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Comparison of clinicians’ perceptions of the Recommended Summary Plan for Emergency Care and Treatment (ReSPECT) before and during the COVID-19 pandemic
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Hartanto, Michelle and Suthantirakumar, Risheka (2022) Comparison of clinicians’ perceptions of the Recommended Summary Plan for Emergency Care and Treatment (ReSPECT) before and during the COVID-19 pandemic. Resuscitation Plus, 9 . 100206. doi:10.1016/j.resplu.2022.100206 ISSN 2666-5204.
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WRAP-comparison-clinicians-perceptions-Recommended-Summary-Plan-for-Emergency-Care-and-Treatment-(ReSPECT)-before-and-during-the-COVID-19-pandemic-Suthantirakumar-2022.pdf - Published Version - Requires a PDF viewer. Available under License Creative Commons Attribution Non-commercial No Derivatives 4.0. Download (245Kb) | Preview |
Official URL: http://dx.doi.org/10.1016/j.resplu.2022.100206
Abstract
Introduction:
The Recommended Summary Plan for Emergency Care and Treatment (ReSPECT) process encourages collaboration between clinicians, patients, and relatives on emergency care wishes and resuscitation decisions. The impact of the COVID-19 pandemic on clinicians’ views of the ReSPECT process was unknown. We examined whether there were changes in clinicians’ knowledge, skills, and attitudes regarding ReSPECT during the pandemic.
Methods:
We conducted a cross-sectional survey of clinicians at one acute hospital in the UK. We developed a questionnaire with a defined 5-point Likert scale and asked clinicians to recall their pre-pandemic views on ReSPECT and report their current views at the time of survey distribution (May 2020, end of the first COVID-19 wave in the UK). We compared their self-reported views before and during the pandemic.
Results:
We analysed 171 questionnaire responses. Clinicians reported ReSPECT telephone discussions with relatives were more challenging (pre-pandemic median 4, IQR 3–4; during pandemic median 4, IQR 4–5; p < 0.001) and negative emotions whilst conducting these discussions with relatives increased during the pandemic (pre-pandemic median 3, IQR 2–3.5; during pandemic median 3, IQR 2–4; p < 0.001). Clinicians also reported an increase in the importance of reaching a shared understanding of decisions with patients and relatives (pre-pandemic median 4, IQR 4–5; during pandemic median 5, IQR 4–5; p < 0.001).
Conclusions:
There were differences in clinicians’ knowledge, skills, and attitudes scores before and during the pandemic. Our findings highlighted that clinicians could benefit from training in remote ReSPECT conversations with relatives.
| Item Type: | Journal Article | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| Subjects: | R Medicine > R Medicine (General) R Medicine > RA Public aspects of medicine R Medicine > RC Internal medicine |
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| Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School | ||||||||
| Library of Congress Subject Headings (LCSH): | COVID-19 Pandemic, 2020- , Medical personnel -- Attitudes , CPR (First aid), Resuscitation , Critical care medicine | ||||||||
| Journal or Publication Title: | Resuscitation Plus | ||||||||
| Publisher: | Elsevier | ||||||||
| ISSN: | 2666-5204 | ||||||||
| Official Date: | March 2022 | ||||||||
| Dates: |
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| Volume: | 9 | ||||||||
| Article Number: | 100206 | ||||||||
| DOI: | 10.1016/j.resplu.2022.100206 | ||||||||
| Status: | Peer Reviewed | ||||||||
| Publication Status: | Published | ||||||||
| Access rights to Published version: | Open Access (Creative Commons) | ||||||||
| Date of first compliant deposit: | 20 October 2022 | ||||||||
| Date of first compliant Open Access: | 21 October 2022 |
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