Marcus Vinicius Salvador Clipes, Creuza Rachel Vicente, Theresa Cristina Cardoso da Silva, Lilyan Correia Resende, Crispim Cerutti Junior
Analysis of spatial and demographic factors associated with chikungunya in Espírito Santo state, Brazil
Transactions of the Royal Society of Tropical Medicine and Hygiene
despite growing body research endoflife care eolc intensive care units icus studies concurrently explored perspectives families clinicians objective study identify characteristics highquality eolc icu family clinician perspectives examining care documented medical records convergent mixedmethods study incorporating electronic health record audits n 20 structured interview surveys families n 20 clinician surveys n 189 focus groups n 10 undertaken 30bed level 3 icu metropolitan public adult teaching hospital australia descriptive statistics calculated quantitative data inductive thematic analysis used analyse qualitative data overall families satisfied eolc quality communication yet felt earlier clearer communication patient dying required families spoke attentiveness lack thereof icu clinicians opportunity present patients death majority icu clinicians felt eolc could improved nurses highlighted communication challenges family meetings delayed nurses expressed lack clarity withdraw care resulting hesitancy cease potentially inappropriate care provide eolc outside icu practice norms many instances observations invasive monitoring interventions documented eolc commenced lack documented personal cares also noted study provides new insights eolc dual perspectives families clinicians need institutional guidelines support icu clinicians eolc practices education improve clinician confidence communication