Written Care Summaries Facilitate Communication Between Families and Providers of ICU Patients: A Pilot Study
Autor: | Santosh Basapur, Crystal M. Glover, Jeffrey L. Bulger, Jared A. Greenberg, Thomas V. Quinn, Raj C. Shah |
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Rok vydání: | 2021 |
Předmět: |
Icu patients
intensive care unit family experience RC86-88.9 communication family engagement Qualitative interviews Psychological intervention Level of detail (writing) Clinical course Medical emergencies. Critical care. Intensive care. First aid General Medicine Affect (psychology) law.invention Nursing law ComputingMethodologies_DOCUMENTANDTEXTPROCESSING CLARITY Medical team Original Clinical Report Psychology |
Zdroj: | Critical Care Explorations Critical Care Explorations, Vol 3, Iss 7, p e0473 (2021) |
ISSN: | 2639-8028 |
DOI: | 10.1097/cce.0000000000000473 |
Popis: | Supplemental Digital Content is available in the text. 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. |
Databáze: | OpenAIRE |
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