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
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|
|Study Type :||Observational|
|Actual Enrollment :||5882 participants|
|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|
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)
- 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 ]
- 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
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
|Brussels, Belgium, 1000|
|Brussels, Belgium, 1020|
|Haine-Saint-Paul, Belgium, 7100|
|La Louvière, Belgium, 7100|
|CHU Vesale Charleroi|
|Montigny Le Tilleul, Belgium, 6110|
|Principal Investigator:||Patrick M Druwé, MD||University Hospital, Ghent|