scholarly journals Perceptions and ideas of critically ill patients, their family and staff members regarding family participation in the physiotherapy-related care of critically ill patients: a qualitative study

2021 ◽  
pp. 1-18
Author(s):  
Lotte van Delft ◽  
Karin Valkenet ◽  
Arjen Slooter ◽  
Cindy Veenhof
Keyword(s):  
Qualitative Study ◽  
Critically Ill ◽  
Critically Ill Patients ◽  
Family Participation ◽  
Staff Members

Implementation of a pet visitation program in critical care

1999 ◽  
Vol 19 (3) ◽  
pp. 43-50 ◽  
Author(s):  
KK Giuliano ◽  
E Bloniasz ◽  
J Bell
Keyword(s):  
Critically Ill ◽  
Emotional Support ◽  
Critically Ill Patients ◽  
Quantitative Research ◽  
Therapeutic Option ◽  
Healthcare Providers ◽  
Research Data ◽  
Staff Members ◽  
Common Problems ◽  
Patients Experience

We have no quantitative research data to document that these visits are actually helpful to patients in any measurable way, although we certainly hope to have some soon. However, observations of staff members and evaluations from participants in the program have been quite positive thus far. The program has been in place for more than 2 years, and about 30 pets have visited so far, including 28 dogs and 2 cats. Implementing a pet visitation program for critically ill patients affords healthcare providers the opportunity to offer a unique and humanistic therapeutic intervention to appropriate patients. Although it is a time-consuming endeavor, it has been well received by those patients and families that have participated in pet visits. Critically ill patients are often denied many simple pleasures because they are in physiological crisis. Such patients experience loneliness, isolation, depression, and lack of emotional support. Pet visitation is one way to address these common problems of ICU patients. For this reason, pet visitation will remain a therapeutic option for the support of our critically ill patients.

Early Mobility for Critically Ill Patients: Building Staff Commitment Through Appreciative Inquiry

2020 ◽  
Vol 40 (4) ◽  
pp. 66-72
Author(s):  
Michelle M. Fernald ◽  
Nicholas A. Smyrnios ◽  
Joan Vitello
Keyword(s):  
Quality Improvement ◽  
Critically Ill ◽  
Appreciative Inquiry ◽  
Critically Ill Patients ◽  
Staff Members ◽  
Before And After ◽  
Trained Facilitator ◽  
Improvement Method ◽  
And Performance ◽  
Staff Commitment

Background Immobility contributes to many adverse effects in critically ill patients. Early progressive mobility can mitigate these negative sequelae but is not widely implemented. Appreciative inquiry is a quality improvement method/change philosophy that builds on what works well in an organization. Objectives To explore whether appreciative inquiry would reinvigorate an early progressive mobility initiative in a medical intensive care unit and improve and sustain staff commitment to providing regular mobility therapy at the bedside. Secondary goals were to add to the literature about appreciative inquiry in health care and to determine whether it can be adapted to critical care. Methods Staff participated in appreciative inquiry workshops, which were conducted by a trained facilitator and structured with the appreciative inquiry 4-D cycle. Staff members’ attitudes toward and knowledge of early progressive mobility were evaluated before and after the workshops. Performance of early progressive mobility activities was recorded before and 3 and 10 months after the workshops. Results Sixty-seven participants completed the program. They rated the workshops as successfully helping them to understand the importance of early progressive mobility (98%), explain their responsibility to improve patient outcomes (98%), and engender a greater commitment to patients and the organization (96%). Regarding mobility treatments, at 3 months orders had improved from 62% to 88%; documentation, from 52% to 89%; and observation, from 39% to 87%. These improvements were maintained at 10 months. Conclusion Participation in the workshops improved the staff’s attitude toward and performance of mobility treatments. Appreciative inquiry may provide an adjunct to problem-based quality improvement techniques.

scholarly journals Patient-centred and family-centred care of critically ill patients who are potential organ donors: a qualitative study protocol of family member perspectives

BMJ Open ◽  
2020 ◽  
Vol 10 (6) ◽  
pp. e037527
Author(s):  
Katina Zheng ◽  
Stephanie Sutherland ◽  
Pierre Cardinal ◽  
Maureen Meade ◽  
Angele Landriault ◽  
...  
Keyword(s):  
Data Collection ◽  
Qualitative Study ◽  
Organ Donation ◽  
Critically Ill ◽  
Critically Ill Patients ◽  
Family Members ◽  
Health Science ◽  
Organ Donors ◽  
Deceased Organ Donation ◽  
Inductive Methods

IntroductionIn a patient-centred and family-centred approach to organ donation, compassion is paramount. Recent guidelines have called for more research, interventions and approaches aimed at improving and supporting the families of critically ill patients. The objective of this study is to help translate patient-centred and family-centred care into practice in deceased organ donation.Methods and analysisThis will be a national, qualitative study of family members of deceased organ donors in Canada. We will include family members who had been approached regarding an organ donation decision, including those who agreed and declined, at least 2 months and no later than 3 years after the patients’ death. Data collection and analysis is ongoing and will continue until September 2020 to include approximately 250 participants. Family members will be identified and recruited from provincial organ donation organisation databases. Four experienced qualitative researchers will conduct telephone interviews in English or French with audio-recording for subsequent transcription. The research team will develop a codebook iteratively through this process using inductive methods, thus generating themes directly from the dataset.Ethics and disseminationLocal research ethics boards (REB) at all participating sites across Canada have approved this protocol. The main REB involved is the Ottawa Health Science Network REB. Data collection began in August 2018. Publication of results is anticipated in 2021. Study findings will help improve healthcare provider competency in caring for potential organ donors and their families and improve organ donation consent rates. Findings will also help with the development of educational materials for a competency-based curriculum for critical care residents.

scholarly journals Transport of Critically Ill Patients – A Review of Early Interventions, Protocols, and Recommendations

2021 ◽  
Vol 11 (4) ◽  
pp. 133-143
Author(s):  
Sibghatullah M Khan ◽  
Marcus D. Lance ◽  
Mariam Ali Karrar Elobied
Keyword(s):  
Adverse Events ◽  
Critically Ill ◽  
Critically Ill Patients ◽  
Multiple Organ ◽  
Organ Support ◽  
Early Interventions ◽  
Health Care Environment ◽  
Staff Members ◽  
Quality Of Patient Care

The transportation of critically ill patients into or outside the hospital (ICU) has been associated with several adverse events [1, 2]. Mostly, patients admitted to the Intensive Care Unit (ICU) are considered to be critically ill. ICU can provide the best possible care to the patients, including monitoring, multiple organ support, frequent clinical round, and dedicated staff members for each patient. However, specific situations occur when the patient has to be transported out of the ICU to the best of the patient's interest. The benefits attached to the purpose of the transportation outweigh the risks. This literature review aims to summarize timely interventions, minimum standards for transportation, transport protocols, and recommendations to reduce critically ill patients to the potential risk in the ICU. We aim to improve the quality of patient care, risk evaluation, minimizing preventable hazards, standardization of the protocols, homogeneity of the modalities involved in the patient’s transport, and ultimately improving the patient’s health care environment. Findings shows that, a total of 1.7% of adverse events during transportation were identified. In this study, 3383 charts of completed transports were observed [6]. The incidence of adverse effects is quite variable, i.e., from 1.7% to 75.7%, and in other studies, it is sometimes recorded as high as 80% [4]. Key words: Transport, Critically Ill Patients, Early Interventions, Protocols, Recommendations.

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