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2013 | OriginalPaper | Buchkapitel

26. Forschung

verfasst von : PD Dr. med. Christiane S. Hartog, Daniel Schwarzkopf, Dipl.-Psychol., Dr. med. Andrej Michalsen, M.P.H./Univ. of Texas

Erschienen in: End-of-Life Care in der Intensivmedizin

Verlag: Springer Berlin Heidelberg

Zusammenfassung

Forschung im EOLC-Kontext soll die Qualität der Versorgung am Lebensende aus Sicht von Ärzten, Pflegekräften, Patienten und Angehörigen beschreiben, verstehen und verbessern.
Gegenstand der Forschung sind u. a. die Beteiligung an Therapieentscheidungen, Kommunikation und Konflikte im Team und mit den Angehörigen, Kenntnis und Umsetzung des Patientenwillens und Belastung von Mitarbeitern und Angehörigen.
Die Dokumentation von Angehörigengesprächen wird als Qualitätsindikator der Intensivmedizin von deutschen Fachgesellschaften empfohlen.
Literatur
1.
Zurück zum Zitat Cook D, Rocker G, Giacomini M et al. Understanding and changing attitudes toward withdrawal and withholding of life support in the intensive care unit. Crit Care Med 2006; 34:S317–323PubMedCrossRef Cook D, Rocker G, Giacomini M et al. Understanding and changing attitudes toward withdrawal and withholding of life support in the intensive care unit. Crit Care Med 2006; 34:S317–323PubMedCrossRef
2.
Zurück zum Zitat Luce JM. Is the concept of informed consent applicable to clinical research involving critically ill patients? Crit Care Med 2003; 31:S153–160PubMedCrossRef Luce JM. Is the concept of informed consent applicable to clinical research involving critically ill patients? Crit Care Med 2003; 31:S153–160PubMedCrossRef
3.
Zurück zum Zitat Lemaire F. Informed consent for and regulation of critical care research. Curr Opin Crit Care 2008; 14:696–699PubMedCrossRef Lemaire F. Informed consent for and regulation of critical care research. Curr Opin Crit Care 2008; 14:696–699PubMedCrossRef
4.
Zurück zum Zitat Berg RM, Møller K, Rossel PJ. European legislation impedes critical care research and fails to protect patients’ rights. Crit Care 2011; 15:148PubMedCrossRef Berg RM, Møller K, Rossel PJ. European legislation impedes critical care research and fails to protect patients’ rights. Crit Care 2011; 15:148PubMedCrossRef
5.
Zurück zum Zitat The SUPPORT Principal Investigators. A controlled trial to improve care for seriously ill hospitalized patients. The study to understand prognoses and preferences for outcomes and risks of treatments (SUPPORT). JAMA 1995; 274:1591–1598CrossRef The SUPPORT Principal Investigators. A controlled trial to improve care for seriously ill hospitalized patients. The study to understand prognoses and preferences for outcomes and risks of treatments (SUPPORT). JAMA 1995; 274:1591–1598CrossRef
6.
Zurück zum Zitat Sprung CL, Cohen SL, Sjokvist P et al. End-of-life practices in European intensive care units: the Ethicus Study. JAMA 2003; 290:790–797PubMedCrossRef Sprung CL, Cohen SL, Sjokvist P et al. End-of-life practices in European intensive care units: the Ethicus Study. JAMA 2003; 290:790–797PubMedCrossRef
7.
Zurück zum Zitat Piers RD, Azoulay E, Ricou B et al. Perceptions of appropriateness of care among European and Israeli intensive care unit nurses and physicians. JAMA 2011; 306:2694–2703PubMedCrossRef Piers RD, Azoulay E, Ricou B et al. Perceptions of appropriateness of care among European and Israeli intensive care unit nurses and physicians. JAMA 2011; 306:2694–2703PubMedCrossRef
8.
Zurück zum Zitat Ferrand E, Lemaire F, Regnier B et al. Discrepancies between perceptions by physicians and nursing staff of intensive care unit end-of-life decisions. Am J Respir Crit Care Med 2003; 167:1310–1315PubMedCrossRef Ferrand E, Lemaire F, Regnier B et al. Discrepancies between perceptions by physicians and nursing staff of intensive care unit end-of-life decisions. Am J Respir Crit Care Med 2003; 167:1310–1315PubMedCrossRef
9.
Zurück zum Zitat Jox RJ, Krebs M, Fegg M et al. Limiting life-sustaining treatment in German intensive care units: a multiprofessional survey. J Crit Care 2010; 25:413–419PubMedCrossRef Jox RJ, Krebs M, Fegg M et al. Limiting life-sustaining treatment in German intensive care units: a multiprofessional survey. J Crit Care 2010; 25:413–419PubMedCrossRef
10.
Zurück zum Zitat Azoulay E, Timsit JF, Sprung CL et al. Prevalence and factors of intensive care unit conflicts: the conflicus study. Am J Respir Crit Care Med 2009; 180:853–860PubMedCrossRef Azoulay E, Timsit JF, Sprung CL et al. Prevalence and factors of intensive care unit conflicts: the conflicus study. Am J Respir Crit Care Med 2009; 180:853–860PubMedCrossRef
11.
Zurück zum Zitat Hauke D, Reiter-Theil S, Hoster E et al. The role of relatives in decisions concerning life-prolonging treatment in patients with end-stage malignant disorders: informants, advocates or surrogate decision-makers? Ann Oncol 2011; 22:2667–2674PubMedCrossRef Hauke D, Reiter-Theil S, Hoster E et al. The role of relatives in decisions concerning life-prolonging treatment in patients with end-stage malignant disorders: informants, advocates or surrogate decision-makers? Ann Oncol 2011; 22:2667–2674PubMedCrossRef
12.
Zurück zum Zitat Schenker Y, Tiver GA, Hong SY et al. Association between physicians’ beliefs and the option of comfort care for critically ill patients. Intensive Care Med 2012; 38:1607–1615PubMedCrossRef Schenker Y, Tiver GA, Hong SY et al. Association between physicians’ beliefs and the option of comfort care for critically ill patients. Intensive Care Med 2012; 38:1607–1615PubMedCrossRef
13.
Zurück zum Zitat Winkler EC, Reiter-Theil S, Lange-Riess D et al. Patient involvement in decisions to limit treatment: the crucial role of agreement between physician and patient. J Clin Oncol 2009; 27:2225–2230PubMedCrossRef Winkler EC, Reiter-Theil S, Lange-Riess D et al. Patient involvement in decisions to limit treatment: the crucial role of agreement between physician and patient. J Clin Oncol 2009; 27:2225–2230PubMedCrossRef
14.
Zurück zum Zitat Embriaco N, Azoulay E, Barrau K et al. High level of burnout in intensivists: prevalence and associated factors. Am J Respir Crit Care Med 2007; 175:686–692PubMedCrossRef Embriaco N, Azoulay E, Barrau K et al. High level of burnout in intensivists: prevalence and associated factors. Am J Respir Crit Care Med 2007; 175:686–692PubMedCrossRef
15.
Zurück zum Zitat Poncet MC, Toullic P, Papazian L et al. Burnout syndrome in critical care nursing staff. Am J Respir Crit Care Med 2007; 175:698–704PubMedCrossRef Poncet MC, Toullic P, Papazian L et al. Burnout syndrome in critical care nursing staff. Am J Respir Crit Care Med 2007; 175:698–704PubMedCrossRef
16.
Zurück zum Zitat Quenot JP, Rigaud JP, Prin S et al. Suffering among carers working in critical care can be reduced by an intensive communication strategy on end-of-life practices. Intensive Care Med 2012; 38:55–61PubMedCrossRef Quenot JP, Rigaud JP, Prin S et al. Suffering among carers working in critical care can be reduced by an intensive communication strategy on end-of-life practices. Intensive Care Med 2012; 38:55–61PubMedCrossRef
17.
Zurück zum Zitat Davidson JE, Jones C, Bienvenu OJ. Family response to critical illness: postintensive care syndrome-family. Crit Care Med 2012; 40:618–624PubMedCrossRef Davidson JE, Jones C, Bienvenu OJ. Family response to critical illness: postintensive care syndrome-family. Crit Care Med 2012; 40:618–624PubMedCrossRef
18.
Zurück zum Zitat Curtis JR, Patrick DL, Shannon SE et al. The family conference as a focus to improve communication about end-of-life care in the intensive care unit: opportunities for improvement. Crit Care Med 2001; 29:N26–33 Curtis JR, Patrick DL, Shannon SE et al. The family conference as a focus to improve communication about end-of-life care in the intensive care unit: opportunities for improvement. Crit Care Med 2001; 29:N26–33
19.
Zurück zum Zitat Lautrette A, Darmon M, Megarbane B et al. A communication strategy and brochure for relatives of patients dying in the ICU. N Engl J Med 2007; 356:469–478PubMedCrossRef Lautrette A, Darmon M, Megarbane B et al. A communication strategy and brochure for relatives of patients dying in the ICU. N Engl J Med 2007; 356:469–478PubMedCrossRef
20.
Zurück zum Zitat Clarke EB, Curtis JR, Luce JM et al. Quality indicators for end-of-life care in the intensive care unit. Crit Care Med 2003; 31:2255–2262PubMedCrossRef Clarke EB, Curtis JR, Luce JM et al. Quality indicators for end-of-life care in the intensive care unit. Crit Care Med 2003; 31:2255–2262PubMedCrossRef
21.
Zurück zum Zitat Penrod JD, Pronovost PJ, Livote EE et al. Meeting standards of high-quality intensive care unit palliative care: clinical performance and predictors. Crit Care Med 2012; 40:1105–1112PubMedCrossRef Penrod JD, Pronovost PJ, Livote EE et al. Meeting standards of high-quality intensive care unit palliative care: clinical performance and predictors. Crit Care Med 2012; 40:1105–1112PubMedCrossRef
22.
Zurück zum Zitat Braun JP, Mende H, Bause H et al. Quality indicators in intensive care medicine: why? Use or burden for the intensivist. Ger Med Sci 2010; 8:Doc22PubMed Braun JP, Mende H, Bause H et al. Quality indicators in intensive care medicine: why? Use or burden for the intensivist. Ger Med Sci 2010; 8:Doc22PubMed
Metadaten
Titel
Forschung
verfasst von
PD Dr. med. Christiane S. Hartog
Daniel Schwarzkopf, Dipl.-Psychol.
Dr. med. Andrej Michalsen, M.P.H./Univ. of Texas
Copyright-Jahr
2013
Verlag
Springer Berlin Heidelberg
DOI
https://doi.org/10.1007/978-3-642-36944-5_26

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