Key mechanisms by which post-ICU activities can improve in-ICU care: results of the international THRIVE collaboratives.
Intensive Care Med
; 45(7): 939-947, 2019 07.
Article
em En
| MEDLINE
| ID: mdl-31165227
ABSTRACT
OBJECTIVE:
To identify the key mechanisms that clinicians perceive improve care in the intensive care unit (ICU), as a result of their involvement in post-ICU programs.METHODS:
Qualitative inquiry via focus groups and interviews with members of the Society of Critical Care Medicine's THRIVE collaborative sites (follow-up clinics and peer support). Framework analysis was used to synthesize and interpret the data.RESULTS:
Five key mechanisms were identified as drivers of improvement back into the ICU (1) identifying otherwise unseen targets for ICU quality improvement or education programs-new ideas for quality improvement were generated and greater attention paid to detail in clinical care. (2) Creating a new role for survivors in the ICU-former patients and family members adopted an advocacy or peer volunteer role. (3) Inviting critical care providers to the post-ICU program to educate, sensitize, and motivate them-clinician peers and trainees were invited to attend as a helpful learning strategy to gain insights into post-ICU care requirements. (4) Changing clinician's own understanding of patient experience-there appeared to be a direct individual benefit from working in post-ICU programs. (5) Improving morale and meaningfulness of ICU work-this was achieved by closing the feedback loop to ICU clinicians regarding patient and family outcomes.CONCLUSIONS:
The follow-up of patients and families in post-ICU care settings is perceived to improve care within the ICU via five key mechanisms. Further research is required in this novel area.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Satisfação do Paciente
/
Cuidados Semi-Intensivos
/
Cuidados Críticos
/
Melhoria de Qualidade
/
Unidades de Terapia Intensiva
Tipo de estudo:
Prognostic_studies
/
Qualitative_research
Limite:
Adult
/
Female
/
Humans
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Male
/
Middle aged
Idioma:
En
Revista:
Intensive Care Med
Ano de publicação:
2019
Tipo de documento:
Article
País de afiliação:
Austrália