Death, Dying, Violence and Aggression as Shown on Medical Television Series.

Официальное название

End of Life, Violence and Aggression on TV.

Обзор

Medical TV dramas have become very popular in recent years. These shows are mainly created for entertainment and often do not reflect what really happens in hospitals. However, television plays an important role in sharing information, shaping how people think, and teaching the public about medicine. Death and dying in hospitals, especially in Intensive Care Units (ICUs), are highly emotional experiences. In real life, these situations often turn out very differently from what patients and families expect. Because of this, it is important to understand how medical TV shows portray major hospital events such as end-of-life care, death, and the delivery of bad news. When what is shown on TV does not match the reality of ICU care, it can lead to unrealistic expectations, false hope, and greater distress for patients and their families at the end of life. At the same time, violence and aggression towards healthcare providers have increased in recent years. This can include verbal abuse as well as physical attacks. Looking at how healthcare workers are treated in medical TV shows may help us understand whether these programmes influence what behaviour is seen as acceptable. Since violence against healthcare staff has become especially concerning since the COVID-19 pandemic, the possible role of media should not be ignored, even though many factors are involved. This study aims to describe how death and dying are shown in popular medical TV series and to explore how violence or aggression towards healthcare providers is portrayed in these settings.

Первичные конечные точки

• Number and type of violent episodes depicted in medical tv series in the OR, the ICU and in the ER. [Срок оценки: during hospital admission]
• Number and type of death/ dying as depicted in medical tv series in the OR, the ICU and in the ER. [Срок оценки: during hospital admission]

Вторичные конечные точки (2)

• Type of environment that the behaviour is taking place [Срок оценки: During the hospital admission of observed patient or family member/ friend]
• Depicted emotions during death/dying [Срок оценки: During the hospital admission of observed patient or family member/ friend]

Критерии участия

Критерии включения

• Any are clearly visible and/or audible, intentional acts of violence occurring as self-contained scenes within an episode, set in a hospital environment, and taking place between two or more individuals in a medical or professional treatment setting.
• All patients dying within the hospital setting. The death scene must be explicitly shown or named (e.g., flatline, burial, covering of the body). The death must be visibly depicted on screen (the viewer must see the death happen).

Критерии исключения

• Violence: Violence outside the hospital. Self-harming behaviour or acts of violence that originate from a purely private context and do not arise within a professional medical setting.
• Death: Death outside the hospital. Stories or mentions of death without visual depiction do not count. Implied or off-screen deaths without explicit confirmation or depiction are excluded. Implied or off-screen deaths without explicit confirmation or depiction are excluded.

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Нет

Дизайн исследования

Модель наблюдения

Только случаи

Центры проведения

Германия · 1 центр

• Medical tv series — Witten

Великобритания · 1 центр

• Medical tv series — London

Публикации

• Kumar KA, Ceasar J, Olympia RP. Mortality as depicted in medical TV shows compared with reality. Am J Emerg Med. 2024 Jan;75:192-195. doi: 10.1016/j.ajem.2023.02.011. Epub 2023 Feb 12. No abstract available. PMID 36806425
• Chartrand L. Dying on television versus dying in intensive care units following withdrawal of life support: how normative frames may traumatise the bereaved. Sociol Health Illn. 2020 Jun;42(5):1155-1170. doi: 10.1111/1467-9566.13089. Epub 2020 Apr 18. PMID 32304256
• Colwill M, Somerville C, Lindberg E, Williams C, Bryan J, Welman T. Cardiopulmonary resuscitation on television: are we miseducating the public? Postgrad Med J. 2018 Feb;94(1108):71-75. doi: 10.1136/postgradmedj-2017-135122. Epub 2017 Oct 9. PMID 28993522

Идентификаторы

NCT: NCT07416669 · KCC02022026EOL

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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