Emotional impact of compassionate extubation on respiratory therapists and nurses: A pilot study
Background: Compassionate extubation (CE) refers to withdrawing mechanical ventilation and allowing a patient to die peacefully at the end of life. The primary objective of this pilot study was to quantify the emotional impact of CE on Respiratory Therapists (RT) and Registered Nurses (RNs). Method...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Canadian Society of Respiratory Therapists
2022-07-01
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| Series: | Canadian Journal of Respiratory Therapy |
| Subjects: | |
| Online Access: | https://www.cjrt.ca/wp-content/uploads/cjrt-2022-022.pdf |
| _version_ | 1811182468929159168 |
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| author | Ramandeep Kaur Elaine Chen Anam S. Faizi Vivien Joy Lamadrid David L. Vines J. Brady Scott |
| author_facet | Ramandeep Kaur Elaine Chen Anam S. Faizi Vivien Joy Lamadrid David L. Vines J. Brady Scott |
| author_sort | Ramandeep Kaur |
| collection | DOAJ |
| description | Background: Compassionate extubation (CE) refers to withdrawing mechanical ventilation and allowing a patient to die peacefully at the end of life. The primary objective of this pilot study was to quantify the emotional impact of CE on Respiratory Therapists (RT) and Registered Nurses (RNs).
Methods: This pilot survey was conducted between March and April 2021 at an academic medical center among RTs and RNs. It included questions on
participants’ demographics, work characteristics, and Impact of Events (IES) scale to assess the subjective stress caused by CE. Data were analyzed using descriptive and χ2 statistics.
Results: Among 20 participants, 18 (90%) were females, 12 (60%) were in the 20–40-year age group, 12 (60%) were RTs, and 8 (40%) RNs. Around 15
(75%) participants worked day shifts with a weekly average of 3–4 shifts, and 14 (70%) performed/observed CE within 1 month before taking this survey. CE performed/observed in a month was ≤2 among 15 (75%) and 3–5 among 4 (20%) participants. Mean total IES score was 16.7 (12.3) among all participants representing 7 (35%) having low, 6 (30%) moderate, and 7 (35%) high emotional impact when performing CE. Risk of developing post-traumatic stress disorder (PTSD) was present in 6 (30%) participants. A significantly higher number of participants in the low impact group were satisfied with the institutional CE process (p = 0.043) than those in the medium/high impact group.
Conclusion: This pilot study findings reveal that RTs and RNs experience moderate to high levels of subjective stress when performing CE. One-third of the survey participants were at risk of developing PTSD. |
| first_indexed | 2024-04-11T09:32:53Z |
| format | Article |
| id | doaj.art-f50e6ac2e4c2429dbd7c9486456d3876 |
| institution | Directory Open Access Journal |
| issn | 2368-6820 |
| language | English |
| last_indexed | 2024-04-11T09:32:53Z |
| publishDate | 2022-07-01 |
| publisher | Canadian Society of Respiratory Therapists |
| record_format | Article |
| series | Canadian Journal of Respiratory Therapy |
| spelling | doaj.art-f50e6ac2e4c2429dbd7c9486456d38762022-12-22T04:31:49ZengCanadian Society of Respiratory TherapistsCanadian Journal of Respiratory Therapy2368-68202022-07-015811512010.29390/cjrt-2022-022Emotional impact of compassionate extubation on respiratory therapists and nurses: A pilot studyRamandeep KaurElaine ChenAnam S. FaiziVivien Joy LamadridDavid L. VinesJ. Brady ScottBackground: Compassionate extubation (CE) refers to withdrawing mechanical ventilation and allowing a patient to die peacefully at the end of life. The primary objective of this pilot study was to quantify the emotional impact of CE on Respiratory Therapists (RT) and Registered Nurses (RNs). Methods: This pilot survey was conducted between March and April 2021 at an academic medical center among RTs and RNs. It included questions on participants’ demographics, work characteristics, and Impact of Events (IES) scale to assess the subjective stress caused by CE. Data were analyzed using descriptive and χ2 statistics. Results: Among 20 participants, 18 (90%) were females, 12 (60%) were in the 20–40-year age group, 12 (60%) were RTs, and 8 (40%) RNs. Around 15 (75%) participants worked day shifts with a weekly average of 3–4 shifts, and 14 (70%) performed/observed CE within 1 month before taking this survey. CE performed/observed in a month was ≤2 among 15 (75%) and 3–5 among 4 (20%) participants. Mean total IES score was 16.7 (12.3) among all participants representing 7 (35%) having low, 6 (30%) moderate, and 7 (35%) high emotional impact when performing CE. Risk of developing post-traumatic stress disorder (PTSD) was present in 6 (30%) participants. A significantly higher number of participants in the low impact group were satisfied with the institutional CE process (p = 0.043) than those in the medium/high impact group. Conclusion: This pilot study findings reveal that RTs and RNs experience moderate to high levels of subjective stress when performing CE. One-third of the survey participants were at risk of developing PTSD.https://www.cjrt.ca/wp-content/uploads/cjrt-2022-022.pdfpalliative ventilator withdrawalcompassionate extubationterminal extubationend of life ventilator withdrawalpost-traumatic stress disorder |
| spellingShingle | Ramandeep Kaur Elaine Chen Anam S. Faizi Vivien Joy Lamadrid David L. Vines J. Brady Scott Emotional impact of compassionate extubation on respiratory therapists and nurses: A pilot study Canadian Journal of Respiratory Therapy palliative ventilator withdrawal compassionate extubation terminal extubation end of life ventilator withdrawal post-traumatic stress disorder |
| title | Emotional impact of compassionate extubation on respiratory therapists and nurses: A pilot study |
| title_full | Emotional impact of compassionate extubation on respiratory therapists and nurses: A pilot study |
| title_fullStr | Emotional impact of compassionate extubation on respiratory therapists and nurses: A pilot study |
| title_full_unstemmed | Emotional impact of compassionate extubation on respiratory therapists and nurses: A pilot study |
| title_short | Emotional impact of compassionate extubation on respiratory therapists and nurses: A pilot study |
| title_sort | emotional impact of compassionate extubation on respiratory therapists and nurses a pilot study |
| topic | palliative ventilator withdrawal compassionate extubation terminal extubation end of life ventilator withdrawal post-traumatic stress disorder |
| url | https://www.cjrt.ca/wp-content/uploads/cjrt-2022-022.pdf |
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