Safety, quality & education

Ethical issues encountered by French intensive care unit caregivers during the first COVID-19 outbreak

Can J AnaesthPublished Cross-sectional survey study

Authors' conclusion

Eight out of ten responding French ICU health care workers experienced ethical issues during the first COVID-19 outbreak.

Study context

Population
Physicians, residents, nurses and orderlies who worked in 26 French intensive care units (ICUs) during the first COVID-19 outbreak4,670 sent
Participants
1,188 physicians
Outcome
Ethical issues encountered while caring for patients
Methodological detailsdescriptive, multicentre, questionnaire, Questionnaire distributed 1 June to 1 October 2020
  • Descriptive
  • Multicentre
  • Questionnaire
  • Questionnaire distributed 1 June to 1 October 2020

Main finding

As reported in the abstract

Any ethical issue experienced

Participants reporting issue(s)

953

80.2%

Restriction of family visits in the ICU

91.7%

Risk of contamination for health care workers

72.3%

Observational data: associations, not effects.

Further findings

OutcomeaOR (95% CI)P value
Risk of contamination issue: nurses and orderlies vs physiciansNurses vs Physicians · multiple logistic regression2.98 (1.87–4.76)P < 0.001
Risk of contamination issue: nurses and orderlies vs physiciansOrderlies vs Physicians · multiple logistic regression4.35 (2.08–9.12)P < 0.001
"Act contrary to the patient's advance directives" issue: nurses and orderlies vs physiciansNurses vs Physicians · multiple logistic regression4.59 (1.74–12.08)P < 0.01
"Act contrary to the patient's advance directives" issue: nurses and orderlies vs physiciansOrderlies vs Physicians · multiple logistic regression10.65 (3.71–30.60)P < 0.001

Ethics training should be better integrated into initial training

Respondents agreeing
1,132 (86.9%)

Original publication

Ethical issues encountered by French intensive care unit caregivers during the first COVID-19 outbreak. Can J Anaesth. Published 25 September 2023. doi:10.1007/s12630-023-02585-1

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