dc.contributor.author | Boehn, Leanne M. | |
dc.contributor.author | Sevin, Carla M. | |
dc.date.accessioned | 2019-09-30T13:58:05Z | |
dc.date.available | 2019-09-30T13:58:05Z | |
dc.date.issued | 2019-07 | |
dc.identifier.citation | Haines, K.J., Sevin, C.M., Hibbert, E. et al. Intensive Care Med (2019) 45: 939. https://doi.org/10.1007/s00134-019-05647-5 | en_US |
dc.identifier.issn | 0342-4642 | |
dc.identifier.uri | http://hdl.handle.net/1803/9561 | |
dc.description | Only Vanderbilt University affiliated authors are listed on VUIR. For a full list of authors, access the version of record at https://link.springer.com/content/pdf/10.1007%2Fs00134-019-05647-5.pdf | en_US |
dc.description.abstract | ObjectiveTo identify the key mechanisms that clinicians perceive improve care in the intensive care unit (ICU), as a result of their involvement in post-ICU programs.MethodsQualitative inquiry via focus groups and interviews with members of the Society of Critical Care Medicine's THRIVE collaborative sites (follow-up clinics and peer support). Framework analysis was used to synthesize and interpret the data.ResultsFive key mechanisms were identified as drivers of improvement back into the ICU: (1) identifying otherwise unseen targets for ICU quality improvement or education programs-new ideas for quality improvement were generated and greater attention paid to detail in clinical care. (2) Creating a new role for survivors in the ICU-former patients and family members adopted an advocacy or peer volunteer role. (3) Inviting critical care providers to the post-ICU program to educate, sensitize, and motivate them-clinician peers and trainees were invited to attend as a helpful learning strategy to gain insights into post-ICU care requirements. (4) Changing clinician's own understanding of patient experience-there appeared to be a direct individual benefit from working in post-ICU programs. (5) Improving morale and meaningfulness of ICU work-this was achieved by closing the feedback loop to ICU clinicians regarding patient and family outcomes.ConclusionsThe follow-up of patients and families in post-ICU care settings is perceived to improve care within the ICU via five key mechanisms. Further research is required in this novel area. | en_US |
dc.description.sponsorship | K Haines, J McPeake, L Boehm, C Sevin and Tara Quasim are currently receiving funding from SCCM to undertake this work. L Boehm is funded by NIH/NHLBI (K12 HL137943) as is T J Iwashyna National Institutes of Health (US) (K12 HL138039). | en_US |
dc.language.iso | en_US | en_US |
dc.publisher | INTENSIVE CARE MEDICINE | en_US |
dc.rights | This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/), which permits any noncommercial use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. | |
dc.source.uri | https://link.springer.com/article/10.1007%2Fs00134-019-05647-5#citeas | |
dc.subject | Post-intensive care syndrome | en_US |
dc.subject | intensive care unit follow-up clinics | en_US |
dc.subject | peer support | en_US |
dc.subject | inensive-care | en_US |
dc.subject.lcsh | intensive care | en_US |
dc.title | Key Mechanisms by Which Post-ICU Activities can Improve in-ICU Care: Results of the International THRIVE Collaboratives | en_US |
dc.type | Article | en_US |
dc.identifier.doi | 10.1007/s00134-019-05647-5 | |