Pediatric intensive care: result of a European survey

Nipshagen, Martine D.; Polderman, Kees H.; Devictor, D.; Gemke, Reinoud J. B. J.

doi:10.1007/s00134-002-1532-y

Cited by 47 publications

(35 citation statements)

References 23 publications

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“…Seven units specialize in the care of seriously ill children. 24 G eneral medical studies [1][2][3][4] have indicated that end-of-life decisions with a possible or certain life-shortening effect are common in medical practice. Examples include decisions to withhold or withdraw potentially life-sustaining treatments, decisions to intensify pain and/or symptom alleviation with a possible lifeshortening side effect, and decisions to administer drugs explicitly intended to hasten death.…”

Section: Methods Study Design and Settingmentioning

confidence: 99%

Medical End-of-Life Decisions: Experiences and Attitudes of Belgian Pediatric Intensive Care Nurses

Inghelbrecht¹,

Bilsen²,

Pereth³

et al. 2009

American Journal of Critical Care

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Objective To investigate Belgian pediatric intensive care nurses' involvement in and attitudes toward medical end-of-life decisions with a possible or certain life-shortening effect. Methods Questionnaires were distributed to 141 nurses working in 5 of the 7 pediatric intensive care units in Belgium. Nurses were asked to recall the last child in their care whose treatment involved an end-of-life decision and to describe anonymously their involvement in the decision. Attitudes were ascertained by means of statements and a Likert scale. Results Questionnaires were completed by 89 nurses (63%). During the preceding 2 years, 76 (85%) had cared for at least 1 child for whom a medical end-of-life decision had been made. Nurses were involved in initiating the decision in 17% of cases, participated in decision making in 50%, and played a role in carrying out the decision in 90%. Only 6% of nurses found it always ethically wrong to hasten the death of a child by administering lethal drugs; most nurses (78%) reported they were prepared to cooperate in administering life-ending drugs in some cases. Most (89%) favored adapting the law, making life termination of children legally possible in certain cases. Conclusions Belgian pediatric intensive care nurses are often involved in carrying out medical end-of-life decisions, including administration of life-ending drugs, whereas their participation in decision making is more limited. Most think that the current euthanasia law should be extended to minors so that administering life-ending drugs would be possible for terminally ill children in specific circumstances.

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Section: Methods Study Design and Settingmentioning

confidence: 99%

Medical End-of-Life Decisions: Experiences and Attitudes of Belgian Pediatric Intensive Care Nurses

Inghelbrecht¹,

Bilsen²,

Pereth³

et al. 2009

American Journal of Critical Care

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“…2) (5,6). An example of reducing variability in structure is the use of ICU physician directors and the 24-hr intensivist model of coverage (5,6). Opportunities to reduce variability in process can be achieved with clinical practice guidelines or pathways.…”

Section: Understanding the System Of Carementioning

confidence: 97%

“…Reducing variability in organizational structure and reducing variability in the patient care process are two strategies to improve clinical outcomes and enhance health care quality in the ICU (Fig. 2) (5,6). An example of reducing variability in structure is the use of ICU physician directors and the 24-hr intensivist model of coverage (5,6).…”

Section: Understanding the System Of Carementioning

confidence: 99%

Integrating the Institute of Medicine???s six quality aims into pediatric critical care: Relevance and applications

Slonim

Pollack

2005

Pediatric Critical Care Medicine

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The Institute of Medicine's report Crossing the Quality Chasm recommends "six aims for improvement." The aims are safety, effectiveness, equity, timeliness, patient-centeredness, and efficiency. This review focuses on the quality of care information relevant to the Institute of Medicine's six aims to assess their relevance, potential impact, and affect on pediatric critical care practice. It is concluded that if the care for pediatric intensive care patients is to be fundamentally improved, an understanding of the current care environment, the existing evidence base, the opportunities for improvement, and the documentation of the improvements needs to be realized. The Institute of Medicine's six aims provide a useful framework to advance the quality of care in this pediatric subspecialty and perhaps others.

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“…1,[5][6][7] • Certification of residency program: a process for harmonizing training criteria and establishing a common base to ensure high-quality training across the country and providing common curricular guidelines. The National Certification System of Residency Programs of the Health Team is regulated by Ministry Resolutions no.…”

Section: Definitionsmentioning

confidence: 99%

Characteristics of pediatric intensive care residency programs in Argentina. A national survey

2015

Arch Argent Pediat

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Pediatric intensive care: result of a European survey

Abstract: Data obtained in our survey demonstrate the substantial structural, organisational management, and staff diversity of paediatric ICUs. Most European PICUs employ specialized PICU nurses and have at least part time coverage by paediatric intensivists.

Cited by 47 publications

References 23 publications

Medical End-of-Life Decisions: Experiences and Attitudes of Belgian Pediatric Intensive Care Nurses

Medical End-of-Life Decisions: Experiences and Attitudes of Belgian Pediatric Intensive Care Nurses

Integrating the Institute of Medicine???s six quality aims into pediatric critical care: Relevance and applications

Characteristics of pediatric intensive care residency programs in Argentina. A national survey

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