Family Engagement in the Adult Cardiac Intensive Care Unit: A Survey of Family Engagement Practices in the Cardiac Critical Care Trials Network.

IF 6.9 2区 医学
Michael Goldfarb, Carlos Alviar, David Berg, Jason Katz, Ran Lee, Shuangbo Liu, Theresa Maitz, Mitchell Padkins, Rajnish Prasad, Robert Roswell, Kevin Shah, Andrea Thompson, Sean van Diepen, Sammy Zakaria, David Morrow
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引用次数: 0

Abstract

Background: Cardiovascular and critical care professional societies recommend incorporating family engagement practices into routine clinical care. However, little is known about current family engagement practices in contemporary cardiac intensive care units (CICUs).

Methods: We implemented a validated 12-item family engagement practice survey among site investigators participating in the Critical Care Cardiology Trials Network, a collaborative network of CICUs in North America. The survey includes 9 items assessing specific engagement practices, 1 item about other family-centered care practices, and 2 open-ended questions on strategies and barriers concerning family engagement practice. We developed an engagement practice score by assigning 1 point for each family engagement practice partially or fully adopted at each site (max score 9). We assessed for relationships between the engagement practice score and CICU demographics.

Results: All sites (N=39; 100%) completed the survey. The most common family engagement practices were open visitation (95%), information and support to families (85%), structured care conferences (n=82%), and family participation in rounds (77%). The median engagement practice score was 5 (interquartile range, 4). There were no differences in engagement practice scores by geographic region or CICU type. The most commonly used strategies to promote family engagement were family presence during rounds (41%), communication (28%), and family meetings (28%). The most common barriers to family engagement were COVID-related visitation policies (38%) and resource limitations (13%).

Conclusions: Family engagement practices are routinely performed in many CICUs; however, considerable variability exists. There is a need for strategies to address the variability of family engagement practices in CICUs.

成人心脏重症监护室的家庭参与:心脏重症监护试验网络中的家庭参与实践调查。
背景:心血管和危重症护理专业协会建议将家庭参与实践纳入常规临床护理。然而,目前对当代心脏重症监护室(CICU)的家庭参与实践知之甚少。该调查包括9个项目,评估具体的参与实践,1个项目关于其他以家庭为中心的护理实践,以及2个关于家庭参与实践的策略和障碍的开放式问题。我们为每个场所部分或全部采用的每个家庭参与实践分配1分,从而制定了参与实践得分(最高得分9)。我们评估了参与实践得分和CICU人口统计之间的关系。结果:所有站点(N=39;100%)完成了调查。最常见的家庭参与实践是公开探视(95%)、向家庭提供信息和支持(85%)、结构化护理会议(n=82%)和家庭参与轮次(77%)。参与实践得分中位数为5(四分位间距,4)。不同地理区域或CICU类型的参与实践得分没有差异。最常用的促进家庭参与的策略是在查房(41%)、沟通(28%)和家庭会议(28%)期间与家人见面。家庭参与最常见的障碍是与新冠肺炎相关的探视政策(38%)和资源限制(13%);然而,存在相当大的可变性。有必要制定战略,以解决CICU中家庭参与做法的可变性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Circulation. Cardiovascular Quality and Outcomes
Circulation. Cardiovascular Quality and Outcomes Medicine-Cardiology and Cardiovascular Medicine
CiteScore
9.80
自引率
2.90%
发文量
357
期刊介绍: Circulation: Cardiovascular Quality and Outcomes, an American Heart Association journal, publishes articles related to improving cardiovascular health and health care. Content includes original research, reviews, and case studies relevant to clinical decision-making and healthcare policy. The online-only journal is dedicated to furthering the mission of promoting safe, effective, efficient, equitable, timely, and patient-centered care. Through its articles and contributions, the journal equips you with the knowledge you need to improve clinical care and population health, and allows you to engage in scholarly activities of consequence to the health of the public. Circulation: Cardiovascular Quality and Outcomes considers the following types of articles: Original Research Articles, Data Reports, Methods Papers, Cardiovascular Perspectives, Care Innovations, Novel Statistical Methods, Policy Briefs, Data Visualizations, and Caregiver or Patient Viewpoints.
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