We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
From JAMA |

ICU Clinicians' Perceptions of Appropriateness of Care and the Importance of Nurse-Physician Collaboration

Erin K. Kross, MD; J. Randall Curtis, MD, MPH
Arch Intern Med. 2012;172(11):889-890. doi:10.1001/archinternmed.2012.1671.
Text Size: A A A
Published online


Perceptions of appropriateness of care among intensive care unit (ICU) nurses and physicians are potentially important for several reasons. First, clinicians with perceptions of inappropriate care may experience moral distress and be at risk of burnout, which in turn may result in decreased job satisfaction and retention.13 Second, moral distress and burnout among clinicians may be associated with reduced quality of care for patients and families.4 Finally, perceived inappropriate care—if truly inappropriate—may be a burden on the resources of our health care system. In this interesting article, the primary goals of Piers and colleagues5 were to explore the prevalence of perceived inappropriateness of care among clinicians in 82 European and Israeli ICUs and describe the patient-related situations associated with perceived inappropriateness of care and the level of agreement among clinicians concerning perceived inappropriateness of care. Their secondary goal was to evaluate their hypothesis that perceived inappropriateness of care is associated not only with situational factors but also with clinicians' personal characteristics, work-related factors, and their self-reported intent to leave their job.


Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?





Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

2 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.