Emotional impact of compassionate extubation on respiratory therapists and nurses: A pilot study.

0 CRITICAL CARE MEDICINE

Canadian Journal of Respiratory Therapy Pub Date : 2022-07-26 eCollection Date: 2022-01-01 DOI:10.29390/cjrt-2022-022

Ramandeep Kaur, Elaine Chen, Anam S Faizi, Vivien Joy Lamadrid, David L Vines, J Brady Scott

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引用次数: 2

Abstract

Background: Compassionate extubation (CE) refers to withdrawing mechanical ventilation and allowing a patient to die peacefully at the end of life. The primary objective of this pilot study was to quantify the emotional impact of CE on Respiratory Therapists (RT) and Registered Nurses (RNs).

Methods: This pilot survey was conducted between March and April 2021 at an academic medical center among RTs and RNs. It included questions on participants' demographics, work characteristics, and Impact of Events (IES) scale to assess the subjective stress caused by CE. Data were analyzed using descriptive and χ² statistics.

Results: Among 20 participants, 18 (90%) were females, 12 (60%) were in the 20-40-year age group, 12 (60%) were RTs, and 8 (40%) RNs. Around 15 (75%) participants worked day shifts with a weekly average of 3-4 shifts, and 14 (70%) performed/observed CE within 1 month before taking this survey. CE performed/observed in a month was ≤2 among 15 (75%) and 3-5 among 4 (20%) participants. Mean total IES score was 16.7 (12.3) among all participants representing 7 (35%) having low, 6 (30%) moderate, and 7 (35%) high emotional impact when performing CE. Risk of developing post-traumatic stress disorder (PTSD) was present in 6 (30%) participants. A significantly higher number of participants in the low impact group were satisfied with the institutional CE process (p = 0.043) than those in the medium/high impact group.

Conclusion: This pilot study findings reveal that RTs and RNs experience moderate to high levels of subjective stress when performing CE. One-third of the survey participants were at risk of developing PTSD.

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同情拔管对呼吸治疗师和护士的情绪影响:一项初步研究。

背景:体恤拔管(CE)是指停止机械通气，允许患者在生命结束时平静地死去。本初步研究的主要目的是量化CE对呼吸治疗师(RT)和注册护士(RNs)的情绪影响。方法:该试点调查于2021年3月至4月在一家学术医疗中心对注册护士和注册护士进行。该研究包括受试者的人口统计、工作特征和事件影响(IES)量表来评估主观压力。数据分析采用描述性统计和χ2统计。结果:在20名参与者中，18名(90%)为女性，12名(60%)为20-40岁年龄组，12名(60%)为RTs, 8名(40%)为RNs。约有15名(75%)参与者是白班，每周平均3-4班，14名(70%)参与者在接受调查前一个月内进行过或观察过CE。15名(75%)参与者在一个月内执行/观察CE≤2,4名(20%)参与者在一个月内执行/观察CE 3-5。所有参与者的平均IES总分为16.7分(12.3分)，其中7人(35%)在执行CE时具有低情绪影响，6人(30%)具有中等情绪影响，7人(35%)具有高情绪影响。6名(30%)参与者存在发生创伤后应激障碍(PTSD)的风险。低影响组对机构CE过程的满意度显著高于中/高影响组(p = 0.043)。结论:本初步研究结果表明，RTs和RNs在执行CE时经历中度至高度的主观压力。三分之一的调查参与者有患PTSD的风险。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Canadian Journal of Respiratory Therapy Health Professions-Health Professions (miscellaneous)

CiteScore

2.00

自引率

0.00%

发文量

期刊介绍： The CJRT is published four times a year and represents the interests of respiratory therapists nationally and internationally. The CJRT has been redesigned to act as an educational dissemination tool. The CJRT encourages submission of original articles, papers, commentaries, case studies, literature reviews and directed reading papers. Submissions can be sent to Rita Hansen.