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Table 5 Univariate analysis—potential predictors for moral distress

From: Palliative care practice and moral distress during COVID-19 pandemic (PEOpLE-C19 study): a national, cross-sectional study in intensive care units in the Czech Republic

 

N

Odds ratio (95% CI)

p-value

Sex

282

 

1.0000

 Female versus Male

 

1.000 (0.606–1.650)

 

Profession of HCPs

282

 

0.9835

 Nurse versus Physician

 

1.005 (0.624–1.618)

 

Age

282

0.998 (0.975–1.021)

0.8340

ICU experience

274

0.989 (0.965–1.014)

0.3863

Number of patients per HCP

270

1.072 (0.971–1.184)

0.1680

Type of hospital

268

 

0.2219

 Secondary hospital

 

Ref

 

 Primary hospital

 

1.789 (0.848–3.773)

 

 University (tertiary) hospital

 

1.456 (0.853–2.485)

 

Form of EOLD communication with patient’s family

280

 

0.3728

 Family meeting

 

Ref

 

 Telephone call

 

1.377 (0.817–2.323)

 

 Videocall

 

0.953 (0.224–4.067)

 

 Meeting with patient’s family was not performed

 

2.860 (0.723–11.312)

 

Involvement of the patient's family regarding EOLD

281

 

0.3810

 Family/relatives were included in process, i.e. shared decisions

 

Ref

 

 Family/relatives were fully responsible for the decision

 

2.308 (0.421–12.648)

 

 Family/relatives were just informed about the decision;

 Patient was in comfort care despite family's disagreement

 

1.762 (0.747–4.159)

 

 Family/relatives were just informed about the decision;

 Patient was in comfort care if family/relatives did not disagree with the decision

 

1.175 (0.661–2.087)

 

 Family/relatives were not informed about decision

 

7.385 (0.880–61.994)

 

 Cannot answer as I was not involved in the decision process

 

1.108 (0.487–2.519)

 

Inappropriate care of patient, Yes versus No

280

1.804 (1.082–3.008)

0.0237

Opinion about inappropriate care of patient respected, Yes versus No

165

0.511 (0.261–1.001)

0.0504

Therapy goals were always clearly explained and defined, Yes versus No

281

0.297 (0.160–0.551)

0.0001

Agreement with statement that the deaths of COVID-19 patients were dignified, Yes versus No

277

0.203 (0.114–0.359)

 < .0001

Resource scarcity situation experience, Yes versus No

115

1.735 (0.807–3.732)

0.1585

  1. CI confidence interval, HCPs health care providers, ICU intensive care unit, COVID-19 coronavirus disease, EOLD end-of-life decision