Health care professionals' perceptions and experiences of respect and dignity in the intensive care unit

Narrative Inquiry in Bioethics
Gail GellerJeremy Sugarman

Abstract

Little is known about health care professionals' perceptions regarding what it means to treat patients and families with respect and dignity in the intensive care unit (ICU) setting. To address this gap, we conducted nine focus groups with different types of health care professionals (attending physicians, residents/fellows, nurses, social workers, pastoral care, etc.) working in either a medical or surgical ICU within the same academic health system. We identified three major thematic domains, namely, intrapersonal (attitudes and beliefs), interpersonal (behaviors), and system (contextual) factors that influence treatment with respect and dignity. Participants suggested strategies for improving treatment of patients and families in the ICU with respect and dignity, as well as the related need for enhancing respect among the multidisciplinary team of clinicians. Implementing these strategies will require innovative educational interventions and leadership. Future research should focus on the design and evaluation of such interventions on the quality of care.

Citations

Mar 18, 2016·Journal of the American Medical Informatics Association : JAMIA·Samuel M BrownUNKNOWN Privacy, Access, and Engagement Task Force of the Libretto Consortium of the Gordon and Betty Moore Foundation
Feb 28, 2018·Critical Care Medicine·Mary Catherine BeachGail Geller
Nov 12, 2019·Annals of Internal Medicine·Meredith VanstoneDeborah J Cook
Sep 24, 2016·Critical Care Medicine·Joseph A CarreseJeremy Sugarman
Jul 5, 2018·Journal of Nursing Scholarship : an Official Publication of Sigma Theta Tau International Honor Society of Nursing·Nurfika Asmaningrum, Yun-Fang Tsai
Mar 6, 2021·Nursing Ethics·Nasreen RafiqEunice Ndirangu

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