Perceptions of Family Participation in Intensive Care Unit Rounds and Telemedicine: A Qualitative Assessment
| Autor: | Daniel N. Holena, Therese S. Richmond, Elisabeth A Stelson, Brendan G. Carr, Niels D. Martin, M. Kit Delgado, Kate E. Golden |
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| Rok vydání: | 2016 |
| Předmět: |
Adult
Male Telemedicine medicine.medical_specialty Attitude of Health Personnel media_common.quotation_subject MEDLINE Coding (therapy) Surgical intensive care unit Critical Care Nursing law.invention Interviews as Topic 03 medical and health sciences 0302 clinical medicine Nursing law Professional-Family Relations Sociobiology 030225 pediatrics Perception Health care medicine Humans Family 030212 general & internal medicine media_common Aged business.industry General Medicine Middle Aged Intensive care unit Intensive Care Units Work (electrical) Family medicine Teaching Rounds Female business |
| Zdroj: | American journal of critical care : an official publication, American Association of Critical-Care Nurses. 25(5) |
| ISSN: | 1937-710X |
| Popis: | Background Family-centered rounds involve purposeful interactions between patients' families and care providers to refocus the delivery of care on patients' needs. Objectives To examine perspectives of patients' family members and health care providers on family participation in rounds in the surgical intensive care unit (ICU) and the potential use of telemedicine to facilitate this process. Methods Patients' family members and surgical ICU care providers were recruited for semistructured interviews exploring stakeholders' perspectives on family participation in ICU rounds and the potential role of telemedicine. Thirty-two interviews were conducted, audio recorded, and transcribed verbatim. Common coding methods were facilitated by using NVivo 10. A mean coding agreement of 97.3% was calculated for 22% of transcripts. Results Both patients' family members and health care providers described inconsistent practices surrounding family participation in ICU rounds as well as barriers to and facilitators of family participation. Family members identified 3 primary logistical challenges to participation in ICU rounds: distance to hospitals, work/family obligations, and the rounding schedule. Both family members and providers reported receptivity to virtual participation as a potential solution to these challenges. Conclusions Understanding the barriers to and facilitators of family participation in ICU rounds is key to encouraging adoption of family-centered rounds. For families that live far away or have competing demands, telemedical options may facilitate participation. |
| Databáze: | OpenAIRE |
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