Keywords
Post-intensive care syndrome, Intensive care unit follow-up clinics, Peer support
Abstract
Objective: To 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.
Methods: Qualitative 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 inter‑ pret the data.
Results: Five key mechanisms were identifed as drivers of improvement back into the ICU: (1) identifying other‑ wise 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 understand‑ ing of patient experience—there appeared to be a direct individual beneft 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.
Conclusions: The follow-up of patients and families in post-ICU care settings is perceived to improve care within the ICU via fve key mechanisms. Further research is required in this novel area.
Original Publication Citation
Intensive Care Med (2019) 45:939–947 https://doi.org/10.1007/s00134-019-05647-5
BYU ScholarsArchive Citation
Haines, Kimberley J.; Sevin, Carla M.; Hibbert, Elizabeth; Boehme, Leanne M.; Aparanji, Krishna; Bakhru, Rita N.; Bastin, Anthony J.; Beesley, Sarah J.; Butcher, Brad W.; Drumright, Kelly; Eaton, Tammy L.; Farley, Thomas; Firshman, Penelope; Fritschle, Andrew; Holdsworth, Clare; Hope, Aluko A.; Johnson, Annie; Kenes, Michael T.; Khan, Babar A.; Kloos, Janet A.; Kross, Erin K.; MacLeod‑Smith, Belinda J.; Mactavish, Pamela; Meyer, Joel; Montgomery‑Yates, Ashley; Quasim, Tara; Saft, Howard L.; Slack, Andrew; Stollings, Joanna; Weinhouse, Gerald; Whitten, Jessica; Netzer, Giora; Hopkins, Ramona O.; Mikkelsen, Mark E.; Iwashyna, Theodore J.; and McPeake, Joanne, "Key mechanisms by which post-ICU activities can improve in-ICU care: results of the international THRIVE collaboratives" (2019). Faculty Publications. 6446.
https://scholarsarchive.byu.edu/facpub/6446
Document Type
Peer-Reviewed Article
Publication Date
2019
Publisher
Springer
Language
English
College
Family, Home, and Social Sciences
Department
Psychology
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