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The association of spiritual care providers' activities with family members' satisfaction with care after a death in the ICU*.

ABSTRACT: Spiritual distress is common in the ICU, and spiritual care providers are often called upon to provide care for patients and their families. Our goal was to evaluate the activities spiritual care providers' conduct to support patients and families and whether those activities are associated with family satisfaction with ICU care.Prospective cohort study.Three hundred fifty-bed tertiary care teaching hospital with 65 ICU beds.Spiritual care providers and family members of patients who died in the ICU or within 30 hours of transfer from the ICU.None.Spiritual care providers completed surveys reporting their activities. Family members completed validated measures of satisfaction with care and satisfaction with spiritual care. Clustered regression was used to assess the association between activities completed by spiritual care providers and family ratings of care. Of 494 eligible patients, 275 family members completed surveys (response rate, 56%). Fifty-seven spiritual care providers received surveys relating to 268 patients, completing 285 surveys for 244 patients (response rate, 91%). Spiritual care providers commonly reported activities related to supporting religious and spiritual needs (? 90%) and providing support for family feelings (90%). Discussions about the patient's wishes for end-of-life care and a greater number of spiritual care activities performed were both associated with increased overall family satisfaction with ICU care (p < 0.05). Discussions about a patient's end-of-life wishes, preparation for a family conference, and total number of activities performed were associated with improved family satisfaction with decision-making in the ICU (p < 0.05).Spiritual care providers engage in a variety of activities with families of ICU patients; several are associated with increased family satisfaction with ICU care in general and decision-making in the ICU specifically. These findings provide insight into spiritual care provider activities and provide guidance for interventions to improve spiritual care delivered to families of critically ill patients.

SUBMITTER: Johnson JR

PROVIDER: S-EPMC4134753 | biostudies-literature | 2014 Sep

REPOSITORIES: biostudies-literature

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The association of spiritual care providers' activities with family members' satisfaction with care after a death in the ICU*.

Johnson Jeffrey R JR Engelberg Ruth A RA Nielsen Elizabeth L EL Kross Erin K EK Smith Nicholas L NL Hanada Julie C JC Doll O'Mahoney Sean K SK Curtis J Randall JR

Critical care medicine 20140901 9

<h4>Objectives</h4>Spiritual distress is common in the ICU, and spiritual care providers are often called upon to provide care for patients and their families. Our goal was to evaluate the activities spiritual care providers' conduct to support patients and families and whether those activities are associated with family satisfaction with ICU care.<h4>Design</h4>Prospective cohort study.<h4>Setting</h4>Three hundred fifty-bed tertiary care teaching hospital with 65 ICU beds.<h4>Subjects</h4>Spir ...[more]

PMID: 24797373

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Project description:IntroductionThis paper details a subset of the findings from a participatory action research project exploring a palliative intervention in long-term care sites across Canada. The findings presented in this paper relate to understanding compassion within the context of a palliative approach to long-term care.MethodsFindings presented are drawn from qualitative interviews and focus groups with residents, family members, healthcare providers, and managers from 4 long-term care sites across 4 provinces in Canada. In total, there were 117 individuals (20 residents, 16 family members, 72 healthcare providers, and 9 managers) who participated in one of 19 focus groups. Data was analyzed by multiple members of the research team in accordance with thematic analysis. Individual concepts were organized into themes across the different focus groups and the results were used to build a conceptual understanding of compassion within Long Term Care .FindingsTwo themes, each comprised of 5 sub-themes, emerged from the data. The first theme 'Conceptualizing Compassion in Long-Term Care generated a multidimensional understanding of compassion that was congruent with previous theoretical models. 'Organizational Compassion: resources and staffing', the second major theme, focused on the operationalization of compassion within the practice setting and organizational culture. Organizational Compassion subthemes focused on how compassion could support staff to enact care for the residents, the families, one another, and at times, recognizing their pain and supporting it through grief and mourning.ConclusionsResults suggest that compassion is an essential part of care and relationships within long-term care, though it is shaped by personal and professional relational aspects of care and bound by organizational and systemic issues. Findings suggest that compassion may be an under-recognised, but essential element in meeting the promise of person-centred care within long-term care environments.

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The association of spiritual care providers' activities with family members' satisfaction with care after a death in the ICU*.

Publications

The association of spiritual care providers' activities with family members' satisfaction with care after a death in the ICU*.

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