grubješić, Igor; Kopić, Jasminka; Vranković, Srđan; Krobot, Renata; Nevajdić, Bojana; Golubić, Mia; Grosek, Štefan; Kujundžić Tiljak, Mirjana; Štajduhar, Andrija; Tonković, Dinko; Borovečki, Ana Više autora...

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Špoljar, D., Vučić, M., Peršec, J., Merc, V., Kereš, T., Radonić, R. ... Borovečki, A. (2022). Experiences and attitudes of medical professionals on treatment of end-of-life patients in intensive care units in the Republic of Croatia: a cross-sectional study. BMC Medical Ethics, 23. (1). doi: 10.1186/s12910-022-00752-5

Špoljar, Diana, et al. "Experiences and attitudes of medical professionals on treatment of end-of-life patients in intensive care units in the Republic of Croatia: a cross-sectional study." BMC Medical Ethics, vol. 23, br. 1, 2022. https://doi.org/10.1186/s12910-022-00752-5

Špoljar, Diana, Marinko Vučić, Jasminka Peršec, Vlasta Merc, Tatjana Kereš, Radovan Radonić, Zdravka Poljaković, et al. "Experiences and attitudes of medical professionals on treatment of end-of-life patients in intensive care units in the Republic of Croatia: a cross-sectional study." BMC Medical Ethics 23, br. 1 (2022). https://doi.org/10.1186/s12910-022-00752-5

Špoljar, D., et al. (2022) 'Experiences and attitudes of medical professionals on treatment of end-of-life patients in intensive care units in the Republic of Croatia: a cross-sectional study', BMC Medical Ethics, 23(1). doi: 10.1186/s12910-022-00752-5

Špoljar D, Vučić M, Peršec J, Merc V, Kereš T, Radonić R, i sur.. Experiences and attitudes of medical professionals on treatment of end-of-life patients in intensive care units in the Republic of Croatia: a cross-sectional study. BMC Medical Ethics [Internet]. 16.02.2022. [pristupljeno 15.04.2024.];23(1). doi: 10.1186/s12910-022-00752-5

D. Špoljar, et al., "Experiences and attitudes of medical professionals on treatment of end-of-life patients in intensive care units in the Republic of Croatia: a cross-sectional study", BMC Medical Ethics, vol. 23, br. 1, Veljača 2022. [Online]. Dostupno na: https://urn.nsk.hr/urn:nbn:hr:105:816635. [Citirano: 15.04.2024.]

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Podaci o radu
Naslov (engleski)Experiences and attitudes of medical professionals on treatment of end-of-life patients in intensive care units in the Republic of Croatia: a cross-sectional study
AutorDiana Špoljar
AutorMarinko Vučić
AutorJasminka Peršec
AutorVlasta Merc
AutorTatjana Kereš
AutorRadovan Radonić
AutorZdravka Poljaković
AutorVišnja Nesek Adam
AutorNenad Karanović
AutorKrešimir Čaljkušić
AutorŽeljko Župan
AutorIgor Grubješić
AutorJasminka Kopić
AutorSrđan Vranković
AutorRenata Krobot
AutorBojana Nevajdić
AutorMia Golubić
AutorŠtefan Grosek
AutorMirjana Kujundžić Tiljak
AutorAndrija Štajduhar
AutorDinko Tonković
AutorAna Borovečki
Autorova ustanovaSveučilište u Zagrebu
Medicinski fakultet
(KATEDRA ZA MEDICINSKU SOCIOLOGIJU I EKONOMIKU ZDRAVSTVA)
Autorova ustanovaSveučilište u Zagrebu
Medicinski fakultet
(KATEDRA ZA MEDICINSKU STATISTIKU, EPIDEMIOLOGIJU I MEDICINSKU INFORMATIKU)
Znanstveno / umjetničko
područje, polje i grana		BIOMEDICINA I ZDRAVSTVO
Kliničke medicinske znanosti
Anesteziologija i reanimatologija
Znanstveno / umjetničko
područje, polje i grana		BIOMEDICINA I ZDRAVSTVO
Javno zdravstvo i zdravstvena zaštita
Epidemiologija
Sažetak (engleski)
Background: Decisions about limitations of life sustaining treatments (LST) are made for end-of-life patients in intensive care units (ICUs). The aim of this research was to explore the professional and ethical attitudes and experiences of medical professionals on treatment of end-of-life patients in ICUs in the Republic of Croatia. ----- Methods: A cross-sectional study was conducted among physicians and nurses working in surgical, medical, neurological, and multidisciplinary ICUs in the total of 9 hospitals throughout Croatia using a questionnaire with closed and open type questions. Exploratory factor analysis was conducted to reduce data to a smaller set of summary variables. Mann-Whitney U test was used to analyse the differences between two groups and Kruskal-Wallis tests were used to analyse the differences between more than two groups. ----- Results: Less than third of participants (29.2%) stated they were included in the decision-making process, and physicians are much more included than nurses (p < 0.001). Sixty two percent of participants stated that the decision-making process took place between physicians. Eighteen percent of participants stated that 'do-not-attempt cardiopulmonary resuscitations' orders were frequently made in their ICUs. A decision to withdraw inotropes and antibiotics was frequently made as stated by 22.4% and 19.9% of participants, respectively. Withholding/withdrawing of LST were ethically acceptable to 64.2% of participants. Thirty seven percent of participants thought there was a significant difference between withholding and withdrawing LST from an ethical standpoint. Seventy-nine percent of participants stated that a verbal or written decision made by a capable patient should be respected. Physicians were more inclined to respect patient's wishes then nurses with high school education (p = 0.038). Nurses were more included in the decision-making process in neurological than in surgical, medical, or multidisciplinary ICUs (p < 0.001, p = 0.005, p = 0.023 respectively). Male participants in comparison to female (p = 0.002), and physicians in comparison to nurses with high school and college education (p < 0.001) displayed more liberal attitudes about LST limitation. ----- Conclusions: DNACPR orders are not commonly made in Croatian ICUs, even though limitations of LST were found ethically acceptable by most of the participants. Attitudes of paternalistic and conservative nature were expected considering Croatia's geographical location in Southern Europe.
Ključne riječi (engleski)
Jezikengleski
Vrsta publikacijeZnanstveni rad - Izvorni znanstveni rad
Status objaveObjavljen
Vrsta recenzijeRecenziran
Verzija publikacijeObjavljena verzija rada (izdavačev PDF)
Naslov časopisaBMC Medical Ethics
Brojčani podacivol. 23, br. 1, 12
e-ISSN1472-6939
DOIhttps://doi.org/10.1186/s12910-022-00752-5
URN:NBNurn:nbn:hr:105:816635
Datum objave publikacije2022-02-16
URL dokumentahttps://bmcmedethics.biomedcentral.com/articles/10.1186/s12910-022-00752-5
Vrsta resursaTekst
Prava pristupaOtvoreni pristup
Uvjeti korištenjaIkona licence Imenovanje 4.0 međunarodna (CC BY 4.0)
Datum i vrijeme pohrane2022-10-20 06:56:05