Managing intensive supports. The attitudes of the health care workers of five Italian Hospitals to institution of CPR and admission to the ICU.

Abstract:

AIM:The aim of the paper was to examine the attitudes of the health care workers (HCW) of five Italian Hospitals towards intensive supports, in the hypothesis that a large involvement could help to solve the problems of a more adequate management of vital supports. METHODS: DESIGN:Hospital HCWs' attitudes towards cardiopulmonary resuscitation (CPR) and ICU admission were investigated using a self-administered questionnaire. SETTING:five Italian Hospitals. PARTICIPANTS:all the doctors (MD) and nurses (RN), except those working in obstetrics and in paediatrics. INTERVENTION:a questionnaire was offered to all eligible participants (4903 HCW) and 2466 analysable files (50.3%) were obtained. RESULTS:In spite of a great variation in responses among health care givers, the majority of answers is almost in line with current professional and bioethical documents, at both international and national level. This, also when the proposed solution is not clearly recognised by the Italian laws. The statistically significant differences depend on profession (RN/MD), on working area and experiential working characteristics. A strict minority of workers would trust their colleagues in case of hypothetical personal critical illness. CONCLUSIONS:Our data confirm both the importance of communication among HCW, in order to reach the best decision for every patient, and the great need of continuous educational programs which could compensate for lack of experience and help to create/maintain a strong bioethical and patient-oriented attitude.

journal_name

Minerva Anestesiol

journal_title

Minerva anestesiologica

authors

Zamperetti N,Mazzon D,Orsi L,Barneschi MG,Marsili M,Rossi C,Primadei M,Ethics Commission of the Italian Society of Anaesthesia, Analgesia, Resuscitation and Intensive Care.

subject

Has Abstract

pub_date

2007-03-01 00:00:00

pages

119-27

issue

3

eissn

0375-9393

issn

1827-1596

journal_volume

73

pub_type

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