A cross sectional study on perception of doctors and nurses towards end of life care in intensive care unit

Siang, TehTian (2018) A cross sectional study on perception of doctors and nurses towards end of life care in intensive care unit. Masters thesis, Universiti Sains Malaysia.

PDF - Submitted Version
Download (1MB) | Preview


Introduction: End of life (EOL) care is an important goal in intensive care medicine. There is limited data available in Malaysia. Objective: To evaluate the perception of doctors and nurses towards EOL care and to evaluate the factors associated with observed attitudes. Methods: A cross sectional study with self-administered questionnaires conducted among 65 doctors and 123 nurses from intensive care unit (ICU) of Hospital Universiti Sains Malaysia and Hospital Raja Perempuan Zainab II (May-December 2016). Results: Nurses (44%) were more likely than doctors (17%) to agree with the statement that withholding life support is more ethical than withdrawing life support. There were 58% of doctors and 10% of nurses viewed withholding and withdrawing ethically the same. Over 65% of doctors and nurses considered patient centered factors and religious view were important determinants in EOL decision. When life support discontinued, more doctors would continue sedative and analgesic drugs than nurses. (P<0.05) About 50% of nurses and doctors would continue nutritional support when life support discontinued. Over 85% of doctors and nurses agreed majority of ICU doctors initiated end of life discussion but nurses played minority role.(<5%). On multivariable analysis, nurses with no experience in end of life were 62% less reluctant to support EOL care. [ORa: 0.376 (95% CI: 0.168, 0.837), P=0.02] Interpretation of this result needs to consider subordinate position of nurses in our setting. There was no association between the care team‟s professions, gender, working setting on particular attitudes about EOL care. Conclusion: Patient and family centered factor and religious view are important determinants in EOL decision. A highlight on similarities and differences on perception in EOL care between doctors and nurses will help improve EOL care and reduce miscommunications.

Item Type: Thesis (Masters)
Uncontrolled Keywords: Terminal care
Subjects: R Medicine
Divisions: Kampus Kesihatan (Health Campus) > Pusat Pengajian Sains Perubatan (School of Medical Sciences) > Thesis
Depositing User: Mr Abdul Hadi Mohammad
Date Deposited: 09 Mar 2021 07:49
Last Modified: 18 Mar 2021 07:27
URI: http://eprints.usm.my/id/eprint/48570

Actions (login required)

View Item View Item