Healthcare providers’ perception of advance care planning for patients with critical illnesses in acute-care hospitals: a cross-sectional study

Table 5 Confirmation of the treatment preferences of patients in ICUs

	Intensivist		Surgeon		ICU nurse		P value
	n	%	n	%	n	%	P value
Do you confirm the patient’s intention regarding treatment?							0.143
Never	13	10.5	4	6.8	12	6.6
Occasionally	44	35.5	25	42.4	58	31.7
Sometimes	34	27.4	19	32.2	48	26.2
Often	20	16.1	10	16.9	43	23.5
Always	12	9.7	1	1.7	21	11.5
When do you confirm the patient’s intention regarding treatment? ^a
On admission to the ICU	57	46.0	21	18.3	69	37.7
When condition worsens	32	25.8	9	7.5	59	32.2
At the time of disease improvement	79	63.7	37	31.2	111	60.7
Before starting a new treatment	80	64.5	44	38.7	126	68.9
Don’t check at all	9	7.3	1	1.1	9	4.9
Other	5	4.0	3	3.2	11	6.5
Who confirms the wish of treatment to the patient? ^a
Intensivist	84	67.7	9	15.3	70	38.3
Surgeon	114	91.9	55	93,2	165	90.2
ICU nurse	29	23.4	10	16.9	79	43.2
Palliative care team	8	6.5	3	5.1	7	3.8
Other	2	1.6	1	2	7	3.8
What do you discuss with the patient? ^a
Choice of treatment	107	86.3	52	88.1	159	86.9	0.784
Patients’ values	72	58.1	27	45.8	71	38.8	0.006
Goal of care	34	27.4	8	13.6	47	25.7	0.095
Desired place for recover	35	28.2	18	30.5	41	22.4	< 0.001
Selection of a proxy decision-maker	31	25.0	11	18.6	25	13.7	0.104
Predicted course of the disease	100	80.6	47	79.7	112	61.2	< 0.001
Prognosis	73	58.9	39	66.1	63	34.4	< 0.001
Whether the patient wants to know the prognosis and condition	42	33.9	18	30.5	66	36.1	0.132
Don’t check at all	5	4.0	1	1.7	5	2.7	0.180
Other	2	1.6	0	0.0	2	1.1
Can the wishes of the patient regarding treatment be incorporated in the treatment strategy?							0.378
Never	0	0.0	1	1.7	5	2.7
Occasionally	17	13.7	3	5.1	33	18.0
Sometimes	50	40.3	19	32.2	60	32.8
Often	48	38.7	32	54.2	77	42.1
Always	5	4.0	3	5.1	2	1.1
Non response	4	3.2	1	1.7	6	3.3

ICU Intensive care unit
NOTES. Total numbers of intensivists, n = 124; surgeons, n = 59; ICU nurses, n = 189.
The table depicts one-way analysis of variance results

ISSN: 1472-684X