Anne Sophie Ågård1, José G M Hofhuis2, Matty Koopmans3, Rik T Gerritsen4, Peter E Spronk5, Ruth A Engelberg6, J Randall Curtis7, Jan G Zijlstra8, Hanne Irene Jensen9. 1. Department of Intensive Care, Aarhus University Hospital, Palle Juul-Jensens Boulevard 99, 8200 Århus N, Denmark; Department of Science in Nursing, Institute of Public Health, Aarhus University, Building 1260, Bartholins Allé 2, 8000 Aarhus C, Denmark. Electronic address: anneag@rm.dk. 2. Department of Intensive Care Medicine Gelre Hospitals Apeldoorn, Apeldoorn, the Netherlands. Electronic address: j.hofhuis@gelre.nl. 3. Center of Intensive Care, Medisch Centrum Leeuwarden, PO Box 888, 8901 BR Leeuwarden, the Netherlands. Electronic address: Matty.Koopmans@ZNB.NL. 4. Center of Intensive Care, Medisch Centrum Leeuwarden, PO Box 888, 8901 BR Leeuwarden, the Netherlands. Electronic address: RTGerritsen@ZNB.NL. 5. Academic Medical Center, University of Amsterdam, Amsterdam, the Netherlands. Electronic address: p.spronk@gelre.nl. 6. Division of Pulmonary, Critical Care and Sleep Medicine, Harborview Medical Center, University of Washington, 325 Ninth Avenue, Box 359762, Seattle, WA 98104, USA; Cambia Palliative Care Center of Excellence, University of Washington, Seattle, USA. Electronic address: rengel@uw.edu. 7. Division of Pulmonary, Critical Care and Sleep Medicine, Harborview Medical Center, University of Washington, 325 Ninth Avenue, Box 359762, Seattle, WA 98104, USA; Cambia Palliative Care Center of Excellence, University of Washington, Seattle, USA. Electronic address: jrc@u.washington.edu. 8. University Medical Center Groningen, University of Groningen, Hanzeplein 1, 9713 GZ Groningen, the Netherlands. Electronic address: j.g.zijlstra@umcg.nl. 9. Department of Anaesthesiology and Intensive Care, Vejle and Middelfart Hospitals, Beriderbakken 4, 7100 Vejle, Denmark; Institute of Regional Health Research, University of Southern Denmark, J.B.Winsløwsvej 19, 5000 Odense, Denmark. Electronic address: hanne.irene.jensen@rsyd.dk.
Abstract
PURPOSE: The purposes of the study were to provide richer context for families' quantitative assessments of the quality of ICU care, and to describe further quality areas of importance for family members. MATERIALS AND METHODS: Free-text comments from 1077 family members of 920 patients focusing on family evaluation of ICU quality of care were analyzed using content analysis. Twenty-one Danish and Dutch ICUs participated from October 2014 to June 2015. RESULTS: Four themes emerged as important to families: information, clinician skills, ICU environment, and discharge from the ICU. Families highlighted the importance of receiving information that was accessible, understandable and honest. They indicated that quality care was ensured by having clinicians who were both technically and interpersonally competent. The ICU environment and the circumstances of the transfer out of the ICU were described as contributing to quality of care. The comments identified room for improvement within all themes. CONCLUSIONS: The study highlights the importance of including both technical and emotional care for patients and families and the consequent need to focus on clinicians' mastery of interpersonal skills.
PURPOSE: The purposes of the study were to provide richer context for families' quantitative assessments of the quality of ICU care, and to describe further quality areas of importance for family members. MATERIALS AND METHODS: Free-text comments from 1077 family members of 920 patients focusing on family evaluation of ICU quality of care were analyzed using content analysis. Twenty-one Danish and Dutch ICUs participated from October 2014 to June 2015. RESULTS: Four themes emerged as important to families: information, clinician skills, ICU environment, and discharge from the ICU. Families highlighted the importance of receiving information that was accessible, understandable and honest. They indicated that quality care was ensured by having clinicians who were both technically and interpersonally competent. The ICU environment and the circumstances of the transfer out of the ICU were described as contributing to quality of care. The comments identified room for improvement within all themes. CONCLUSIONS: The study highlights the importance of including both technical and emotional care for patients and families and the consequent need to focus on clinicians' mastery of interpersonal skills.
Authors: Kara M Plotnikoff; Karla D Krewulak; Laura Hernández; Krista Spence; Nadine Foster; Shelly Longmore; Sharon E Straus; Daniel J Niven; Jeanna Parsons Leigh; Henry T Stelfox; Kirsten M Fiest Journal: Crit Care Date: 2021-12-17 Impact factor: 9.097
Authors: Ann C Schwartz; Sarah E Dunn; Hannah F M Simon; Alvaro Velasquez; David Garner; Duc Quang Tran; Nadine J Kaslow Journal: Front Psychiatry Date: 2022-03-24 Impact factor: 4.157
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