Dataset Information

Key mechanisms by which post-ICU activities can improve in-ICU care: results of the international THRIVE collaboratives.

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 interpret the data.

Results

Five 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.

Conclusions

The 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.

SUBMITTER: Haines KJ

PROVIDER: S-EPMC6611738 | biostudies-literature | 2019 Jul

REPOSITORIES: biostudies-literature

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Publications

Key mechanisms by which post-ICU activities can improve in-ICU care: results of the international THRIVE collaboratives.

Haines Kimberley J KJ Sevin Carla M CM Hibbert Elizabeth E Boehm Leanne M LM Aparanji Krishna K Bakhru Rita N RN Bastin Anthony J AJ Beesley Sarah J SJ Butcher Brad W BW Drumright Kelly K Eaton Tammy L TL Farley Thomas T Firshman Penelope P Fritschle Andrew A Holdsworth Clare C Hope Aluko A AA Johnson Annie A Kenes Michael T MT Khan Babar A BA Kloos Janet A JA Kross Erin K EK MacLeod-Smith Belinda J BJ Mactavish Pamela P Meyer Joel J Montgomery-Yates Ashley A Quasim Tara T Saft Howard L HL Slack Andrew A Stollings Joanna J Weinhouse Gerald G Whitten Jessica J Netzer Giora G Hopkins Ramona O RO Mikkelsen Mark E ME Iwashyna Theodore J TJ McPeake Joanne J

Intensive care medicine 20190604 7

<h4>Objective</h4>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.<h4>Methods</h4>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 interpret the data.<h4>Results</h4>Five key mechanisms were identified as drivers of impro ...[more]

PMID: 31165227

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Dataset Information

Key mechanisms by which post-ICU activities can improve in-ICU care: results of the international THRIVE collaboratives.

Objective

Methods

Results

Conclusions

Publications

Key mechanisms by which post-ICU activities can improve in-ICU care: results of the international THRIVE collaboratives.

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