Observational studyDer Anaesthesist2018
[Non-beneficial therapy and emotional exhaustion in end-of-life care : Results of a survey among intensive care unit personnel].
Observational study in Der Anaesthesist, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
15 citing papers in PubMed, 32 citations in OpenAlex.
- Health status, health behavior and perceived stress of nursing staff in Germany: a scoping review.BMC nursing · 2026Article
- [Clinical Ethics Consultation: Ethics matter to all of us!]Wiener klinische Wochenschrift · 2025Article
- A prospective longitudinal cohort study of the association between nurses' subjective and objective workload.Scientific reports · 2024Article
- [Palliative aspects in clinical acute and emergency medicine as well as intensive care medicine : Consensus paper of the DGIIN, DGK, DGP, DGHO, DGfN, DGNI, DGG, DGAI, DGINA and DG Palliativmedizin].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2023Review
- Article
- Article
- Burnout syndrome, doctor-patient relationship and family support of pediatric medical staff during a COVID-19 Local outbreak in Shanghai China: A cross-sectional survey study.Frontiers in pediatrics · 2023Article
- [Overtreatment in intensive care medicine-recognition, designation, and avoidance : Position paper of the Ethics Section of the DIVI and the Ethics section of the DGIIN].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2021Review
- The occurrence of post-traumatic stress disorder (PTSD), job burnout and its influencing factors among ICU nurses.American journal of translational research · 2021Article
- Occupational Stress and Mental Health among Anesthetists during the COVID-19 Pandemic.International journal of environmental research and public health · 2020Article
- [Advance care planning during the coronavirus pandemic-A chance for patient autonomy in acute situations].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2020Article
- Dying in the Intensive Care Unit (ICU): A Retrospective Descriptive Analysis of Deaths in the ICU in a Communal Tertiary Hospital in Germany.Anesthesiology research and practice · 2020Article
- Hospitalization and Intensive Therapy at the End of Life.Deutsches Arzteblatt international · 2019Observational
- [Legal implications of overtreatment].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2019Review
- [Nonbeneficial care-a burden for clinicians and relatives].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2019Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
15 authors at 9 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundEnd-of-life care (EOLC) in the intensive care unit (ICU) is becoming increasingly more common but ethical standards are compromised by growing economic pressure. It was previously found that perception of non-beneficial treatment (NBT) was independently associated with the core burnout dimension of emotional exhaustion. It is unknown whether factors of the work environment also play a role in the context of EOLC.
objectiveIs the working environment associated with perception of NBT or clinician burnout? MATERIAL AND
methodsPhysicians and nursing personnel from 11 German ICUs who took part in an international, longitudinal prospective observational study on EOLC in 2015-2016 were surveyed using validated instruments. Risk factors were obtained by multivariate multilevel analysis.
resultsThe participation rate was 49.8% of personnel working in the ICU at the time of the survey. Overall, 325 nursing personnel, 91 residents and 26 consulting physicians participated. Nurses perceived NBT more frequently than physicians. Predictors for the perception of NBT were profession, collaboration in the EOLC context, excessively high workload (each p ≤ 0.001) and the numbers of weekend working days per month (p = 0.012). Protective factors against burnout included intensive care specialization (p = 0.001) and emotional support within the team (p ≤ 0.001), while emotional exhaustion through contact with relatives at the end of life and a high workload were both increased (each p ≤ 0.001). DISCUSSION: Using the example of EOLC, deficits in the work environment and stress factors were uncovered. Factors of the work environment are associated with perceived NBT. To reduce NBT and burnout, the quality of the work environment should be improved and intensive care specialization and emotional support within the team enhanced. Interprofessional decision-making among the ICU team and interprofessional collaboration should be improved by regular joint rounds and interprofessional case discussions. Mitigating stressful factors such as communication with relatives and high workload require allocation of respective resources.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.