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Perception of Inappropriate CPR: a Multicenter International Cross-sectional Survey (REAppropriate)

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ClinicalTrials.gov Identifier: NCT02356029
Recruitment Status : Completed
First Posted : February 5, 2015
Last Update Posted : May 17, 2018
Sponsor:
Information provided by (Responsible Party):
University Hospital, Ghent

Brief Summary:

The primary objective of this study is to determine how often cardiopulmonary resuscitation (CPR) is perceived as inappropriate by Healthcare Providers (HCPs) working in prehospital Ambulance Services and Emergency Departments. Perception of inappropriate CPR is defined as resuscitation efforts perceived by HCPs as disproportionate to the expected prognosis of the patient in terms of survival or quality of life.

When a HCP perceives CPR as inappropriate, this may cause moral and emotional distress. This perception may be modulated by the personal background and professional role of the HCP, but also by his/her working conditions. Apart from the workload, the resulting distress can be influenced by the way non-technical skills are developed within the team and the ethical environment in which the HCP functions. Frequent exposure to similar patient care situations and/or a professional environment not acknowledging the distress may lead to deficient coping mechanisms and accumulation of moral distress. This may be associated with job leave, burnout and a decreased quality of patient care. Acute distress may also influence the quality of care provided to actual and future patients.

Secondary objectives of the study are to evaluate whether perceived inappropriateness of CPR is not only associated with patient related factors but also with personal characteristics and work related factors. Potential consequences for HCP's like moral distress and intentional job leave will be assessed.


Condition or disease
Cardiopulmonary Arrest

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Study Type : Observational
Actual Enrollment : 5882 participants
Observational Model: Cohort
Time Perspective: Cross-Sectional
Official Title: The REAppropriate Study: Perception of Inappropriate CPR: a Multicenter International Cross-sectional Survey
Actual Study Start Date : March 2015
Actual Primary Completion Date : November 2015
Actual Study Completion Date : November 2015


Group/Cohort
EMS Healthcare Providers
Healthcare Providers working in Emergency Medical Services and directly involved in treatment of cardiac arrest patients (out-of-hospital or in the Emergency Department)



Primary Outcome Measures :
  1. The number of Healthcare Providers (HCPs) reporting Perceived Inappropriateness of CPR (PICPR) in the last cardiac arrest situation attended divided by the total number of surveyed HCPs [ Time Frame: 2 weeks ]

Secondary Outcome Measures :
  1. Moral distress and intentional job leave associated with Perceived Inappropriateness of CPR (PICPR) [ Time Frame: 2 weeks ]
    Moral distress defined as when one knows the right thing to do, but institutional constraints make it nearly impossible to pursue the right course of action



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Ages Eligible for Study:   Child, Adult, Older Adult
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
Sampling Method:   Non-Probability Sample
Study Population
The survey will focus on Healthcare Providers (HCPs) directly involved in treatment of cardiac arrest patients (out-of-hospital or in the Emergency Department (ED)): nurses, doctors, ED Technicians/Nurse Assistants and Emergency Medical Technicians(EMT)/Paramedics working in EDs and prehospital Ambulance Services active in the Emergency Medical Services system of the country. Hospitals in countries without established EDs but with a group of HCPs working inside the hospital and having as their daily duty the first care and stabilisation of patients arriving unplanned in the hospital are also eligible for participation in the study. The Local Investigator will clearly delineate this functional unit within the hospital thus determining the number of eligible HCPs within the center.
Criteria

Inclusion Criteria:

  • Healthcare Provider working in Emergency Department or Ambulance Service directly involved in treatment of cardiac arrest patients

Exclusion Criteria:

  • Healthcare Provider working in Emergency Department or Ambulance Service not directly involved in treatment of cardiac arrest patients

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT02356029


Locations
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Belgium
UMC Sint-Pieter
Brussels, Belgium, 1000
UVC Brugmann
Brussels, Belgium, 1020
Groupe Jolimont
Haine-Saint-Paul, Belgium, 7100
CHU Tivoli
La Louvière, Belgium, 7100
CHU Vesale Charleroi
Montigny Le Tilleul, Belgium, 6110
Sponsors and Collaborators
University Hospital, Ghent
Investigators
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Principal Investigator: Patrick M Druwé, MD University Hospital, Ghent
Publications of Results:
Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
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Responsible Party: University Hospital, Ghent
ClinicalTrials.gov Identifier: NCT02356029    
Other Study ID Numbers: B670201422126
First Posted: February 5, 2015    Key Record Dates
Last Update Posted: May 17, 2018
Last Verified: May 2018
Keywords provided by University Hospital, Ghent:
Cardiopulmonary Arrest
Emergency Medical Services
Medical Futility
Decision Making
Emotional Stress
Burnout, Professional
Additional relevant MeSH terms:
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Heart Arrest
Heart Diseases
Cardiovascular Diseases