Jean-Philippe Rigaud1, Jean-Baptiste Hardy2, Nicolas Meunier-Beillard3, Hervé Devilliers4, Fiona Ecarnot5, Corinne Quesnel6, Stéphanie Gelinotte7, Pierre-Louis Declercq8, Jean-Pierre Eraldi9, François Bougerol10, Jean-Pierre Quenot11. 1. Department of Intensive Care, Dieppe General Hospital, 76202 Dieppe, France. Electronic address: JRigaud@ch-dieppe.fr. 2. Department of Intensive Care, Dieppe General Hospital, 76202 Dieppe, France. Electronic address: jeanbaptistehardy@hotmail.fr. 3. Department of Intensive Care, François Mitterrand University Hospital, 21079 Dijon, France; UMR 7366 CNRS, University of Burgundy, Dijon, France. Electronic address: nicolas.meunier-beillard@u-bourgogne.fr. 4. Department of Internal Medicine, François Mitterrand University Hospital, 21079 Dijon, France; INSERM CIC 1432, Clinical Epidemiology, University of Burgundy, Dijon, France. Electronic address: herve.devilliers@chu-dijon.fr. 5. Department of Cardiology, EA3920, University Hospital Jean Minjoz, Besançon, France. Electronic address: fiona.ecarnot@univ-fcomte.fr. 6. Department of Intensive Care, Dieppe General Hospital, 76202 Dieppe, France. Electronic address: cquesnel@ch-dieppe.fr. 7. Department of Intensive Care, Dieppe General Hospital, 76202 Dieppe, France. Electronic address: sgelinotte@ch-dieppe.fr. 8. Department of Intensive Care, Dieppe General Hospital, 76202 Dieppe, France. Electronic address: pldeclercq@ch-dieppe.fr. 9. Department of Intensive Care, Dieppe General Hospital, 76202 Dieppe, France. Electronic address: jeraldi@ch-dieppe.fr. 10. Department of Intensive Care, Dieppe General Hospital, 76202 Dieppe, France. Electronic address: fbougerol@ch-dieppe.fr. 11. Department of Intensive Care, François Mitterrand University Hospital, 21079 Dijon, France; INSERM CIC 1432, Clinical Epidemiology, University of Burgundy, Dijon, France; Lipness Team, INSERM Research Center UMR 866, University of Burgundy, Dijon, France. Electronic address: jean-pierre.quenot@chu-dijon.fr.
Abstract
PURPOSE: In the intensive care unit (ICU), caregivers may find it difficult to identify a suitable person in the patient's entourage to serve as a reference when there is no official surrogate. METHODS: We developed a 12-item questionnaire to identify factors potentially important for caregivers when identifying a reference person. Each criterion was evaluated as regards its importance for the role of reference. Responses were on a scale of 0 (not important) to 10 (extremely important). We recorded respondent's age, job title, and number of years' ICU experience. The questionnaire was distributed to all health care professionals in 2 French ICUs. RESULTS: Among 144 staff, 128 were contacted; 99 completed the questionnaire (77% response rate; 20 physicians [11 residents], 51 nurses, 28 nurse's aides). Items classed as most important attributes for a reference person were knowledge of patient's wishes and values, emotional attachment, adequate understanding of the clinical history, and designation as a surrogate before admission. There were no significant differences according to respondent's age, job title, or experience. CONCLUSION: Caregivers identify a reference person based on criteria such as knowledge of the patient's wishes, emotional bond with the patient, an adequate understanding of the clinical history, and designation as surrogate before admission.
PURPOSE: In the intensive care unit (ICU), caregivers may find it difficult to identify a suitable person in the patient's entourage to serve as a reference when there is no official surrogate. METHODS: We developed a 12-item questionnaire to identify factors potentially important for caregivers when identifying a reference person. Each criterion was evaluated as regards its importance for the role of reference. Responses were on a scale of 0 (not important) to 10 (extremely important). We recorded respondent's age, job title, and number of years' ICU experience. The questionnaire was distributed to all health care professionals in 2 French ICUs. RESULTS: Among 144 staff, 128 were contacted; 99 completed the questionnaire (77% response rate; 20 physicians [11 residents], 51 nurses, 28 nurse's aides). Items classed as most important attributes for a reference person were knowledge of patient's wishes and values, emotional attachment, adequate understanding of the clinical history, and designation as a surrogate before admission. There were no significant differences according to respondent's age, job title, or experience. CONCLUSION: Caregivers identify a reference person based on criteria such as knowledge of the patient's wishes, emotional bond with the patient, an adequate understanding of the clinical history, and designation as surrogate before admission.
Authors: Jean-Philippe Rigaud; Mikhael Giabicani; Nicolas Meunier-Beillard; Fiona Ecarnot; Marion Beuzelin; Antoine Marchalot; Auguste Dargent; Jean-Pierre Quenot Journal: PLoS One Date: 2018-10-18 Impact factor: 3.240