Ruth Kleinpell1, Daren K Heyland2, Jeffrey Lipman3, Charles L Sprung4, Mitchell Levy5, Mervyn Mer6, Younsuck Koh7, Judy Davidson8, Ahmed Taha9, J Randall Curtis10. 1. Vanderbilt University School of Nursing, Nashville, TN, USA. Electronic address: ruth.kleinpell@vanderbilt.edu. 2. Department of Critical Care Medicine, Queen's University, Kingston, ON, Canada. 3. Royal Brisbane and Womens Hospital, The University of Queensland, Australia. 4. Department of Anesthesiology and Critical Care Medicine, Hadassah Hebrew University Medical Center, Jerusalem, Israel. 5. Department of Pulmonary, Critical Care and Sleep Medicine, Alpert Medical School at Brown University, Providence, RI, USA. 6. Department of Medicine, Divisions of Critical Care and Pulmonology, Charlotte Maxeke Johannesburg Academic Hospital and Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa. 7. Department of Pulmonary and Critical Care Medicine, Asan Medical Center, University of Ulsan College of Medicine, Republic of Korea. 8. University of California San Diego Health, San Diego, CA, USA. 9. Critical Care Department, Sheikh Khalifa Medical City, Abu Dhabi, United Arab Emirates. 10. Cambia Palliative Care Center of Excellence, Division of Pulmonary, Critical Care, and Sleep Medicine, University of Washington, Seattle, WA, USA.
Abstract
PURPOSE: Patient and family engagement plays an important role in the intensive care unit (ICU), however the degree to which practices are being implemented globally is not known. MATERIALS: To provide insights, a task force of the World Federation of Societies of Intensive and Critical Care Medicine conducted a cross-sectional survey. RESULTS: A total of 345 responses were received from 40 countries. Varying practices with respect to patient and family engagement were reported. Majority of those responding to individual survey questions (n=109, 61.2%) provided written materials on the ICU to family members. Just over half (n=184, 53.8%) of respondents identified that structured patient and family care conferences were held to review goals of care. Practices such as open visitation were reported by 39.6% (n=136), and family presence during resuscitation were reported to be fully (12%, n=41) or somewhat adopted (33%, n=113) by less than half of respondents. ICU diaries, music or pet therapy, or the use of a patient and family advisory group were reported by less than half of respondents. CONCLUSIONS: We document and hence provide successful implementation techniques, tactics, and strategies that could help clinicians to address barriers to implementing patient and family engagement in the ICU.
PURPOSE:Patient and family engagement plays an important role in the intensive care unit (ICU), however the degree to which practices are being implemented globally is not known. MATERIALS: To provide insights, a task force of the World Federation of Societies of Intensive and Critical Care Medicine conducted a cross-sectional survey. RESULTS: A total of 345 responses were received from 40 countries. Varying practices with respect to patient and family engagement were reported. Majority of those responding to individual survey questions (n=109, 61.2%) provided written materials on the ICU to family members. Just over half (n=184, 53.8%) of respondents identified that structured patient and family care conferences were held to review goals of care. Practices such as open visitation were reported by 39.6% (n=136), and family presence during resuscitation were reported to be fully (12%, n=41) or somewhat adopted (33%, n=113) by less than half of respondents. ICU diaries, music or pet therapy, or the use of a patient and family advisory group were reported by less than half of respondents. CONCLUSIONS: We document and hence provide successful implementation techniques, tactics, and strategies that could help clinicians to address barriers to implementing patient and family engagement in the ICU.
Authors: Brenda T Pun; Rafael Badenes; Gabriel Heras La Calle; Onur M Orun; Wencong Chen; Rameela Raman; Beata-Gabriela K Simpson; Stephanie Wilson-Linville; Borja Hinojal Olmedillo; Ana Vallejo de la Cueva; Mathieu van der Jagt; Rosalía Navarro Casado; Pilar Leal Sanz; Günseli Orhun; Carolina Ferrer Gómez; Karla Núñez Vázquez; Patricia Piñeiro Otero; Fabio Silvio Taccone; Elena Gallego Curto; Anselmo Caricato; Hilde Woien; Guillaume Lacave; Hollis R O'Neal; Sarah J Peterson; Nathan E Brummel; Timothy D Girard; E Wesley Ely; Pratik P Pandharipande Journal: Lancet Respir Med Date: 2021-01-08 Impact factor: 30.700
Authors: David Y Hwang; Qiang Zhang; Adair Andrews; Kimberly LaRose; Martin Gonzalez; Lori Harmon; Kathleen Vermoch Journal: Crit Care Explor Date: 2021-04-02