The Practice of Providing Palliative Care in the Situation of the COVID-19 (Coronavirus Disease 2019) Pandemic in Czech Republic

Completed

• Conditions: Distress, Emotional; Covid19
• Interventions: Other: Questionnaire Survey

• Registration Number: NCT04910243
• Lead Sponsor: Brno University Hospital

Brief Summary

Pandemic of coronavirus SARS-CoV-2 (Severe Acute Respiratory Syndrome coronavirus 2) causing the disease COVID-19 (Coronavirus Disease 2019) overwhelmed healthcare and brought new challenges and stressful situations.

Detailed Description

In a short time, the capacities of intensive care units (ICU) were filled in many countries and regions. Due to the need for an excessive number of patients requiring intensive care, physicians and nurses who do not routinely provide care to critically ill patients or do not have the appropriate training (non-ICU clinician) were involved in the care of COVID-19 (Coronavirus Disease 2019) patients. In this context, ICU directly dedicated to the care of patients with COVID-19 ARDS (Acute Respiratory Distress Syndrome) were also opened. Non-ICU clinicians were more or less involved together with the standard ICU staff in palliative care, including End-of-Life decision (EOLD) making, even in a situation of limited scarce resources (equipment or personnel). New workplace and scope of work, which did not correspond to the standard activity or education, most likely led to an increased stress load. EOLD can also be one of the factors leading to increased stress levels. The aim of the project is to describe the practice of palliative care for patients with COVID-19 in a situation of pandemic COVID-19 and to identify factors leading to possible moral distress related with EOLD.

Study Timeline

• Study First Submitted: 2021-05-28
• Study First Submitted QC: 2021-06-01
• Study First Posted: 2021-06-02
• Study Start: 2021-06-21
• Status Verified: 2021-10
• Primary Completion: 2021-10-14
• Study Completion: 2021-10-14
• Last Update Submitted: 2021-10-14
• Last Update Posted: 2021-10-19

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 307

Inclusion Criteria

• Healthcare providers (physicians and nurses) providing care to patients with COVID-19 admitted at ICU in period of COVID-19 pandemic.

Exclusion Criteria

• Healthcare professionals who did not managed COVID-19 patients admitted at the ICU in situation of COVID-19 pandemic in the period 2020/2021.

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
Physicians	Questionnaire Survey	Physicians managing patients with COVID-19 admitted at ICU during period of COVID-19 pandemic.
Nurses	Questionnaire Survey	Nurses providing care to patients with COVID-19 admitted at ICU during period of COVID-19 pandemic.

Primary Outcome Measures

Name	Time	Method
Change of practice of providing palliative care at ICU in COVID-19 pandemic	Through study completion, an average of 1 month	Change of practice of providing palliative care including EOLD practice in patients with COVID-19 admitted at ICU during pandemic.

Secondary Outcome Measures

Name	Time	Method
Risk factors for moral distress	Through study completion, an average of 1 month	Identify factors leading to moral distress during COVID-19 pandemic and describe possible different risk factors by profession

Trial Locations

Locations (1)

University Hospital Brno; 🇨🇿 Brno, Czechia