Written Care Summaries Facilitate Communication Between Families and Providers of ICU Patients: A Pilot Study
OBJECTIVES:. ICU providers may invite families to participate in daily rounds to inform them of the patient’s condition and to support their emotional well-being. Daily written summaries of care may provide complementary benefits. DESIGN:. Qualitative interviews with surrogates of ICU patients who r...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer
2021-07-01
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| Series: | Critical Care Explorations |
| Online Access: | http://journals.lww.com/10.1097/CCE.0000000000000473 |
| _version_ | 1819239368750006272 |
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| author | Jeffrey L. Bulger, MD Thomas V. Quinn, MD Crystal M. Glover, PhD Santosh Basapur, PhD Raj C. Shah, MD Jared A. Greenberg, MD, MSc |
| author_facet | Jeffrey L. Bulger, MD Thomas V. Quinn, MD Crystal M. Glover, PhD Santosh Basapur, PhD Raj C. Shah, MD Jared A. Greenberg, MD, MSc |
| author_sort | Jeffrey L. Bulger, MD |
| collection | DOAJ |
| description | OBJECTIVES:. ICU providers may invite families to participate in daily rounds to inform them of the patient’s condition and to support their emotional well-being. Daily written summaries of care may provide complementary benefits.
DESIGN:. Qualitative interviews with surrogates of ICU patients who received daily written summaries of care.
SETTING:. Single, urban academic medical center.
PATIENTS/SUBJECTS:. A convenience sample of 30 surrogates of nondecisional, medical ICU patients.
INTERVENTIONS:. Daily written summaries detailed each of the patient’s main ICU problems, the presumed causes of each of the problems, and the medical team’s plan to address each of the problems for each ICU day.
MEASUREMENTS AND MAIN RESULTS:. There were four ways that written summaries affected the participant’s experience: 1) providing clarity to participants regarding the patient’s condition, 2) facilitating participant understanding of the patient’s clinical course, 3) facilitating communication between participants and medical providers, and 4) facilitating communication between participants and other family members. Overarching themes were that summaries were understandable, had appropriate level of detail, and added value to the ICU experience.
CONCLUSIONS:. In this pilot study, family members had positive impressions of receiving daily written summaries of care. Further study is needed to determine the extent to which written communication may affect family and patient outcomes. |
| first_indexed | 2024-12-23T13:51:01Z |
| format | Article |
| id | doaj.art-809ce37bf1234bd7bb7cc1945f408790 |
| institution | Directory Open Access Journal |
| issn | 2639-8028 |
| language | English |
| last_indexed | 2024-12-23T13:51:01Z |
| publishDate | 2021-07-01 |
| publisher | Wolters Kluwer |
| record_format | Article |
| series | Critical Care Explorations |
| spelling | doaj.art-809ce37bf1234bd7bb7cc1945f4087902022-12-21T17:44:35ZengWolters KluwerCritical Care Explorations2639-80282021-07-0137e047310.1097/CCE.0000000000000473202107000-00015Written Care Summaries Facilitate Communication Between Families and Providers of ICU Patients: A Pilot StudyJeffrey L. Bulger, MD0Thomas V. Quinn, MD1Crystal M. Glover, PhD2Santosh Basapur, PhD3Raj C. Shah, MD4Jared A. Greenberg, MD, MSc51 Department of Internal Medicine, Rush University Medical Center, Chicago, IL.2 Division of Pulmonary and Critical Care, Department of Internal Medicine, Rush University Medical Center, Chicago, IL.3 Rush Alzheimer’s Disease Center, Rush University Medical Center, Chicago, IL.5 Office of Project Management, Academic Support Services, Rush University Medical Center, Chicago, IL.3 Rush Alzheimer’s Disease Center, Rush University Medical Center, Chicago, IL.2 Division of Pulmonary and Critical Care, Department of Internal Medicine, Rush University Medical Center, Chicago, IL.OBJECTIVES:. ICU providers may invite families to participate in daily rounds to inform them of the patient’s condition and to support their emotional well-being. Daily written summaries of care may provide complementary benefits. DESIGN:. Qualitative interviews with surrogates of ICU patients who received daily written summaries of care. SETTING:. Single, urban academic medical center. PATIENTS/SUBJECTS:. A convenience sample of 30 surrogates of nondecisional, medical ICU patients. INTERVENTIONS:. Daily written summaries detailed each of the patient’s main ICU problems, the presumed causes of each of the problems, and the medical team’s plan to address each of the problems for each ICU day. MEASUREMENTS AND MAIN RESULTS:. There were four ways that written summaries affected the participant’s experience: 1) providing clarity to participants regarding the patient’s condition, 2) facilitating participant understanding of the patient’s clinical course, 3) facilitating communication between participants and medical providers, and 4) facilitating communication between participants and other family members. Overarching themes were that summaries were understandable, had appropriate level of detail, and added value to the ICU experience. CONCLUSIONS:. In this pilot study, family members had positive impressions of receiving daily written summaries of care. Further study is needed to determine the extent to which written communication may affect family and patient outcomes.http://journals.lww.com/10.1097/CCE.0000000000000473 |
| spellingShingle | Jeffrey L. Bulger, MD Thomas V. Quinn, MD Crystal M. Glover, PhD Santosh Basapur, PhD Raj C. Shah, MD Jared A. Greenberg, MD, MSc Written Care Summaries Facilitate Communication Between Families and Providers of ICU Patients: A Pilot Study Critical Care Explorations |
| title | Written Care Summaries Facilitate Communication Between Families and Providers of ICU Patients: A Pilot Study |
| title_full | Written Care Summaries Facilitate Communication Between Families and Providers of ICU Patients: A Pilot Study |
| title_fullStr | Written Care Summaries Facilitate Communication Between Families and Providers of ICU Patients: A Pilot Study |
| title_full_unstemmed | Written Care Summaries Facilitate Communication Between Families and Providers of ICU Patients: A Pilot Study |
| title_short | Written Care Summaries Facilitate Communication Between Families and Providers of ICU Patients: A Pilot Study |
| title_sort | written care summaries facilitate communication between families and providers of icu patients a pilot study |
| url | http://journals.lww.com/10.1097/CCE.0000000000000473 |
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