Rank | Physicians | Nurses | |||||
---|---|---|---|---|---|---|---|
Item | Mean | (SD) | Item | Mean | (SD) | ||
1 | Follow the family’s insistence to continue aggressive treatment even though I believe it is not in the best interest of the patient | 8.2 | (4.6) | Follow the family’s insistence to continue aggressive treatment even though I believe it is not in the best interest of the patient | 7.7 | (4.3) | |
2 | Feel pressured to order or carry out orders for what I consider to be unnecessary or inappropriate tests and treatments | 6.3 | (4.5) | Be required to care for more patients than I can safely care for | 6.3 | (5.3) | |
3 | Be required to care for more patients than I can safely care for | 6.3 | (6.0) | Participate in care that causes unnecessary suffering or does not adequately relieve pain or symptoms | 5.0 | (4.4) | |
4 | Witness low quality of patient care due to poor team communication | 5.7 | (4.4) | Feel pressured to order or carry out orders for what I consider to be unnecessary or inappropriate tests and treatments | 4.9 | (4.1) | |
5 | Be required to care for patients who have unclear or inconsistent treatment plans or who lack goals of care | 5.4 | (4.7) | Be required to care for patients who have unclear or inconsistent treatment plans or who lack goals of care | 4.9 | (4.5) | |
6 | Have excessive documentation requirements that compromise patient care | 5.3 | (5.2) | Witness low quality of patient care due to poor team communication | 4.8 | (4.7) | |
7 | Watch patient care suffer because of a lack of provider continuity | 5.3 | (4.8) | Be required to work with abusive patients/family members who are compromising quality of care | 4.5 | (4.8) | |
8 | Be required to work with other healthcare team members who are not as competent as patient care requires | 5.1 | (4.8) | Be required to work with other healthcare team members who are not as competent as patient care requires | 4.5 | (4.7) | |
9 | Be required to work with abusive patients/family members who are compromising quality of care | 5.0 | (5.0) | Have excessive documentation requirements that compromise patient care | 4.4 | (5.0) | |
10 | Witness healthcare providers giving “false hope” to a patient or family | 4.9 | (4.6) | Continue to provide aggressive treatment for a person who is most likely to die regardless of this treatment when no one will make a decision to withdraw it | 4.4 | (4.3) |