- (David M Stoddert ...

نتيجة التلخيص (50%)

- (David M Stoddert and others) they showed in their study conducted by interviews with
treating physicians and nurses , on the form of Qualitative study and published in 2003
This study aimed to determine types, sources, and predictors of conflicts among patients
with prolonged stay in the ICU.However, efforts to improve the quality
of care for critically ill patients that focus on team-family disagreements over life-
sustaining treatment miss significant discord in a variety of other areas.[1] (Stoddert,
D.M., et al,2003.)
- (Elie Azoulay and other's) they showed in their study conducted by questionnaire , in
the form of One-day cross-sectional survey of ICU clinicians.Multivariate analysis identified
15 factors associated with perceived conflicts, of which 6 were potential targets for future
intervention: staff working more than 40 h/wk , more than 15 ICU beds, caring for dying
patients or providing pre- and post-mortem care within the last week, symptom control
not ensured jointly by physicians and nurses, and no routine unit-level meetings.After
comparing the research results, they found that Over 70% of ICU workers reported
perceived conflicts, which were often considered severe and were significantly associated
with job strain.and published in 2009 This study aimed to record the prevalence,
characteristics, and risk factors for conflicts in ICUs and the results showed that Conflicts
were perceived by 5,268 (71.6%) respondents.Conflicts perceived as severe were reported
by 3,974 (53%) respondents.

النص الأصلي

(David M Stoddert and others) they showed in their study conducted by interviews with
treating physicians and nurses , on the form of Qualitative study and published in 2003
This study aimed to determine types, sources, and predictors of conflicts among patients
with prolonged stay in the ICU. and the results showed that Clinicians identified 248
conflicts involving 209 patients; hence, nearly one-third of patients had conflict
associated with their care: 142 conflicts (57%) were team-family disputes, 76 (31%) were
intrateam disputes, and 30 (12%) occurred among family members. Disagreements over
life-sustaining treatment led to 63 team-family conflicts (44%). Other leading sources
were poor communication (44%), the unavailability of family decision makers (15%),
and the surrogates' (perceived) inability to make decisions (16%). Nurses detected all
types of conflict more frequently than physicians, especially intrateam conflicts. The
presence of a spouse reduced the probability of team-family conflict generally (odds ratio
0.64) and team-family disputes over life-sustaining treatment specifically (odds ratio
0.49). After comparing the research results, they found that Conflict is common in the
care of patients with prolonged stays in the ICU. However, efforts to improve the quality
of care for critically ill patients that focus on team-family disagreements over life-
sustaining treatment miss significant discord in a variety of other areas.[1] (Stoddert,
D.M., et al,2003.)

(Elie Azoulay and other's) they showed in their study conducted by questionnaire , in
the form of One-day cross-sectional survey of ICU clinicians. Data on perceived conflicts
in the week before the survey day were obtained from 7,498 ICU staff members (323
ICUs in 24 countries). and published in 2009 This study aimed to record the prevalence,
characteristics, and risk factors for conflicts in ICUs and the results showed that Conflicts
were perceived by 5,268 (71.6%) respondents. Nurse-physician conflicts were the most
10
common (32.6%), followed by conflicts among nurses (27.3%) and staff-relative
conflicts (26.6%). The most common conflict-causing behaviours were personal
animosity, mistrust, and communication gaps. During end-of-life care, the main sources
of perceived conflict were lack of psychological support, absence of staff meetings, and
problems with the decision-making process. Conflicts perceived as severe were reported
by 3,974 (53%) respondents. Job strain was significantly associated with perceiving
conflicts and with greater severity of perceived conflicts. Multivariate analysis identified
15 factors associated with perceived conflicts, of which 6 were potential targets for future
intervention: staff working more than 40 h/wk , more than 15 ICU beds, caring for dying
patients or providing pre- and post-mortem care within the last week, symptom control
not ensured jointly by physicians and nurses, and no routine unit-level meetings. After
comparing the research results, they found that Over 70% of ICU workers reported
perceived conflicts, which were often considered severe and were significantly associated
with job strain. Workload, inadequate communication, and end-of-life care emerged as
important potential targets for improvement.[2] (Azoulay, E., et 2009).

تلخيص النصوص العربية والإنجليزية أونلاين

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