Covid19, Distress, Emotional
Conditions
Keywords
Palliative Care, Compassionate Care, End-of-life decisions, Moral distress
Brief summary
Pandemic of coronavirus SARS-CoV-2 (Severe Acute Respiratory Syndrome coronavirus 2) causing the disease COVID-19 (Coronavirus Disease 2019) overwhelmed healthcare and brought new challenges and stressful situations.
Detailed description
In a short time, the capacities of intensive care units (ICU) were filled in many countries and regions. Due to the need for an excessive number of patients requiring intensive care, physicians and nurses who do not routinely provide care to critically ill patients or do not have the appropriate training (non-ICU clinician) were involved in the care of COVID-19 (Coronavirus Disease 2019) patients. In this context, ICU directly dedicated to the care of patients with COVID-19 ARDS (Acute Respiratory Distress Syndrome) were also opened. Non-ICU clinicians were more or less involved together with the standard ICU staff in palliative care, including End-of-Life decision (EOLD) making, even in a situation of limited scarce resources (equipment or personnel). New workplace and scope of work, which did not correspond to the standard activity or education, most likely led to an increased stress load. EOLD can also be one of the factors leading to increased stress levels. The aim of the project is to describe the practice of palliative care for patients with COVID-19 in a situation of pandemic COVID-19 and to identify factors leading to possible moral distress related with EOLD.
Interventions
OTHERQuestionnaire Survey
Physicians providing care to patients with COVID-19 admitted at ICU in period of COVID-19 pandemic will be questioned by electronic web-based survey within Masaryk University information system.
Sponsors
Masaryk University
Brno University Hospital
Study design
Observational model
COHORT
Time perspective
CROSS_SECTIONAL
Eligibility
Sex/Gender
ALL
Age
18 Years to 99 Years
Healthy volunteers
No
Inclusion criteria
* Healthcare providers (physicians and nurses) providing care to patients with COVID-19 admitted at ICU in period of COVID-19 pandemic.
Exclusion criteria
* Healthcare professionals who did not managed COVID-19 patients admitted at the ICU in situation of COVID-19 pandemic in the period 2020/2021.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change of practice of providing palliative care at ICU in COVID-19 pandemic | Through study completion, an average of 1 month | Change of practice of providing palliative care including EOLD practice in patients with COVID-19 admitted at ICU during pandemic. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Risk factors for moral distress | Through study completion, an average of 1 month | Identify factors leading to moral distress during COVID-19 pandemic and describe possible different risk factors by profession |
Countries
Czechia
Outcome results
None listed