Article
Respiratory System
Katharine E. Secunda, Jacqueline M. Kruser
Summary: PFCC is essential for high-quality health care and has benefits for patients, families, and clinicians. The technical nature of critical care poses challenges for delivering PFCC, and deliberate attention to respectful and humanizing interactions with patients, families, and clinicians is necessary. Current efforts focus on patient-centered and family-centered communication, interventions to improve family support and participation, and addressing healthcare disparities and promoting health equity through PFCC. Optimal PFCC requires authentic engagement with diverse patients and families for quality improvement and research. Creating a humanistic ICU environment is crucial for both patients and healthcare providers.
CLINICS IN CHEST MEDICINE
(2022)
Article
Cardiac & Cardiovascular Systems
Mariya A. Kovaleva, Abigail C. Jones, Christine Cleary Kimpel, Jana Lauderdale, Carla M. Sevin, Joanna L. Stollings, James C. Jackson, Leanne M. Boehm
Summary: This study aimed to explore patient and informal caregiver experiences with a telemedicine ICU-RC. The study found that participants found the telemedicine delivery convenient, time-saving, and conducive to thorough discussions. Participants appreciated the information, reassurance, and validation provided by the ICU-RC. The study results help to improve the delivery and content of telemedicine ICU-RCs.
Article
Respiratory System
Breanna D. Hetland, Natalie S. McAndrew, Kevin A. Kupzyk, Dustin C. Krutsinger, Alison E. Turnbull, Bunny J. Pozehl, Jennifer M. Heusinkvelt
Summary: This study aims to determine the demographic, clinical, and psychological factors related to family caregiver readiness in ICU patient care. The results show that caregiver symptoms of depression, anxiety, and fatigue are negatively correlated with caregiver preparation, motivation, and self-efficacy. Social satisfaction is positively correlated with caregiver preparedness, motivation, and all subscales of self-efficacy.
ANNALS OF THE AMERICAN THORACIC SOCIETY
(2022)
Article
Medicine, General & Internal
Nancy Kentish-Barnes, Zoe Cohen-Solal, Lucas Morin, Virginie Souppart, Frederic Pochard, Elie Azoulay
Summary: Bereaved family members in French ICUs during the initial wave of the COVID-19 pandemic described disrupted experiences, including difficulties in building relationships with ICU clinicians, risks of separation from patients, and disruptions in end-of-life rituals. Specific family-centered crisis guidelines are necessary to improve overall experiences for patients, families, and clinicians.
Article
Psychology, Multidisciplinary
Loredana Cena, Paolo Biban, Jessica Janos, Manuela Lavelli, Joshua Langfus, Angelina Tsai, Eric A. Youngstrom, Alberto Stefana
Summary: The COVID-19 pandemic is disrupting healthcare services for high-risk newborns and their families, leading to potential adverse effects on newborns. This article aims to explore the psychological impact of the pandemic on parents and NICU staff based on empirical data, providing evidence-based guidance on supporting families and healthcare workers in facing this threatening emergency.
FRONTIERS IN PSYCHOLOGY
(2021)
Article
Nursing
Sameh Eltaybani, Fatma Refaat Ahmed
Summary: This study examined family satisfaction in adult intensive care units using mixed-method research in university hospitals in Egypt. Results showed that family satisfaction was associated with communication with patients, purchasing frequency, economic status, and perception of patient deterioration. Qualitative data analysis revealed four themes related to family and patient care, organizational issues, and environment. Promising strategies to enhance family satisfaction include regular family meetings, flexible visiting hours, shared decision-making, increased staff-to-patient ratio, and comfortable waiting rooms.
INTENSIVE AND CRITICAL CARE NURSING
(2021)
Article
Critical Care Medicine
Giovanni Mistraletti, Alberto Giannini, Giuseppe Gristina, Paolo Malacarne, Davide Mazzon, Elisabetta Cerutti, Alessandro Galazzi, Ilaria Giubbilo, Marco Vergano, Vladimiro Zagrebelsky, Luigi Riccioni, Giacomo Grasselli, Silvia Scelsi, Maurizio Cecconi, Flavia Petrini
Summary: During the lockdown due to the pandemic, families have been unable to visit their loved ones in the hospital. However, it is important to have clear strategic goals and operational guidance to allow family members access to different wards in hospitals.
Article
Respiratory System
Jacqueline M. Kruser, Demetrius Solomon, Joy X. Moy, Jane L. Holl, Elizabeth M. Viglianti, Michael E. Detsky, Douglas A. Wiegmann
Summary: Interprofessional collaboration within ICU teams is key to aligning care with patient goals, and this collaboration is influenced by organizational and cultural factors. By using transactive memory systems, ICU team members coordinate their actions to provide goal-aligned care, but this coordination can be disrupted or promoted by various factors.
ANNALS OF THE AMERICAN THORACIC SOCIETY
(2023)
Article
Critical Care Medicine
Jennifer B. Seaman, Kimberly J. Rak, Amanda K. Carpenter, Robert M. Arnold, Douglas B. White
Summary: This study aims to understand ICU clinicians' practices, barriers, and facilitators related to family meetings and gather their ideas and opinions on proactive interprofessional family meetings. The study found that a key barrier is the mindset that family meetings only need to be held when a clinical decision must be made, rather than proactively supporting and engaging families. Clinicians proposed multiple intervention ideas, including scheduling preemptively, monitoring performance, and discussing family meetings during daily rounds.
AMERICAN JOURNAL OF CRITICAL CARE
(2022)
Article
Computer Science, Information Systems
Klaas Minne Van Der Zwaag, Marianne Pontara Marinho, Wesley Da Silva Costa, Francisco De Assis Souza Dos Santos, Teodiano Freire Bastos-Filho, Helder R. O. Rocha, Marcelo E. Segatto, Jair A. L. Silva
Summary: Visible Light Communication (VLC) is proposed as a cost-effective and stable solution for preventing the spread of emerging diseases in Intensive Care (IC) environments. A VLC transceiver system is designed and tested for transmission of vital medical parameters, showing outstanding performance under different conditions.
Article
Pediatrics
Immacolata Dall'Oglio, Rachele Mascolo, Anna Portanova, Angela Ragni, Patrizia Amadio, Martina Fiori, Marco Tofani, Orsola Gawronski, Simone Piga, Gennaro Rocco, Emanuela Tiozzo, Jos M. Latour
Summary: Family Centered Care is crucial in Neonatal Intensive Care Units for improving the quality and humanization of care. This study developed a questionnaire to investigate NICU staff perceptions of Family Centered Care. The results showed that profession, education level, and work experience positively influenced the practice of Family Centered Care.
Article
Health Care Sciences & Services
May Hua, Laura D. Fonseca, R. Sean Morrison, Hannah Wunsch, Robert Fullilove, Douglas B. White
Summary: Adoption of specialty palliative care in the ICU varies across different phases, from education and clarification of appropriate patients to establishing trust and comfort, ultimately forming a collaborative relationship. ICU and palliative care clinicians work to strengthen their collaboration in the mature phase, but further adoption is limited by the availability and resources of the palliative care team.
JOURNAL OF PAIN AND SYMPTOM MANAGEMENT
(2021)
Article
Medicine, General & Internal
Anhar Alhussaini
Summary: This proposal aims to provide a structured path for identifying and communicating uncertainty with patients and families in the intensive care unit, with a focus on improving care quality and timely communication to meet their expectations and needs.
CUREUS JOURNAL OF MEDICAL SCIENCE
(2021)
Article
Nursing
Marie Oxenboll Collet, Helle Albertsen, Ingrid Egerod
Summary: This study aimed to describe the current practice and experiences of patient and family engagement in the intensive care unit at the individual level, organizational level, and in the research process. Results showed that at the individual level, nurses involved patients and families in daily treatment and care. At the organizational level, some units had overall strategies or guidelines for patient and family engagement, and a few units had established engagement panels. Finally, a number of units engaged patients and families in the research process.
NURSING IN CRITICAL CARE
(2023)
Article
Medicine, General & Internal
Justyna Lunkiewicz, Greta Gasciauskaite, Tadzio Raoul Roche, Samira Akbas, Christoph B. Nothiger, Michael T. Ganter, Patrick Meybohm, Sebastian Hottenrott, Kai Zacharowski, Florian Juergen Raimann, Eva Rivas, Manuel Lopez-Baamonde, Elisabeth Anna Beller, David Werner Tscholl, Lisa Bergauer
Summary: Visual Patient Avatar ICU is an innovative approach to patient monitoring that enhances situation awareness in intensive care settings. ICU professionals expressed a positive outlook on the technology, describing it as a simple and intuitive tool that improves information retention and problem identification. However, some participants had concerns about potential information overload and the lack of exact numerical values.
Editorial Material
Critical Care Medicine
J. Randall Curtis, Mitchell M. Levy
AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE
(2022)
Editorial Material
Critical Care Medicine
Elizabeth Dzeng, Thomas Bein, J. Randall Curtis
INTENSIVE CARE MEDICINE
(2022)
Correction
Critical Care Medicine
Victoria Metaxa, Despina Anagnostou, Savvas Vlachos, Nishkantha Arulkumaran, Sherihane Bensemmane, Ingeborg van Dusseldorp, Rebecca A. Aslakson, Judy E. Davidson, Rik T. Gerritsen, Christiane Hartog, J. Randall Curtis
INTENSIVE CARE MEDICINE
(2022)
Editorial Material
Critical Care Medicine
J. Randall Curtis
INTENSIVE CARE MEDICINE
(2022)
Article
Health Care Sciences & Services
Crystal E. Brown, J. Randall Curtis, Kemi M. Doll
Summary: Racial inequities in palliative and end-of-life care have been well-documented but often overlooked due to a lack of consideration for the effects of race and everyday racism. Public Health Critical Race Praxis provides a new approach for researchers to address racial disparities by broadening research priorities and developing race-conscious interventions.
JOURNAL OF PAIN AND SYMPTOM MANAGEMENT
(2022)
Article
Health Care Sciences & Services
Alison M. Uyeda, J. Randall Curtis, Ruth A. Engelberg, Lyndia C. Brumback, Yue Guo, James Sibley, William B. Lober, Trevor Cohen, Janaki Torrence, Joanna Heywood, Sudiptho R. Paul, Erin K. Kross, Robert Y. Lee
Summary: This study compares three natural language processing (NLP) modeling approaches for identifying documentation of goals-of-care discussions in electronic health records (EHR). The results show that NLP holds promise for identifying EHR-documented goals-of-care discussions, although the rarity of such content limits the performance. The study also identifies opportunities to optimize NLP modeling approaches.
JOURNAL OF PAIN AND SYMPTOM MANAGEMENT
(2022)
Article
Health Care Sciences & Services
May Hua, Hannah Wunsch, Rebecca A. Aslakson
JOURNAL OF PAIN AND SYMPTOM MANAGEMENT
(2022)
Article
Health Care Sciences & Services
Crystal E. Brown, Jill M. Steiner, Peter J. Leary, J. Randall Curtis, Ruth A. Engelberg
Summary: This study assessed physicians' perspectives on barriers and facilitators to the use of palliative care in pulmonary arterial hypertension (PAH) patients. The results showed that PAH physicians are willing to implement a tailored approach to individual patients and collaborate effectively with palliative care clinicians. However, there are still limitations posed by health systems.
JOURNAL OF PAIN AND SYMPTOM MANAGEMENT
(2023)
Article
Health Care Sciences & Services
Karleen F. Giannitrapani, Marzena Sasnal, Matthew Mccaa, Adela Wu, Arden M. Morris, Natalie B. Connell, Rebecca A. Aslakson, Yael Schenker, Scott Shreve, Karl A. Lorenz
Summary: This study identifies four strategies to improve palliative care integration and goals of care conversations in the perioperative period for seriously ill Veterans, including building collaborative relationships, establishing risk assessment processes, involving both PC providers and surgeons at the appropriate time, and providing sufficient resources for interdisciplinary care sharing.
JOURNAL OF PAIN AND SYMPTOM MANAGEMENT
(2023)
Meeting Abstract
Health Care Sciences & Services
Karleen Giannitrapani, Matthew Mccaa, Marzena Sasnal, Arden Morris, Rebecca Aslakson, Scott T. Shreve, Lorenz Karl
JOURNAL OF GENERAL INTERNAL MEDICINE
(2022)
Meeting Abstract
Health Care Sciences & Services
Karl Lorenz, Rebecca Aslakson, Ariadna Garcia, Derek Boothroyd, Arden Morris, Shipra Arya, Karleen Giannitrapani, Scott Shreve
JOURNAL OF PAIN AND SYMPTOM MANAGEMENT
(2022)
Meeting Abstract
Health Care Sciences & Services
Rachel Siden, Laura Holdsworth, Bonnie Wong, Mae Verano, Holly Tabor, Rebecca Aslakson
JOURNAL OF PAIN AND SYMPTOM MANAGEMENT
(2022)
Meeting Abstract
Health Care Sciences & Services
Laura Holdsworth, Rachel Siden, Bonnie Wong, Mae Verano, Holly Tabor, Rebecca Aslakson
JOURNAL OF PAIN AND SYMPTOM MANAGEMENT
(2022)
Meeting Abstract
Health Care Sciences & Services
Rebecca Aslakson, Rachel Siden, Mae Verano, Laura Holdsworth, Nathaniel Braun, Holly Tabor, Bonnie Wong, Kathryn Colborn, Shelby Smith, Isaac Lira, Caroline Hallahan, Richard Nudotor, Amn Siddiqi, Elizabeth Harris, Kemba Days-Yancey, Shelley Fuld Nasso, Elizabeth Rickerson, Bridget Fahy, Brittany Waterman, Fabian Johnston, Thomas Smith, Lidia Schapira
JOURNAL OF PAIN AND SYMPTOM MANAGEMENT
(2022)
Article
Respiratory System
Sarah J. Hochendoner, Timothy H. Amass, J. Randall Curtis, Pamela Witt, Xingran Weng, Olubukola Toyobo, Daniella Lipnick, Priscilla Armstrong, Margaret Hope Cruse, Olivia Rea, Lauren J. Van Scoy
Summary: ICU visitation restrictions during the COVID-19 pandemic have caused psychological harm to family members of critically ill patients. Investment in communication infrastructure and following family-derived recommendations are needed to improve communication.
ANNALS OF THE AMERICAN THORACIC SOCIETY
(2022)