Years of practice (Ref = under 30 years) | Working in a hospital | Caring for at least one dying patient per month | Identifying the proxy decision maker | Participated in a nationwide training program | |||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Exp (B) | 95% CI | p | Exp (B) | 95% CI | p | Exp (B) | 95% CI | p | Exp (B) | 95% CI | p | Exp(B) | 95% CI | p | |
Physicians | |||||||||||||||
Chemotherapy or radiation therapy for cancer (n = 734) | 0.60 | 0.43–0.84 | 0.003 | 1.38 | 0.92–2.05 | 0.116 | 0.54 | 0.37–0.79 | 0.002 | 1.13 | 0.73–1.75 | 0.591 | 1.03 | 0.68–1.57 | 0.875 |
Fluid infusion if unable to drink water (n = 825) | 0.77 | 0.56–1.06 | 0.105 | 1.49 | 1.01–2.22 | 0.047 | 0.45 | 0.31–0.66 | < 0.001 | 2.00 | 1.34–2.96 | 0.001 | 0.65 | 0.43–0.97 | 0.033 |
TPNa if cannot intake sufficient nutrition orally (n = 801) | 0.99 | 0.70–1.39 | 0.941 | 1.66 | 1.10–2.50 | 0.016 | 0.48 | 0.32–0.72 | < 0.001 | 1.22 | 0.76–1.97 | 0.412 | 0.51 | 0.31–0.84 | 0.008 |
NGb tube feeding if cannot intake sufficient nutrition orally (n = 798) | 1.29 | 0.89–1.86 | 0.182 | 2.01 | 1.28–3.14 | 0.002 | 0.52 | 0.34–0.80 | 0.003 | 0.71 | 0.44–1.13 | 0.145 | 0.51 | 0.30–0.87 | 0.014 |
PEGc tube feeding if cannot intake sufficient nutrition orally (n = 819) | 1.35 | 0.89–2.07 | 0.158 | 1.85 | 1.10–3.11 | 0.020 | 0.70 | 0.43–1.12 | 0.139 | 1.43 | 0.77–2.65 | 0.254 | 0.60 | 0.33–1.07 | 0.084 |
Mechanical ventilation when it becomes difficult to breathe (n = 848) | 0.79 | 0.44–1.43 | 0.430 | 1.06 | 0.54–2.08 | 0.865 | 0.55 | 0.27–1.13 | 0.103 | 1.07 | 0.49–2.31 | 0.872 | 0.56 | 0.23–1.37 | 0.204 |
Cardiopulmonary resuscitation if your heart or breathing stops (n = 878) | 1.08 | 0.59–1.96 | 0.812 | 2.38 | 1.14–4.96 | 0.021 | 0.50 | 0.25–0.98 | 0.044 | 1.32 | 0.56–3.09 | 0.527 | 0.23 | 0.07–0.75 | 0.015 |
Nurses | |||||||||||||||
Chemotherapy or radiation therapy for cancer (n = 1119) | 1.08 | 0.82–1.43 | 0.586 | 1.57 | 1.19–2.07 | 0.002 | 0.41 | 0.30–0.57 | < 0.001 | 0.88 | 0.61–1.27 | 0.501 | 0.74 | 0.44–1.26 | 0.268 |
Fluid infusion if unable to drink water (n = 1405) | 0.69 | 0.53–0.89 | 0.005 | 2.03 | 1.56–2.64 | < 0.001 | 0.38 | 0.29–0.50 | < 0.001 | 0.70 | 0.48–1.00 | 0.052 | 0.39 | 0.26–0.58 | < 0.001 |
TPNa if cannot intake sufficient nutrition orally (n = 1307) | 0.85 | 0.65–1.12 | 0.247 | 1.16 | 0.89–1.51 | 0.265 | 0.47 | 0.35–0.63 | < 0.001 | 0.66 | 0.48–0.92 | 0.014 | 0.44 | 0.26–0.76 | 0.003 |
NGb tube feeding if cannot intake sufficient nutrition orally (n = 1399) | 0.71 | 0.49–1.04 | 0.078 | 1.29 | 0.90–1.84 | 0.163 | 0.34 | 0.21–0.54 | < 0.001 | 0.51 | 0.34–0.77 | 0.001 | 0.64 | 0.30–1.35 | 0.238 |
PEGc tube feeding if cannot intake sufficient nutrition orally (n = 1427) | 0.86 | 0.59–1.27 | 0.446 | 1.86 | 1.28–2.70 | 0.001 | 0.26 | 0.15–0.43 | < 0.001 | 0.47 | 0.31–0.72 | < 0.001 | 1.03 | 0.52–2.05 | 0.937 |
Mechanical ventilation when it becomes difficult to breathe (n = 1436) | 0.75 | 0.44–1.26 | 0.273 | 1.45 | 0.89–2.38 | 0.140 | 0.08 | 0.02–0.25 | < 0.001 | 0.71 | 0.39–1.28 | 0.252 | 0.36 | 0.09–1.49 | 0.157 |
Cardiopulmonary resuscitation if your heart or breathing stops (n = 1462) | 0.49 | 0.30–0.81 | 0.005 | 1.21 | 0.79–1.85 | 0.392 | 0.10 | 0.04–0.25 | < 0.001 | 0.66 | 0.40–1.08 | 0.098 | 0.13 | 0.02–0.91 | 0.040 |
Care staff | |||||||||||||||
Chemotherapy or radiation therapy for cancer (n = 447) | 0.28 | 0.06–1.22 | 0.090 | 1.60 | 1.03–2.49 | 0.036 | 1.00 | 0.55–1.80 | 0.997 | 1.16 | 0.66–2.04 | 0.615 | 0.97 | 0.34–2.78 | 0.959 |
Fluid infusion if unable to drink water (n = 560) | 1.66 | 0.61–4.52 | 0.325 | 1.36 | 0.93–1.99 | 0.114 | 0.62 | 0.39–1.01 | 0.055 | 0.97 | 0.60–1.59 | 0.909 | 0.80 | 0.33–1.91 | 0.608 |
TPNa if cannot intake sufficient nutrition orally (n = 499) | 0.98 | 0.32–3.04 | 0.977 | 1.61 | 1.00–2.59 | 0.048 | 0.56 | 0.27–1.15 | 0.113 | 1.30 | 0.66–2.56 | 0.448 | 1.85 | 0.73–4.67 | 0.194 |
NGb tube feeding if cannot intake sufficient nutrition orally (n = 539) | 0.61 | 0.14–2.77 | 0.526 | 1.37 | 0.81–2.34 | 0.242 | 0.64 | 0.30–1.35 | 0.239 | 5.18 | 1.57–17.05 | 0.007 | 1.89 | 0.66–5.38 | 0.233 |
PEGc tube feeding if cannot intake sufficient nutrition orally (n = 530) | 0.43 | 0.09–2.16 | 0.306 | 2.30 | 1.31–4.06 | 0.004 | 0.90 | 0.42–1.90 | 0.774 | 2.31 | 0.94–5.64 | 0.067 | 6.18 | 2.51–15.23 | < 0.001 |
Mechanical ventilation when it becomes difficult to breathe (n = 509) | 2.11 | 0.58–7.72 | 0.260 | 1.81 | 0.87–3.78 | 0.111 | 0.00 | 0.00 | 0.997 | 0.88 | 0.38–2.06 | 0.770 | 1.21 | 0.26–5.64 | 0.810 |
Cardiopulmonary resuscitation if your heart or breathing stops (n = 515) | 1.38 | 0.51–3.78 | 0.529 | 1.12 | 0.73–1.71 | 0.610 | 0.30 | 0.14–0.66 | 0.002 | 1.00 | 0.59–1.69 | 1.000 | 2.30 | 0.89–5.92 | 0.085 |