Clinical trial NCT05089032: The Practice of Providing Palliative Care in the Situation of the COVID-19 Pandemic
Official title: The Practice of Providing Palliative Care in the Situation of the COVID-19 Pandemic in the Perspective of Physicians and Nurses - Survey Study (PEOpLe-C19-EN Study)
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: COVID-19 Pandemic
End-of-life
Keywords: covid-19
Palliative Care
end-of-life
Lead sponsor: Masaryk University
Sponsor class: OTHER
Collaborators: name: European Society of Intensive Care Medicine
name: European Society of Anaesthesiology and Intensive Care
name: Brno University Hospital
First posted: 2021-10-22
Enrollment: 215
Sex: ALL
Minimum age (years): 18
Maximum age (years): 100
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Observational model: COHORT
Time perspective: CROSS_SECTIONAL
Sampling method: NON_PROBABILITY_SAMPLE
Study population: Healthcare providers (physicians and nurses) providing care to patients with COVID-19 admitted at ICU in period of COVID-19 pandemic.

Brief summary: The practice of providing palliative care in the situation of the COVID-19 pandemic in the perspective of physicians and nurses - survey study (PEOpLe-C19 study)

Detailed description: 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. In a short time, intensive care units (ICU) capacities 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 patients. In this context, ICU directly dedicated to caring for patients with COVID-19 ARDS (Acute Respiratory Distress Syndrome) was 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 project aims 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 to EOLD.

Eligibility criteria: Inclusion Criteria:

* Healthcare providers (physicians/nurses)
* Involvement in care for patients with COVID-19 admitted at intensive care unit

Exclusion Criteria:

* Non-ICU staff
* not involved in care for patients with COVID-19

Primary outcomes:
measure: Change of practice of providing palliative care at ICU in COVID-19 pandemic
timeFrame: Through study completion, an average of 1 month
Secondary outcomes:
measure: Identify factors leading to moral distress during the COVID-19 pandemic
timeFrame: Through study completion, an average of 1 month
Other outcomes:
Locations:
city: Brno
country: Czechia
facility: Masaryk University
Study officials:
affiliation: University Hospital Brno
name: Tereza Prokopova, MD
role: PRINCIPAL_INVESTIGATOR
References: