Clinical trial NCT05722431: Ethical Deliberation in the Intensive Care Unit, Impact of Formalized Multidisciplinary Team Meetings, a Pilot Study
Official title: Délibération éthique en réanimation, Impact de la Mise en Place de réunions éthiques formalisées, Une étude Pilote
Study type: OBSERVATIONAL
Overall status: UNKNOWN
Conditions: Ethics, Narrative
Keywords: End of life decisions in the ICU
Multidisciplinary team meetings
Ethical decision making climate
Nurses job satisfaction
Lead sponsor: University Hospital, Tours
Sponsor class: OTHER
First posted: 2023-02-10
Enrollment: 200
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Observational model: COHORT
Time perspective: PROSPECTIVE
Sampling method: PROBABILITY_SAMPLE
Study population: All patients admitted in the ICU

Brief summary: Most patients who die in the intensive care unit do so after a withholding or withdrawing of life sustaining treatments (WWLST) decision. The implementation of formalized interdisciplinary team meetings for ethical deliberation in the ICU may improve nurses participation in WWLST decisions. The investigators decided to implement such team meetings in their ICU. At this occasion, the investigators will measure job satisfaction, job related frustration and ethical decision making climate climate.

Detailed description: Most patients who die in the intensive care unit do so after a withholding or withdrawing of life sustaining treatments (WWLST) decision. Because those decisions are value-laden, guidelines as well as french regulations recommend that they should involve not only medical doctors but also nurses. Despite that, nurses' involvement remains incomplete. Poor collaboration between doctors and nurses on ethical decisions is associated with job dissatisfaction, burnout and desire to quit. The implementation of formalized interdisciplinary team meetings for ethical deliberation in the ICU may improve nurses participation in WWLST decisions.

For those reasons the investigators decided to implement such team meetings in their ICU. At this occasion, the investigators will measure job satisfaction, job related frustration and ethical decision making climate climate.

Eligibility criteria: Inclusion Criteria:

* All patients admitted in the ICU

Exclusion Criteria:

* Age below 18

Primary outcomes:
measure: Change in nurses perception of ethical decision making climate in the ICU
timeFrame: june 2023, january 2024
Secondary outcomes:
measure: Change in nurses psychological well being at work
timeFrame: 2 evaluations: may 2023, january 2024
measure: Change in nurses frustration of job's related psychological needs
timeFrame: 2 evaluations: may 2023, january 2024
measure: Change in nurses desire to leave
timeFrame: 2 evaluations: may 2023, january 2024
measure: Non beneficial care
timeFrame: January 2024
Other outcomes:
Locations:
city: Tours
country: France
facility: Trauma and surgical intensive care unit, Tours University Hospital
Study officials:
affiliation: University Hospital of TOURS
name: ROMAIN MIGUEL MONTANES, MD
role: PRINCIPAL_INVESTIGATOR
affiliation: University of Tours
name: Servane Barrault, PhD
role: PRINCIPAL_INVESTIGATOR
References: