Skip to main content

Table 2 Important problems when making decisions about limiting intensive care

From: Decision-making at the limit of viability: differing perceptions and opinions between neonatal physicians and nurses

Question

Total

Physicians

Nurses

p-value

German speaking area

French speaking area

p-value

Difficulty in foreseeing patient’s future quality of life

93.8 (91.0–95.8)

94.7 (88.3–97.7)

93.5 (90.1–95.8)

0.673

92.8 (89.1–95.3)

96.4 (91.1–98.6)

0.184

Difficulty of making an accurate long term prognosis

89.5 (86.1–92.2)

92.6 (85.6–96.4)

88.6 (84.4–91.7)

0.259

89.2 (85.1–92.4)

90.3 (83.4–94.5)

0.766

Difficulty of interpreting parents’ attitudes precisely

89.3 (85.8–92.0)

81.7 (72.7–88.3)

91.7 (88.0–94.4)

0.007

88.3 (84.0–91.6)

91.7 (85.0–95.6)

0.329

Insufficient time for decision-making

74.2 (69.6–78.4)

54.3 (44.2–64.0)

80.9 (75.9–85.0)

< 0.001

74.7 (69.3–79.5)

72.8 (63.5–80.5)

0.706

Legal constraints

73.3 (68.6–77.6)

54.3 (44.2–64.1)

79.5 (74.4–83.8)

< 0.001

74.0 (68.4–78.9)

71.8 (62.8–79.4)

0.669

Impossibility of obtaining the patient’s own views

66.2 (61.2–70.9)

64.9 (54.8–73.8)

66.7 (60.9–72.0)

0.754

69.3 (63.5–74.6)

58.3 (48.6–67.3)

0.044

Lack of a consistent Unit policy to guide you

64.4 (59.3–69.2)

36.1 (26.6–46.9)

73.0 (67.4–77.9)

< 0.001

58.1 (52.0–64.0)

80.8 (72.0–87.4)

< 0.001

Conflict between your own principles and Unit policy

55.5 (50.4–60.5)

40.0 (30.5–50.3)

60.4 (54.6–65.9)

0.001

53.5 (47.6–59.4)

60.6 (51.0–69.4)

0.220

Difficulty of foreseeing future developments in medicine which may help babies who now appear hopeless cases

43.2 (38.2–48.3)

29.8 (21.5–39.7)

47.8 (41.9–53.7)

0.002

43.9 (38.1–49.8)

41.2 (32.0–51.2)

0.654

Society’s lack of solidarity for the disabled

40.4 (35.6–45.4)

22.1 (14.9–31.4)

46.4 (40.7–52.1)

< 0.001

39.7 (34.1–45.6)

42.2 (33.4–51.6)

0.654

Shortage of services for the disabled

37.5 (32.7–42.6)

12.4 (7.0–20.8)

45.5 (39.8–51.4)

< 0.001

33.7 (28.3–39.7)

46.7 (37.6–56.1)

0.019

  1. Answers to the question: “How important do you consider each of the following problems when making decisions about whether or not to limit intensive care for an extremely preterm baby?” Percentages of respondents who answered “very important” or “important” with 95% confidence intervals are shown. Answers are listed in decreasing importance. Total n = 397