Climate of Respect Evaluation in ICUs: Development of an Instrument (ICU-CORE)

Abstract

We created a reliable set of scales to measure the climate of respectfulness in intensive care settings. These measures can be used for ongoing quality improvement that aim to enhance the experience of ICU patients and their families.

Intensive care unit dignified care: Persian translation and psychometric evaluation

“…This study has confirmed the validity and reliability of the Persian version of the IDCQ in assessing dignity‐based care among Iranian nurses. The CVI and CVR values, which were determined to be 0.98 and 0.78, respectively, align with the results of previous studies (Beach et al., 2018 ; Zamanzadeh et al., 2015 ). The KMO value of 0.898 indicates the data's suitability for factor analysis.…”

“…Standardized instruments, such as the Climate of Respect Evaluation–Intensive Care Unit (CORE‐ICU), Direct Observation Checklist (DOC) and ICU Dignified Care Questionnaire (IDCQ), are essential for evaluating how nurses uphold patient dignity in intensive care units (Beach et al., 2018 ; Carrese et al., 2017 ; Liang et al., 2022 ). While the CORE‐ICU instrument captures the clinical staff's perspectives on ICU treatment, it does not specifically address the distinct role of nurses (Beach et al., 2018 ). The DOC, a checklist‐based instrument, has limitations, including the requirement for a professional evaluator and the possibility of varied responses due to evaluator differences and behavioural changes (Carrese et al., 2017 ).…”

“…Standardized instruments, such as the Climate of Respect Evaluation-Intensive Care Unit (CORE-ICU), Direct Observation Checklist (DOC) and ICU Dignified Care Questionnaire (IDCQ), are essential for evaluating how nurses uphold patient dignity in intensive care units (Beach et al, 2018;Carrese et al, 2017;Liang et al, 2022). While the CORE-ICU instrument captures the clinical staff's perspectives on ICU treatment, it does not specifically address the distinct role of nurses (Beach et al, 2018).…”

Disrespect in health care: An epistemic injustice

“…Drawing on Leape’s insights about the importance of respectful culture, 11 we can ask clinicians to report on the culture of respect in their workplace. 14 While it may be difficult to prove that any specific instance of disrespect or microaggression is indeed intended, we do not need to judge each instance if we can routinely measure and find patterns.…”

Understanding ethical climate, moral distress, and burnout: a novel tool and a conceptual framework

“…The EDMCQ helps advance the field by providing ways to measure ethical decision-making climate, thus facilitating future descriptive and intervention studies focusing on institutional and ethical culture to improve patient and family outcomes. Another benefit of the EDMCQ and other instruments that focus on the more humanistic aspects of medicine 57 is that it draws attention to an institutional prioritization of ethics and ethical climate amongst clinicians and administrators. 58 The EDMCQ is an important step in improving the ethical decision-making climate of ICUs around intensity of end-of-life care and understanding its subsequent impact on the patient and family experience.…”