Optimizing Critical Illness Recovery: Perspectives and Solutions From the Caregivers of ICU Survivors
Objectives:. To understand the unmet needs of caregivers of ICU survivors, how they accessed support post ICU, and the key components of beneficial ICU recovery support systems as identified from a caregiver perspective. Design:. International, qualitative study. Subjects:. We conducted 20 semistruc...
| Main Authors: | , , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer
2021-05-01
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| Series: | Critical Care Explorations |
| Online Access: | http://journals.lww.com/10.1097/CCE.0000000000000420 |
| _version_ | 1818740579599646720 |
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| author | Carla M. Sevin, MD Leanne M. Boehm, PhD, RN, ACNS-BC Elizabeth Hibbert, BPT Anthony J. Bastin, MB BS, PhD James C. Jackson, PsyD Joel Meyer, BM, BCh, DM Tara Quasim, MB ChB, MD Rita N. Bakhru, MD Ashley Montgomery-Yates, MD Andrew Slack, MB BS, MRCP, EDIC, MD (Res) Mary Still, APRN, ACNS, ANP-BS, CCRN, FCCM Giora Netzer, MD, MSCE Mark E. Mikkelsen, MD, MSCE Theodore J. Iwashyna, MD, PhD Kimberley J. Haines, PhD, BHSc (Physiotherapy) Joanne McPeake, PhD, MSc, BN (Hons), RGN |
| author_facet | Carla M. Sevin, MD Leanne M. Boehm, PhD, RN, ACNS-BC Elizabeth Hibbert, BPT Anthony J. Bastin, MB BS, PhD James C. Jackson, PsyD Joel Meyer, BM, BCh, DM Tara Quasim, MB ChB, MD Rita N. Bakhru, MD Ashley Montgomery-Yates, MD Andrew Slack, MB BS, MRCP, EDIC, MD (Res) Mary Still, APRN, ACNS, ANP-BS, CCRN, FCCM Giora Netzer, MD, MSCE Mark E. Mikkelsen, MD, MSCE Theodore J. Iwashyna, MD, PhD Kimberley J. Haines, PhD, BHSc (Physiotherapy) Joanne McPeake, PhD, MSc, BN (Hons), RGN |
| author_sort | Carla M. Sevin, MD |
| collection | DOAJ |
| description | Objectives:. To understand the unmet needs of caregivers of ICU survivors, how they accessed support post ICU, and the key components of beneficial ICU recovery support systems as identified from a caregiver perspective.
Design:. International, qualitative study.
Subjects:. We conducted 20 semistructured interviews with a diverse group of caregivers in the United States, the United Kingdom, and Australia, 11 of whom had interacted with an ICU recovery program.
Setting:. Seven hospitals in the United States, United Kingdom, and Australia.
Interventions:. None.
Measurements and Main Results:. Content analysis was used to explore prevalent themes related to unmet needs, as well as perceived strategies to improve ICU outcomes. Post-ICU care was perceived to be generally inadequate. Desired caregiver support fell into two main categories: practical support and emotional support. Successful care delivery initiatives included structured programs, such as post discharge telephone calls, home health programs, post-ICU clinics, and peer support groups, and standing information resources, such as written educational materials and online resources.
Conclusions:. This qualitative, multicenter, international study of caregivers of critical illness survivors identified consistently unmet needs, means by which caregivers accessed support post ICU, and several care mechanisms identified by caregivers as supporting optimal ICU recovery. |
| first_indexed | 2024-12-18T01:42:58Z |
| format | Article |
| id | doaj.art-5bbf65eb4adb49a795560b87161c7375 |
| institution | Directory Open Access Journal |
| issn | 2639-8028 |
| language | English |
| last_indexed | 2024-12-18T01:42:58Z |
| publishDate | 2021-05-01 |
| publisher | Wolters Kluwer |
| record_format | Article |
| series | Critical Care Explorations |
| spelling | doaj.art-5bbf65eb4adb49a795560b87161c73752022-12-21T21:25:15ZengWolters KluwerCritical Care Explorations2639-80282021-05-0135e042010.1097/CCE.0000000000000420202105000-00004Optimizing Critical Illness Recovery: Perspectives and Solutions From the Caregivers of ICU SurvivorsCarla M. Sevin, MD0Leanne M. Boehm, PhD, RN, ACNS-BC1Elizabeth Hibbert, BPT2Anthony J. Bastin, MB BS, PhD3James C. Jackson, PsyD4Joel Meyer, BM, BCh, DM5Tara Quasim, MB ChB, MD6Rita N. Bakhru, MD7Ashley Montgomery-Yates, MD8Andrew Slack, MB BS, MRCP, EDIC, MD (Res)9Mary Still, APRN, ACNS, ANP-BS, CCRN, FCCM10Giora Netzer, MD, MSCE11Mark E. Mikkelsen, MD, MSCE12Theodore J. Iwashyna, MD, PhD13Kimberley J. Haines, PhD, BHSc (Physiotherapy)14Joanne McPeake, PhD, MSc, BN (Hons), RGN151 Department of Medicine, Division of Allergy, Pulmonary, and Critical Care Medicine, Vanderbilt University Medical Center, Nashville, TN.2 School of Nursing, Vanderbilt University, Nashville, TN.3 Department of Physiotherapy, Western Health, Melbourne, VIC, Australia.4 Department of Peri-Operative Medicine, St Bartholomew’s Hospital, Barts Health NHS Trust, London, United Kingdom.5 Department of Medicine, Division of Allergy, Pulmonary, and Critical Care Medicine, Vanderbilt University Medical Center, Nashville, TN.6 Guy’s and St Thomas’ NHS Foundation Trust, London, United Kingdom.7 Glasgow Royal Infirmary, NHS Greater Glasgow and Clyde, Glasgow, Scotland, United Kingdom.8 Department of Internal Medicine, Section of Pulmonary, Critical Care, Allergy and Immunology, Wake Forest University School of Medicine, Winston Salem, NC.9 Division of Pulmonary, Critical Care and Sleep Medicine, University of Kentucky, Lexington, KY.10 Guy’s and St Thomas’ NHS Foundation Trust, London, United Kingdom.11 Emory University Hospital (Emory Healthcare), Atlanta, GA.12 Division of Pulmonary and Critical Care Medicine, University of Maryland School of Medicine, Baltimore, MD.14 Division of Pulmonary, Allergy, and Critical Care Medicine, Hospital of the University of Pennsylvania, Philadelphia, PA.15 Department of Medicine, Division of Pulmonary & Critical Care, University of Michigan, Ann Arbor, MI.17 Department of Physiotherapy, Western Health, Melbourne, VIC, Australia.20 Glasgow Royal Infirmary, NHS Greater Glasgow and Clyde, Scotland, United Kingdom.Objectives:. To understand the unmet needs of caregivers of ICU survivors, how they accessed support post ICU, and the key components of beneficial ICU recovery support systems as identified from a caregiver perspective. Design:. International, qualitative study. Subjects:. We conducted 20 semistructured interviews with a diverse group of caregivers in the United States, the United Kingdom, and Australia, 11 of whom had interacted with an ICU recovery program. Setting:. Seven hospitals in the United States, United Kingdom, and Australia. Interventions:. None. Measurements and Main Results:. Content analysis was used to explore prevalent themes related to unmet needs, as well as perceived strategies to improve ICU outcomes. Post-ICU care was perceived to be generally inadequate. Desired caregiver support fell into two main categories: practical support and emotional support. Successful care delivery initiatives included structured programs, such as post discharge telephone calls, home health programs, post-ICU clinics, and peer support groups, and standing information resources, such as written educational materials and online resources. Conclusions:. This qualitative, multicenter, international study of caregivers of critical illness survivors identified consistently unmet needs, means by which caregivers accessed support post ICU, and several care mechanisms identified by caregivers as supporting optimal ICU recovery.http://journals.lww.com/10.1097/CCE.0000000000000420 |
| spellingShingle | Carla M. Sevin, MD Leanne M. Boehm, PhD, RN, ACNS-BC Elizabeth Hibbert, BPT Anthony J. Bastin, MB BS, PhD James C. Jackson, PsyD Joel Meyer, BM, BCh, DM Tara Quasim, MB ChB, MD Rita N. Bakhru, MD Ashley Montgomery-Yates, MD Andrew Slack, MB BS, MRCP, EDIC, MD (Res) Mary Still, APRN, ACNS, ANP-BS, CCRN, FCCM Giora Netzer, MD, MSCE Mark E. Mikkelsen, MD, MSCE Theodore J. Iwashyna, MD, PhD Kimberley J. Haines, PhD, BHSc (Physiotherapy) Joanne McPeake, PhD, MSc, BN (Hons), RGN Optimizing Critical Illness Recovery: Perspectives and Solutions From the Caregivers of ICU Survivors Critical Care Explorations |
| title | Optimizing Critical Illness Recovery: Perspectives and Solutions From the Caregivers of ICU Survivors |
| title_full | Optimizing Critical Illness Recovery: Perspectives and Solutions From the Caregivers of ICU Survivors |
| title_fullStr | Optimizing Critical Illness Recovery: Perspectives and Solutions From the Caregivers of ICU Survivors |
| title_full_unstemmed | Optimizing Critical Illness Recovery: Perspectives and Solutions From the Caregivers of ICU Survivors |
| title_short | Optimizing Critical Illness Recovery: Perspectives and Solutions From the Caregivers of ICU Survivors |
| title_sort | optimizing critical illness recovery perspectives and solutions from the caregivers of icu survivors |
| url | http://journals.lww.com/10.1097/CCE.0000000000000420 |
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