作者
Élie Azoulay, Jean-François Timsit, Charles L Sprung, Marcio Soares, Katerina Rusinová, Ariane Lafabrie, Ricardo Abizanda, Mia Svantesson, Francesca Rubulotta, Bara Ricou, Dominique Benoit, Daren Heyland, Gavin Joynt, Adrien Français, Paulo Azeivedo-Maia, Radoslaw Owczuk, Julie Benbenishty, Michael De Vita, Andreas Valentin, Akos Ksomos, Simon Cohen, Lidija Kompan, Kwok Ho, Fekri Abroug, Anne Kaarlola, Herwig Gerlach, Theodoros Kyprianou, Andrej Michalsen, Sylvie Chevret, Benoît Schlemmer
发表日期
2009/11/1
期刊
American journal of respiratory and critical care medicine
卷号
180
期号
9
页码范围
853-860
出版商
American Thoracic Society
简介
Rationale: Many sources of conflict exist in intensive care units (ICUs). Few studies recorded the prevalence, characteristics, and risk factors for conflicts in ICUs.
Objectives: To record the prevalence, characteristics, and risk factors for conflicts in ICUs.
Methods: One-day cross-sectional survey of ICU clinicians. Data on perceived conflicts in the week before the survey day were obtained from 7,498 ICU staff members (323 ICUs in 24 countries).
Measurements and Main Results: Conflicts were perceived by 5,268 (71.6%) respondents. Nurse–physician conflicts were the most common (32.6%), followed by conflicts among nurses (27.3%) and staff-relative conflicts (26.6%). The most common conflict-causing behaviors were personal animosity, mistrust, and communication gaps. During end-of-life care, the main sources of perceived conflict were lack of psychological support, absence of staff meetings, and problems with …
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E Azoulay, JF Timsit, CL Sprung, M Soares… - American journal of respiratory and critical care …, 2009