1. estudo.reappropriate@gmail.com The REAppropriate Study Steering Committee: Patrick Druwé*, MD; Sofie Huybrechts**, RN, MS; Peter De Paepe*, MD, PhD; Ruth Piers*, MD, PhD; Koen Monsieurs**, MD, PhD; Dominique Benoit*, MD, PhD *Ghent University **University of Antwerp (Belgium) Coordenador do Estudo no Brasil: Márcio Soares Inst. D’Or de Pesquisa e Ensino; Inst. Nacional de Câncer

2. estudo.reappropriate@gmail.com Cross-sectional questionnaire National Association Emergency Medical Technicians USA (1546 respondents): 50% (± 35%) of resuscitation attempts estimated futile 40% (± 34%) of resuscitative efforts undertaken in situations in which they personally would not desire resuscitation Marco et al., J Emerg Med, 2003; 24 (1): 101-6

3. estudo.reappropriate@gmail.com Definition Perception of inappropriate CPR Resuscitation efforts perceived by providers as disproportionate to the expected prognosis of the patient in terms of survival or quality of life

4. estudo.reappropriate@gmail.com Theoretical framework Perception of inappropriate CPR is associated with moral distress Accumulating moral distress may be associated with job leave, burnout and a decreased quality of patient care Quality of care may be affected directly by perception of inappropriate CPR

5. estudo.reappropriate@gmail.com Adapted from Piers et al., JAMA, 2011; 306 (24): 2694-2703 Patient care situation Patients receiving CPR Moral Distress (ACUTE stress ) Healthcare provider situation Personal characteristics Job strain (workload, teamwork) Ethical environment Professional role (EMT, nurse, physician) Perception of Inappropriate CPR Burnout (CHRONIC stress) Intent to leave job ↓ Quality of patient care The REAppropriate Study

6. estudo.reappropriate@gmail.com Objectives Determine the prevalence of perception of inappropriate CPR out of hospital or in the Emergency Department Analyze the patient related and healthcare provider related characteristics associated with this perception Analyze the impact on the healthcare provider in terms of emotional distress

7. estudo.reappropriate@gmail.com REAppropriate Multicenter international cross-sectional survey > 20 countries participating  Search for motivated local investigators to obtain high response rates in participating centers

8. estudo.reappropriate@gmail.com Who can participate? Nurses Doctors Paramedics/Emergency Medical Technicians treating cardiac arrest patients in Emergency Departments Prehospital Ambulance Services

9. estudo.reappropriate@gmail.com How participate? Study Day: May 04-17, 2015 Internet based questionnaire +/- 20 minutes of your time Completely anonymous

10. estudo.reappropriate@gmail.com Questionnaire Personal characteristics Educational aspects Working conditions Job strain Teamwork Resuscitation in general Your last resuscitation

11. estudo.reappropriate@gmail.com No knowledge test No wrong or right answers Your opinion counts

12. estudo.reappropriate@gmail.com Estudo REAppropriate