Cardiopulmonary Arrest Clinical Trial
— REAppropriateOfficial title:
The REAppropriate Study: Perception of Inappropriate CPR: a Multicenter International Cross-sectional Survey
NCT number | NCT02356029 |
Other study ID # | B670201422126 |
Secondary ID | |
Status | Completed |
Phase | |
First received | |
Last updated | |
Start date | March 2015 |
Est. completion date | November 2015 |
Verified date | May 2018 |
Source | University Hospital, Ghent |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Observational |
The primary objective of this study is to determine how often cardiopulmonary resuscitation
(CPR) is perceived as inappropriate by Healthcare Providers (HCPs) working in prehospital
Ambulance Services and Emergency Departments. Perception of inappropriate CPR is defined as
resuscitation efforts perceived by HCPs as disproportionate to the expected prognosis of the
patient in terms of survival or quality of life.
When a HCP perceives CPR as inappropriate, this may cause moral and emotional distress. This
perception may be modulated by the personal background and professional role of the HCP, but
also by his/her working conditions. Apart from the workload, the resulting distress can be
influenced by the way non-technical skills are developed within the team and the ethical
environment in which the HCP functions. Frequent exposure to similar patient care situations
and/or a professional environment not acknowledging the distress may lead to deficient coping
mechanisms and accumulation of moral distress. This may be associated with job leave, burnout
and a decreased quality of patient care. Acute distress may also influence the quality of
care provided to actual and future patients.
Secondary objectives of the study are to evaluate whether perceived inappropriateness of CPR
is not only associated with patient related factors but also with personal characteristics
and work related factors. Potential consequences for HCP's like moral distress and
intentional job leave will be assessed.
Status | Completed |
Enrollment | 5882 |
Est. completion date | November 2015 |
Est. primary completion date | November 2015 |
Accepts healthy volunteers | Accepts Healthy Volunteers |
Gender | All |
Age group | N/A and older |
Eligibility |
Inclusion Criteria: - Healthcare Provider working in Emergency Department or Ambulance Service directly involved in treatment of cardiac arrest patients Exclusion Criteria: - Healthcare Provider working in Emergency Department or Ambulance Service not directly involved in treatment of cardiac arrest patients |
Country | Name | City | State |
---|---|---|---|
Belgium | UMC Sint-Pieter | Brussels | |
Belgium | UVC Brugmann | Brussels | |
Belgium | Groupe Jolimont | Haine-Saint-Paul | |
Belgium | CHU Tivoli | La Louvière | |
Belgium | CHU Vesale Charleroi | Montigny Le Tilleul |
Lead Sponsor | Collaborator |
---|---|
University Hospital, Ghent |
Belgium,
Marco CA, Bessman ES, Kelen GD. Ethical issues of cardiopulmonary resuscitation: comparison of emergency physician practices from 1995 to 2007. Acad Emerg Med. 2009 Mar;16(3):270-3. doi: 10.1111/j.1553-2712.2008.00348.x. Epub 2009 Jan 9. — View Citation
Marco CA, Schears RM. Prehospital resuscitation practices: a survey of prehospital providers. J Emerg Med. 2003 Jan;24(1):101-6. — View Citation
Partridge RA, Virk A, Sayah A, Antosia R. Field experience with prehospital advance directives. Ann Emerg Med. 1998 Nov;32(5):589-93. — View Citation
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | The number of Healthcare Providers (HCPs) reporting Perceived Inappropriateness of CPR (PICPR) in the last cardiac arrest situation attended divided by the total number of surveyed HCPs | 2 weeks | ||
Secondary | Moral distress and intentional job leave associated with Perceived Inappropriateness of CPR (PICPR) | Moral distress defined as when one knows the right thing to do, but institutional constraints make it nearly impossible to pursue the right course of action | 2 weeks |
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