Appendices

Articles

Table П1. Data of the total sample (n = 158) from the survey among ICU physicians from the centres included in the analysis and providing information

Code Indicator M ± σ Ме (Q1; Q3) n (%) of respondents n (%) included respondents
Not sure Unsatisfactory Satisfactory Good Eexcellent
1 2 3 4 5
  Satisfaction with ICU location within the medical institution and its floorspace capacity 3.62 ± 0.99 4.00 (3.00; 4.00) 1 (0.6%) 27 (17.3%) 30 (19.2%) 70 (44.9%) 28 (17.9%) 156 (98.7%)
  Satisfaction with ICU premises number and purpose of function 3.62 ± 0.92 4.00 (3.00; 4.00) 1 (0.6%) 21 (13.5%) 38 (24.4%) 73 (46.8%) 23 (14.7%) 156 (98.7%)
  Satisfaction with equipment/devices availability in ICU 3.75 ± 0.94 4.0 (3.0; 4.00) 0 16 (10.3%) 44 (28.4%) 58 (37.4%) 37 (23.9%) 155 (98.1%)
  Satisfaction with the availability of consumables (for diagnostic and therapeutic needs) in ICU 3.65 ± 1.01 4.00 (3.00; 4.00) 0 26 (16.7%) 39 (25.0%) 55 (35.3%) 36 (23.1%) 156 (98.7%)
  Satisfaction with the availability of consumables (for related needs: sanitation and housekeeping, etc.) in ICU 3.74 ± 0.89 4.00 (3.00; 4.00) 2 (1.3%) 8 (5.1%) 51 (32.7%) 62 (39.7%) 33 (21.2%) 156 (98.7%)
  Satisfaction with medicines availability in ICU 3.58 ± 0.96 4.00 (3.00; 4.00)   23 (14.7%) 46 (29.5%) 63 (40.4%) 23 (14.7%) 155 (98.1%)
  Satisfaction with availability of ICU professional doctors within the scope of the health care tasks assigned according to the type of medical institution practice 4.03 ± 0.64 4.00 (4.00; 4.00) 0 2 (1.3%) 24 (15.4%) 98 (62.8%) 32 (20.5%) 156 (98.7%)
  Satisfaction with availability of ICU professional nursing staff within the scope of the health care tasks assigned according to the type of medical institution practice 3.89 ± 0.75 4.00 (3.00; 4.00) 0 4 (2.6%) 41 (26.3%) 79 (50.6%) 32 (20.5%) 156 (98.7%)
  Satisfaction with availability of professional technical staff for ICU needs 3.44 ± 1.12 4.00 (3.00; 4.00) 12 (7.7%) 18 (11.5%) 40 (25.6%) 62 (39.7%) 24 (15.4%) 156 (98.7%)
  Professional knowledge of ICU doctors within the scope of the health care tasks assigned according to the type of medical institution practice 4.26 ± 0.66 4.00 (4.00; 5.00) 0 0 19 (12.2%) 78 (50.0%) 59 (37.8%) 156 (98.7%)
  Professional skills (expertise) of ICU doctors within the scope of the health care tasks assigned according to the type of medical institution practice 4.32 ± 0.63 4.00 (4.00; 5.00) 0 0 14 (9.0%) 78 (50.0%) 64 (41.0%) 156 (98.7%)
  Professional knowledge of ICU nursing staff within the scope of the health care tasks assigned according to the type of medical institution practice 4.09 ± 0.72 4.00 (4.00; 5.00) 0 0 34 (21.8%) 74 (47.4%) 48 (30.8%) 156 (98.7%)
  Professional skills (expertise) of ICU nursing staff within the scope of the health care tasks assigned according to the type of medical institution practice 4.08 ± 0.70 4.00 (4.00; 5.00) 0 0 32 (20.5%) 80 (51.3%) 44 (28.2%) 156 (98.7%)
  Average monthly salary of ICU doctors (at the end of the reporting period) 3.25 ± 0.85 3.00 (3.00; 4.00) 1 (0.6%) 25 (16.1%) 77 (49.7%) 39 (25.2%) 13 (8.4%) 155 (98.1%)
  Average monthly salary of ICU nursing staff (at the end of the reporting period) 2.63 ± 1.12 3.00 (2.00; 3.00) 34 (21.8%) 31 (19.9%) 54 (34.6%) 33 (21.2%) 4 (2.6%) 156 (98.7%)
  Average monthly salary of ICU technical staff (at the end of the reporting period) 2.24 ± 1.23 2.00 (1.00; 3.00) 65 (43.9%) 12 (8.1%) 46 (31.1%) 21 (14.2%) 4 (2.7%) 148 (93.7%)
  Average monthly salary of ICU intensivists (at the end of the reporting period) 3.28 ± 0.90 3.00 (3.00; 4.00) 1 (0.6%) 26 (16.8%) 72 (46.5%) 44 (28.4%) 12 (7.7%) 155 (98.1%)
  Professional knowledge of ICU doctors within the scope of the health care tasks assigned according to the type of medical institution practice 4.24 ± 0.61 4.00 (4.00; 5.00) 0 1 (0.6%) 12 (7.7%) 92 (59.0%) 51 (32.7%) 156 (98.7%)
  Professional skills (expertise) of ICU doctors within the scope of the health care tasks assigned according to the type of medical institution practice 4.29 ± 0.66 4.00 (4.00; 5.00) 0 0 12 (7.7%) 89 (57.1%) 55 (35.3%) 156 (98.7%)
  Professional knowledge of ICU nursing staff within the scope of the health care tasks assigned according to the type of medical institution practice 4.05 ± 0.67 4.00 (4.00; 4.00) 0 1 (0.6%) 28 (17.9%) 89 (57.1%) 38 (24.4%) 156 (98.7%)
  Professional skills (expertise) of ICU nursing staff within the scope of the health care tasks assigned according to the type of medical institution practice 4.10 ± 0.67 4.00 (4.00; 5.00) 0 0 27 (17.5%) 84 (54.5%) 43 (27.9%) 154 (97.5%)
  Mental level of patient representatives (parents, etc.) 2.78 ± 1.25 3.00 (2.00; 4.00) 35 (22.9%) 19 (12.4%) 57 (37.3%) 28 (18.3%) 14 (9.2%) 153 (96.8%)
  Level of patient awareness (knowledge of the problem) in his/her health status 2.91 ± 1.15 3.00 (2.00; 4.00) 20 (13.1%) 35 (22.9%) 51 (33.3%) 33 (21.6%) 14 (9.2%) 153 (96.8%)
  Level of patient representatives (parents, etc.) awareness (knowledge of the problem) in his/her health status 3.09 ± 1.14 3.00 (2.00; 4.00) 15 (9.9%) 29 (19.1%) 52 (34.2%) 39 (25.7%) 17 (11.2%) 152 (96.2%)
  Patient representatives (parents, etc.) participation in the care of him/her 3.55 ± 0.98 4.00 (3.00; 4.00) 6 (3.9%) 14 (9.1%) 46 (29.9%) 65 (42.2%) 23 (14.9%) 154 (97.5%)
  Patient representative visiting him/her in ICU and taking care of him/her see Fig. 1
  Time (average per day) that patient representatives (parents, etc.) stay in the ICU to care for the patient (hours per day) 12.13 ± 9.41 12.00 (1.00; 24.00) 158 (100.0%)
  Length of patient stay in ICU (hours/days) 47.27 ± 80.39 24.00 (0.00; 24.00) 158 (100.0%)
  Duration of representatives (parents, etc.) care for patient in ICU (hours/days) 23.90 ± 47.60 12.00 (1.00; 24.00) 158 (100.0%)
Code Indicator Number of those who responded positively — “yes” Number of those who responded negatively — “no”
  Format of patient representatives (parents, etc.) participation in care of the patient in ICU a) sanitary and hygienic care of the patient 140 (89%) 18 (11%)
b) patient feeding 130 (82%) 28 (18%)
c) watching monitors and other devices connected to the patient 36 (23%) 122 (77%)
d) assistance to nursing staff in implementation of treatment protocol prescribed by doctor to the patient 44 (28%) 114 (72%)
e) assistance to medical staff in patient transportation and dislodging 51 (32%) 107 (68%)
f) cleaning and sanitation of ICU premises 5 (3%) 153 (97%)
g) participation in decision-making on diagnostic and treatment measures/interventions for the patient 23 (15%) 135 (85%)
h) searching for and provision of medicines and equipment necessary for the patient in ICU 13 (8%) 145 (92%)
i) other Not submitted by respondents
Code Indicator M ± σ Ме (Q1; Q3) n (%) of respondents n (%) included respondents
Not sure Unsatisfactory Satisfactory Good Eexcellent
1 2 3 4 5
  Level of patient representative (parents, etc.) readiness to the care for the patient in ICU in the stage of his/her admission to the unit 2.56 ± 0.84 3.00 (2.00; 3.00) 17 (11.3%) 48 (32.0%) 70 (46.7%) 14 (9.3%) 1 (0.7%) 150 (94.9%)
  Level of patient representative (parents, etc.) readiness to the care for the patient in ICU in the stage of his/her discharge from the unit 3.50 ± 0.90 4.00 (3.00; 4.00) 5 (3.4%) 12 (8.1%) 49 (32.9%) 69 (46.3%) 14 (9.4%) 149 (94.3%)
Code Indicator n (%) of those who responded positively — “yes” n (%) of those who responded negatively — “no”
  Complaints of patients or their representatives (parents) in most cases are caused by a) underestimating the complexity of the patient situation 91 (58%) 67 (42%)
b) personalities of patients 52 (33%) 106 (67%)
c) personalities of patient representatives (parents) 76 (48%) 82 (52%)
d) personalities of ICU doctors 13 (8%) 145 (92%)
e) personalities of ICU nursing staff 11 (7%) 147 (93%)
f) low awareness of patient’s health 24 (15%) 134 (85%)
g) low comfort level in ICU 8 (5%) 150 (95%)
h) low comfort level in medical institution, excluding ICU 8 (5%) 150 (95%)
i) low professional level of ICU doctors 2 (1%) 156 (99%)
j) low professional level of ICU nursing staff (nurses) 3 (2%) 155 (98%)
k) low level of medical care provided in ICU 3 (2%) 155 (98%)
l) low level of medical care provided in medical institution, excluding ICU 5 (3%) 153 (97%)
m ack of attention of ICU doctors to patient and his/her representatives (parents) 2 (1%) 156 (99%)
n) lack of attention of ICU nursing staff to patient and his/her representatives (parents) 2 (1%) 156 (99%)
o) lack of attention of ICU Head to patient and his/her representatives (parents) 1 (1%) 157 (99%)
p) lack of attention of medical institution management to patient and his/her representatives (parents) 1 (1%) 157 (99%)
q) non-compliance of the medical institution level with requirements of the patient and his/her representatives (parents) 16 (10%) 142 (90%)
r) other Not submitted by respondents
  Innovations implemented in the ICU as suggested by patient representatives (relatives, etc.) during the reporting period a) format for obtaining patient information 52 (33%) 106 (67%)
b) management of admission and stay with the patient in ICU ward 40 (25%) 118 (75%)
c) management of patient representative participation in care for him/her in ICU 30 (19%) 128 (81%)
d) management and format of patient representative training in care for him/her in ICU 26 (16%) 132 (84%)
e) management and format of medical and psychological support to patient representatives during their stay in ICU 22 (14%) 136 (86%)
f) other (list specific activities) Not submitted by respondents
  Your comments, suggestions, and proposals on work management and its improving its efficiency in ICU and other departments of the medical institution Increase the number of wards for rooming-in patients and their legal representatives (n = 8)
Improve availability of medicines and medical equipment/devices (n = 21)
Decrease burden in maintaining medical, and administrative and technical documents (n = 2)
Raise wages (n = 1)

Table П2. Data of the total sample (= 259) from the survey among ICU nursing staff (nurses) working in the centres included in the analysis who submitted information

Code Indicator M ± σ Ме (Q1; Q3) n (%) of respondents n (%) included respondents
Not sure Unsatisfactory Satisfactory Good Eexcellent
1 2 3 4 5
  Satisfaction with ICU location within the medical institution and its floorspace capacity 3.37 ± 1.06 3.0 (3.0; 4.0) 16 (6.2%) 32 (12.4%) 82 (31.8%) 99 (38.4%) 29 (11.2%) 258 (99.6%)
  Satisfaction with ICU premises number and purpose of function 3.33 ± 1.00 3.0 (3.0; 4.0) 9 (3.5%) 44 (17.1%) 87 (33.7%) 90 (34.9%) 28 (10.9%) 258 (99.6%)
  Satisfaction with equipment/devices availability in ICU 3.39 ± 1.10 4.0 (2.5; 4.0) 9 (3.5%) 55 (21.5%) 61 (23.8%) 89 (34.8%) 42 (16.4%) 256 (98.8%)
  Satisfaction with the availability of consumables (for diagnostic and therapeutic needs) in ICU 3.27 ± 0.98 3.0 (3.0; 4.0) 2 (0.8%) 62 (24.0%) 90 (34.9%) 73 (28.3%) 31 (12.0%) 258 (99.6%)
  Satisfaction with the availability of consumables (for related needs: sanitation and housekeeping, etc.) in ICU 3.39 ± 1.02 3.0 (3.0; 4.0) 5 (1.9%) 52 (20.2%) 76 (29.6%) 90 (35.0%) 34 (13.2%) 257 (99.2%)
  Satisfaction with medicines availability in ICU 3.58 ± 1.07 4.0 (3.0; 4.0) 5 (1.9%) 38 (14.8%) 78 (30.4%) 75 (29.2%) 61 (23.7%) 257 (99.2%)
  Satisfaction with availability of ICU professional doctors within the scope of the health care tasks assigned according to the type of medical institution practice 3.83 ± 0.94 4.0 (3.0; 4.0) 8 (3.1%) 8 (3.1%) 64 (25.2%) 113 (44.5%) 61 (24.0%) 254 (98.1%)
  Satisfaction with availability of ICU professional nursing staff within the scope of the health care tasks assigned according to the type of medical institution practice 3.70 ± 1.02 4.0 (3.0; 4.0) 11 (4.3%) 17 (6.6%) 65 (25.4%) 107 (41.8%) 56 (21.9%) 256 (98.8%)
  Satisfaction with availability of professional technical staff for ICU needs 3.39 ± 1.17 4.0 (3.0; 4.0) 23 (9.1%) 26 (10.2%) 76 (29.9%) 89 (35.0%) 40 (15.7%) 254 (98.1%)
  Professional knowledge of ICU doctors within the scope of the health care tasks assigned according to the type of medical institution practice 4.15 ± 0.99 4.0 (4.0; 5.0) 11 (4.3%) 2 (0.8%) 38 (14.8%) 92 (35.9%) 113 (44.1%) 256 (98.8%)
  Professional skills (expertise) of ICU doctors within the scope of the health care tasks assigned according to the type of medical institution practice 4.18 ± 1.09 4.0 (4.0; 5.0) 12 (4.8%) 3 (1.2%) 40 (15.9%) 74 (29.4%) 123 (48.8%) 252 (97.3%)
  Professional knowledge of ICU nursing staff within the scope of the health care tasks assigned according to the type of medical institution practice 4.20 ± 0.90 4.0 (4.0; 5.0) 6 (2.4%) 1 (0.4%) 42 (16.5%) 92 (36.2%) 113 (44.5%) 254 (98.1%)
  Professional skills (expertise) of ICU nursing staff within the scope of the health care tasks assigned according to the type of medical institution practice 4.23 ± 0.86 4.0 (4.0; 5.0) 6 (2.4%) 1 (0.4%) 33 (13.0%) 102 (40.2%) 112 (44.1%) 254 (98.1%)
  Average monthly salary of ICU doctors (at the end of the reporting period) 2.20 ± 1.33 2.0 (1.0; 3.0) 120 (48.2%) 24 (9.6%) 53 (21.3%) 38 (15.3%) 14 (5.6%) 249 (96.1%)
  Average monthly salary of ICU nursing staff (at the end of the reporting period) 2.63 ± 0.85 3.0 (2.0; 3.0) 16 (6.3%) 103 (40.6%) 99 (39.0%) 31 (12.2%) 5 (2.0%) 254 (98.1%)
  Average monthly salary of ICU technical staff (at the end of the reporting period) 1.93 ± 1.22 1.0 (1.0; 3.0) 145 (58.2%) 18 (7.2%) 52 (20.9%) 26 (10.4%) 8 (3.2%) 249 (96.1%)
  Average monthly salary of ICU intensivists (at the end of the reporting period) 2.02 ± 1.25 1.0 (1.0; 3.0) 134 (54.0%) 22 (8.9%) 56 (22.6%) 26 (10.5%) 10 (4.0%) 248 (95.8%)
  Professional knowledge of ICU doctors within the scope of the health care tasks assigned according to the type of medical institution practice 4.09 ± 1.03 4.0 (4.0; 5.0) 12 (4.8%) 2 (0.8%) 43 (17.1%) 88 (35.1%) 106 (42.2%) 251 (96.9%)
  Professional skills (expertise) of ICU doctors within the scope of the health care tasks assigned according to the type of medical institution practice 4.21 ± 1.03 4.0 (4.0; 5.0) 9 (3.6%) 3 (1.2%) 40 (15.9%) 78 (31.0%) 122 (48.4%) 252 (97.3%)
  Professional knowledge of ICU nursing staff within the scope of the health care tasks assigned according to the type of medical institution practice 4.13 ± 0.91 4.0 (4.0; 5.0) 6 (2.4%) 5 (2.0%) 39 (15.5%) 101 (40.1%) 101 (40.1%) 252 (97.3%)
  Professional skills (expertise) of ICU nursing staff within the scope of the health care tasks assigned according to the type of medical institution practice 4.16 ± 0.85 4.0 (4.0; 5.0) 4 (1.6%) 4 (1.6%) 38 (15.0%) 109 (43.1%) 98 (38.7%) 253 (97.7%)
  Mental level of patient representatives (parents, etc.) 2.66 ± 1.30 3.0 (1.0; 3.0) 74 (29.5%) 23 (9.2%) 93 (37.1%) 40 (15.9%) 21 (8.4%) 251 (96.9%)
  Level of patient awareness (knowledge of the problem) in his/her health status 2.83 ± 1.21 3.0 (2.0; 4.0) 50 (20.2%) 36 (14.6%) 85 (34.4%) 57 (23.1%) 19 (7.7%) 247 (95.4%)
  Level of patient representatives (parents, etc.) awareness (knowledge of the problem) in his/her health status 2.97 ± 1.17 3.0 (2.0; 4.0) 41 (16.3%) 29 (11.6%) 101 (40.2%) 57 (22.7%) 23 (9.2%) 251 (96.9%)
  Patient representatives (parents, etc.) participation in the care of him/her 3.16 ± 1.03 3.0 (3.0; 4.0) 18 (7.2%) 39 (15.7%) 99 (39.8%) 72 (28.9%) 21 (8.4%) 249 (96.1%)
  Patient representative visiting him/her in ICU and taking care of him/her see Fig. 2
  Time (average per day) that patient representatives (parents, etc.) stay in the ICU to care for the patient (hours per day) 10.14 ± 10.90 6.0 (1.0; 24.0) 259 (100.0%)
  Length of patient stay in ICU (hours/days) 13.52 ± 31.21 3.0 (0.0; 24.0) 258 (99.6%)
  Duration of representatives (parents, etc.) care for patient in ICU (hours/days) 6.12 ± 9.67 2.0 (0.0; 10.0) 258 (99.6%)
Code Indicator n (%) of those who responded positively — “yes” n (%) of those who responded negatively — “no”
  Format of patient representatives (parents, etc.) participation in care of the patient in ICU a) sanitary and hygienic care of the patient 237 (91.5%) 22 (8.5%)
b) patient feeding 212 (81.9%) 47 (18.1%)
c) watching monitors and other devices connected to the patient 73 (28.2%) 186 (71.8%)
d) assistance to nursing staff in implementation of treatment protocol prescribed by doctor to the patient 68 (26.3%) 191 (73.7%)
e) assistance to medical staff in patient transportation and dislodging 122 (47.1%) 137 (5.9%)
f) cleaning and sanitation of ICU premises 11 (4.2%) 248 (95.8%)
g) participation in decision-making on diagnostic and treatment measures/interventions for the patient 13 (5.0%) 246 (95.0%)
h) searching for and provision of medicines and equipment necessary for the patient in ICU 26 (10.0%) 233 (90.0%)
i) other Not submitted by respondents
Code Indicator M ± σ Ме (Q1; Q3) n (%) of respondents n (%) included respondents
Not sure Unsatisfactory Satisfactory Good Eexcellent
1 2 3 4 5
31.3 Level of patient representative (parents, etc.) readiness to the care for the patient in ICU in the stage of his/her admission to the unit 2.61 ± 0.88 3.0 (2.0; 3.0) 24 (10.8%) 73 (32.7%) 94 (42.2%) 30 (13.5%) 2 (0.9%) 223 (86.1%)
32.3 Level of patient representative (parents, etc.) readiness to the care for the patient in ICU in the stage of his/her discharge from the unit 3.35 ± 0.92 3.0 (3.0; 4.0) 10 (4.5%) 25 (11.2%) 77 (34.5%) 98 (43.9%) 13 (5.8%) 223 (86.1%)
Code Indicator n (%) of those who responded positively — “yes” n (%) of those who responded negatively — “no”
33.3 Complaints of patients or their representatives (parents) in most cases are caused by a) underestimating the complexity of the patient situation 126 (48.6%) 133 (51.4%)
b) personalities of patients 94 (36.3%) 165 (63.7%)
c) personalities of patient representatives (parents) 103 (39.8%) 156 (60.2%)
d) personalities of ICU doctors 20 (7.7%) 239 (92.3%)
e) personalities of ICU nursing staff 21 (8.1%) 238 (91.9%)
f) low awareness of patient’s health 60 (23.2%) 199 (76.8%)
g) low comfort level in ICU 29 (11.2%) 230 (88.8%)
h) low comfort level in medical institution, excluding ICU 11 (4.2%) 248 (95.8%)
i) low professional level of ICU doctors 3 (1.2%) 256 (98.8%)
j) low professional level of ICU nursing staff (nurses) 3 (1.2%) 256 (98.8%)
k) low level of medical care provided in ICU 2 (0.8%) 257 (99.2%)
l) low level of medical care provided in medical institution, excluding ICU 7 (2.7%) 252 (97.3%)
m) lack of attention of ICU doctors to patient and his/her representatives (parents) 5 (1.9%) 254 (98.1%)
n) lack of attention of ICU nursing staff to patient and his/her representatives (parents) 4 (1.5%) 255 (98.5%)
o) lack of attention of ICU Head to patient and his/her representatives (parents) 5 (1.9%) 254 (98.1%)
p) lack of attention of medical institution management to patient and his/her representatives (parents) 12 (4.6%) 247 (95.4%)
q) non-compliance of the medical institution level with requirements of the patient and his/her representatives (parents) 22 (8.5%) 237 (91.5%)
r) other Not submitted by respondents
34.3 Innovations implemented in the ICU as suggested by patient representatives (relatives, etc.) during the reporting period a) format for obtaining patient information 46 (17.8%) 213 (82.2%)
b) management of admission and stay with the patient in ICU ward 74 (28.6%) 185 (71.4%)
c) management of patient representative participation in care for him/her in ICU 63 (24.3%) 196 (75.7%)
d) management and format of patient representative training in care for him/her in ICU 59 (22.8%) 200 (77.2%)
e) management and format of medical and psychological support to patient representatives during their stay in ICU 47 (18.1%) 212 (81.9%)
f) other Not submitted by respondents
35.3 Your comments, suggestions, and proposals on work management and its improving its efficiency in ICU and other departments of the medical institution Raise wages (n = 11)
Improve availability of medicines and medical equipment/devices (n = 14)
Staff ICU and bolster staffing per 1 ICU bed (n = 3)
Limit visits of parents to children in ICU (n = 2)