Perceived Inappropriateness of Intensive Care Treatment Among Clinicians: A Cross-Sectional Nationwide Survey on the Prevalence, Associated Factors, and Outcomes

This study aimed to evaluate the prevalence and reasons for perceived inappropriateness of care (PIC) among ICU clinicians, identify associated factors, and assess its impact on patient outcomes within six months post-ICU. The findings revealed that 26% of clinicians reported PIC, primarily due to distributive injustice and disproportionality of care, with higher risks linked to being a nurse and working in a culture that avoids end-of-life decisions. Notably, PIC was associated with an increased risk of patient death and adverse outcomes, highlighting the need for reflection on ethical practices within ICU teams.