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Updated: Feb 15, 2026
06:04
Objective Nociceptive Assessment in Ventilated ICU Patients: A Feasibility Study Using Pupillometry and the Nociceptive Flexion Reflex
Published on: July 4, 2018
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The Practice of Respect in the ICU
Samuel M Brown1,2, Elie Azoulay3, Dominique Benoit4,5
11 Center for Humanizing Critical Care, Intermountain Medical Center, Murray, Utah.
American Journal of Respiratory and Critical Care Medicine
|January 23, 2018
Summary
Respect and dignity are crucial in the Intensive Care Unit (ICU). This study highlights common disrespect, patient vulnerability, and systemic barriers, proposing research and safety event frameworks to improve patient care.
Area of Science:
- Medical Ethics
- Critical Care Medicine
- Patient Experience
Background:
- Respect and dignity are intuitive but lack formal application in Intensive Care Units (ICUs).
- Patients and families in the ICU are particularly vulnerable to disrespect.
- Violations of respect and dignity are common in ICUs and linked to dehumanization.
Purpose of the Study:
- To systematically review and understand the practice of respect and dignity in the ICU.
- To develop a conceptual framework and research agenda for improving respect in ICUs.
- To identify findings and propose actionable strategies for enhancing patient dignity.
Main Methods:
- Convening a multidisciplinary expert group.
- Conducting a comprehensive literature review.
- Facilitating collaborative discussions on ICU respect practices.
Main Results:
- Dignity and respect are interrelated concepts.
- Disrespect in the ICU is common, overlaps with dehumanization, and can cause harm.
- Systemic barriers hinder the consistent practice of respect in ICUs.
Conclusions:
- Further research is essential to understand and improve respect and dignity in the ICU.
- Failures of respect should be treated as patient safety events for quality improvement.
- Efforts to enhance respect require careful consideration of benefits and potential unintended consequences.
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