Post-ICU Syndrome and the Importance of Humanization in Intensive Care DOI
Irma Marisol Quiroga-Mantilla, Cecilia Teresita de Jesús Carbajal Llauce, Leonor Concepción Vera-Macías

et al.

Bionatura journal :, Journal Year: 2024, Volume and Issue: 1(4), P. 1 - 15

Published: Nov. 20, 2024

Humanization in the ICU has become a central topic over last decade. New research focuses on technologies such as virtual reality and music therapy, well practices like family presence during after stays, open-door policies, monitoring of both members healthcare personnel. Psychiatric disorders, including depression, post-traumatic stress, anxiety, delirium, are prevalent survivors contribute to post-ICU syndrome. This aimed determine role humanization critical care, with secondary objective evaluating impact policies critically ill patients. Analyses, results tables, conclusions presented. encompasses improvements new associated concepts end-of-life personalized ICU-VIP ICU. Flexibility is crucial address all factors that affect long-term neuropsychiatric outcomes. Humanizing intensive care unit improves communication information flow, ultimately reducing delirium symptoms. Keywords: Humanism; Humanities; Intensive Care; Neonatal Telecare; Tele-Intensive Care.

Language: Английский

Attracting nursing talent to the intensive care unit: A qualitative study on how to create an appealing work environment DOI Creative Commons
Rafael‐Jesús Fernández‐Castillo, Luis Prado, M. Raurell-Torredà

et al.

Intensive and Critical Care Nursing, Journal Year: 2025, Volume and Issue: 87, P. 103937 - 103937

Published: Jan. 8, 2025

Language: Английский

Citations

1
Clinician perceptions of the impact of ICU family visiting restrictions during the COVID-19 pandemic: an international investigation DOI Creative Commons
Joanne McPeake, Nancy Kentish‐Barnes, Emilie Banse

et al.

Critical Care, Journal Year: 2023, Volume and Issue: 27(1)

Published: Jan. 21, 2023

Abstract Purpose To guarantee the safety of public, clinicians and patients during COVID-19 pandemic, hospital visits were severely restricted internationally. There are limited data on precise impact these visiting restrictions Intensive Care Unit clinicians. Our objectives therefore to explore family visitation care delivery describe innovation alongside areas for potential improvement. Methods A qualitative approach using focus groups was employed. We recruited members multi-disciplinary team from Spain, France UK. Framework analysis used synthesize interpret data. Results In total, 28 staff multiple international sites contributed across six groups: 12 UK, 9 7 Spain. relation key aims, we derived four themes: emergence new technologies, relationships rapport establishment, communication challenges end-of-life provision. Across each theme, overarching concepts clinician emotional exhaustion distress emerged negative job satisfaction. Conclusion The is far reaching. Future research should examine wider presence in ICU.

Language: Английский

Citations

16
Predictors of ICU Surrogates’ States of Concurrent Prolonged Grief, Post-Traumatic Stress, and Depression Symptoms DOI
Fur‐Hsing Wen, Holly G. Prigerson, Li‐Pang Chuang

et al.

Critical Care Medicine, Journal Year: 2024, Volume and Issue: 52(12), P. 1885 - 1893

Published: Sept. 11, 2024

OBJECTIVES: Scarce research explores factors of concurrent psychologic distress (prolonged grief disorder [PGD], posttraumatic stress [PTSD], and depression). This study models surrogates’ longitudinal, heterogenous grief-related reactions multidimensional risk drawing from the integrative framework predictors for bereavement outcomes (intrapersonal, interpersonal, bereavement-related, death-circumstance factors), emphasizing clinical modifiability. DESIGN: Prospective cohort study. SETTING: Medical ICUs two Taiwanese medical centers. SUBJECTS: Two hundred eighty-eight family surrogates. INTERVENTIONS: None. MEASUREMENTS AND MAIN RESULTS: Factors associated with four previously identified PGD-PTSD-depressive-symptom states (resilient, subthreshold depression-dominant, PGD-dominant, PGD-PTSD-depression concurrent) were examined by multinomial logistic regression modeling (resilient state as reference). Intrapersonal: Prior use mood medications correlated depression-dominant state. Financial hardship emergency department visits Higher anxiety symptoms three more profound psychologic-distress (adjusted odds ratio [95% CI] = 1.781 [1.562–2.031] to 2.768 [2.288–3.347]). Interpersonal: Better perceived social support was Bereavement-related: Spousal loss PGD-dominant Death circumstances: Provision palliative care (8.750 [1.603–47.768]) Surrogate-perceived quality patient dying death poor-to-uncertain (4.063 [1.531–10.784]) state, (12.833 [1.231–133.775]), worst (12.820 [1.806–91.013]) Modifiable social-worker involvement (0.004 [0.001–0.097]) a do-not-resuscitate order issued before (0.177 [0.032–0.978]) negatively respectively. Apparent unmodifiable buffering included higher educational attainment, married status, longer time since loss. CONCLUSIONS: Surrogates’ positively clinically modifiable factors: poor death, surrogate anxiety, care—commonly provided late in terminal-illness trajectory worldwide. Social-worker appeared mitigate risk.

Language: Английский

Citations

4
EKSPLORASI PENGALAMAN PASIEN DAN KELUARGA TERHADAP KUALITAS PELAYANAN TENAGA KESEHATAN DI RUANG INTENSIVE CARDIOVASCULAR CARE UNIT (ICVCU) RSUD Dr. MOEWARDI SURAKARTA DOI Creative Commons

Risa Setia Ismandani,

Adi Utarini, Martina Sinta Kristanti

et al.

Jurnal Manajemen Pelayanan Kesehatan (The Indonesian Journal of Health Service Management), Journal Year: 2025, Volume and Issue: 27(3), P. 86 - 91

Published: Jan. 8, 2025

Latar Belakang: Dirawat di ruang perawatan intensif bisa menjadi situasi yang sulit bagi pasien maupun keluarganya. Berbagai respon fisik emosional dapat terjadi memicu pemberi pelayanan kesehatan untuk meningkatkan pengalaman baru lebih positif. Pengalaman merupakan salah satu pilar kualitas kesehatan. Ruang Intensive Cardiovascular Care Unit (ICVCU) RSUD Dr. Moewardi sudah dilakukan survei penilaian mutu dengan angket kepuasan berisi pertanyaan tertutup namun informasi dan persepsi keluarga belum diperoleh. Untuk itu selama perlu diidentifikasi secara spesifik, dalam memberikan berfokus pada keluarga. Tujuan: Mengeksplorasi terhadap tenaga dirawat ICVCU Surakarta. Metode: Jenis penelitian kualitatif desain fenomenologi. Subyek ditentukan purposive sampling jumlah 8 pasang partisipan (pasien pengasuh keluarga). Karakteristik berusia 41-60 tahun, terdiagnosis Acute Coronary Syndrome, minimal 48 jam, kondisi stabil. yaitu bertanggungjawab pasien, 21-58 tahun. Analisis hasil metode Interpretative Phenomenology Analysis. Hasil: Terdapat tiga tema utama dokter perawat menggambarkan sikap konstruktif serta memuaskan, kebutuhan harapan terpenuhinya jelas mengenai tindakan medis, obat akan dukungan sosial, negatif dimasa mengambarkan keluhan perawatan. Kesimpulan: Kualitas sangat penting mendukung positif keluarga, masih ada diperhatikan terkait perpanjangan waktu kunjung fasilitas tunggu memadai.

Citations

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Unlocking opportunities to transform patient care: an expert insight on limitations and opportunities in patient monitoring DOI Creative Commons
Maurizio Cecconi,

Ana L. Hutanu,

John D. Beard

et al.

Intensive Care Medicine Experimental, Journal Year: 2025, Volume and Issue: 13(1)

Published: Feb. 22, 2025

Abstract Background Current patient monitoring technologies are crucial for delivering personalised and timely care critical in achieving the best health outcomes while maintaining high standards. However, these also present several challenges affecting patients healthcare professionals. Information overload Healthcare providers often deal with excess data, making it challenging to identify most information quickly. This may lead delays necessary interventions potentially poorer outcomes. Alarm fatigue Many systems trigger frequent false alarms. incidence can cause become desensitised, leading slower response times or overlooked important alerts. Integration need more seamless integration other technologies, difficult have a cohesive view of patient’s health. lack impair coordination increase workloads. paper presents findings from group experts who described state art discussed potential solutions new pathways developing technologies.

Language: Английский

Citations

0
Management of critical care emergencies in children with autism spectrum disorder DOI
Mohammed Al‐Beltagi, Nermin Kamal Saeed, Adel Salah Bediwy

et al.

World Journal of Critical Care Medicine, Journal Year: 2025, Volume and Issue: 14(2)

Published: Feb. 27, 2025

BACKGROUND Managing critical care emergencies in children with autism spectrum disorder (ASD) presents unique challenges due to their distinct sensory sensitivities, communication difficulties, and behavioral issues. Effective strategies protocols are essential for optimal these high-stress situations. AIM To systematically evaluate synthesize current evidence on best practices managing ASD. The review focuses key areas, including sensory-friendly environments, strategies, management, the role of multidisciplinary approaches. METHODS A comprehensive search was conducted across major medical databases, PubMed, Embase, Cochrane Library, studies published between 2000 2023. Studies were selected based relevance management ASD, encompassing randomized controlled trials, observational studies, qualitative research, case studies. Data extracted analyzed identify common themes, successful areas improvement. RESULTS identified 50 that met inclusion criteria. Findings highlighted importance creating utilizing effective implementing individualized plans. These findings, derived from a evidence, provide valuable insights into Sensory modifications, such as reduced lighting noise, visual aids, augmentative alternative tools, enhanced patient comfort cooperation. involvement teams crucial delivering holistic care. Case provided practical underscored need continuous refinement protocols. CONCLUSION emphasizes tailored approach Sensory-friendly adjustments, communication, supported by team integral improving outcomes. Despite progress, ongoing is necessary. This process addresses remaining engages healthcare professionals improvement ASD settings.

Language: Английский

Citations

0
Caring to care: Nurturing ICU healthcare professionals’ wellbeing for enhanced patient safety DOI
Emilio Rodríguez‐Ruiz, Margo van Mol, Jos M. Latour

et al.

Medicina Intensiva, Journal Year: 2025, Volume and Issue: 49(4), P. 216 - 223

Published: April 1, 2025

Language: Английский

Citations

0
The not-so-golden hour: A case study DOI

Trisha Bellingham,

Inga Warren

Journal of Neonatal Nursing, Journal Year: 2025, Volume and Issue: 31(3), P. 101662 - 101662

Published: April 8, 2025

Language: Английский

Citations

0
Disempowered Warriors: Insights on Psychological Responses of ICU Patients Through a Meta-Ethnography DOI Open Access
Elizabeth Kusi-Appiah, Maria Karanikola, Usha Pant

et al.

Healthcare, Journal Year: 2025, Volume and Issue: 13(8), P. 894 - 894

Published: April 13, 2025

Objectives: to systematically examine and synthesize qualitative evidence on adult patients’ psychological distress during an intensive care unit stay inform development of interventions tailored their needs. Method: We conducted systematic literature searches in CINAHL, MEDLINE, EMBASE, PsycINFO, Scopus, Dissertations Theses Global, Google Scholar databases using predefined eligibility criteria. synthesized primary research Noblit Hare’s meta-ethnographic approach. Reporting was based the eMERGe framework. The quality included articles assessed by Critical Appraisal Skills Program tool. Findings: identified 31 studies from 19 countries. were moderate high quality. Data analysis revealed five themes: “disempowerment”, “altered self-identity” “fighting”, “torment”, “hostile environment”. One overarching theme, “the disempowered warrior”, captured perpetual tension between need fight for lives succumb process. Our synthesis discloses that critically ill patients perceive themselves be a battle lives; while at same time they may feel helpless disempowered. Conclusions: review one’s life sense powerlessness environment. Although participants recognize important role healthcare workers, desired more involvement, collaboration, control, empathy, empowerment These findings can approaches empowering managing responses. Care standards must include assessment management maximize emotional safety with

Language: Английский

Citations

0
The positive impact of COVID-19 on critical care: from unprecedented challenges to transformative changes, from the perspective of young intensivists DOI Creative Commons
Bertrand Hermann, Sarah Benghanem, Youenn Jouan

et al.

Annals of Intensive Care, Journal Year: 2023, Volume and Issue: 13(1)

Published: April 11, 2023

Abstract Over the past 2 years, SARS-CoV-2 infection has resulted in numerous hospitalizations and deaths worldwide. As young intensivists, we have been at forefront of fight against COVID-19 pandemic it an intense learning experience affecting all aspects our specialty. Critical care was put forward as a priority managed to adapt influx patients growing demand for beds, financial material resources, thereby highlighting its flexibility central role healthcare system. Intensivists assumed essential unprecedented public life, which important when claiming indispensable human investments. Physicians researchers around world worked hand-in-hand advance research better manage this disease by integrating rapidly body evidence into guidelines. Our daily ethical practices communication with families were challenged massive restricted visitation policies, forcing us improve collaboration other specialties innovate new channels. However, picture not bright, some these achievements are already fading over time despite ongoing hospital crisis. In addition, demonstrated need working conditions well-being critical workers cope current shortage resources. Despite gloomy atmosphere, remain optimistic. ten-key points review, outline vision on how capitalize lasting impact face future challenges foster transformative changes better.

Language: Английский

Citations

8