Transitions of Care After Critical Illness-Challenges to Recovery and Adaptive Problem Solving.
Crit Care Med
; 49(11): 1923-1931, 2021 11 01.
Article
en En
| MEDLINE
| ID: mdl-34091486
ABSTRACT
OBJECTIVES:
Investigate the challenges experienced by survivors of critical illness and their caregivers across the transitions of care from intensive care to community, and the potential problem-solving strategies used to navigate these challenges.DESIGN:
Qualitative design-data generation via interviews and data analysis via the framework analysis method.SETTING:
Patients and caregivers from three continents, identified through the Society of Critical Care Medicine's THRIVE international collaborative sites (follow-up clinics and peer support groups).SUBJECTS:
Patients and caregivers following critical illness.INTERVENTIONS:
Nil. MEASUREMENTS AND MAINRESULTS:
From 86 interviews (66 patients, 20 caregivers), we identified the following major themes 1) Challenges for patients-interacting with the health system and gaps in care; managing others' expectations of illness and recovery. 2) Challenges for caregivers-health system shortfalls and inadequate communication; lack of support for caregivers. 3) Patient and caregiver-driven problem solving across the transitions of care-personal attributes, resources, and initiative; receiving support and helping others; and acceptance.CONCLUSIONS:
Survivors and caregivers experienced a range of challenges across the transitions of care. There were distinct and contrasting themes related to the caregiver experience. Survivors and caregivers used comparable problem-solving strategies to navigate the challenges encountered across the transitions of care.
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Enfermedad Crítica
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Cuidadores
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Sobrevivientes
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Continuidad de la Atención al Paciente
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Cuidados Críticos
Tipo de estudio:
Observational_studies
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Prognostic_studies
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Qualitative_research
Límite:
Humans
Idioma:
En
Año:
2021
Tipo del documento:
Article