临床医生对重症监护室 "认识我 "板块价值的看法。

IF 9.5 1区 医学 Q1 CRITICAL CARE MEDICINE
Chest Pub Date : 2024-10-18 DOI:10.1016/j.chest.2024.10.016
Sumera R Ahmad, Lori Rhudy, Amelia K Barwise, Mahmut C Ozkan, Ognjen Gajic, Lioudmila V Karnatovskaia
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引用次数: 0

摘要

背景:危重病人可能会面临匿名、丧失尊严和非人化的高度风险。由于非人化会导致患者痛苦不堪,因此必须设法使重症监护病房的护理人性化。了解我 "板(GTKMB)是一种患者个人档案,旨在使患者摆脱匿名状态,但其广泛采用却面临挑战:研究设计和方法:这项定性研究采用焦点小组的形式,通过视频会议进行。我们招募了来自美国一家大型四级医疗中心不同 ICU 设置的多专业团队的利益相关者。采用主题内容分析法确定关键主题和概念:我们在 6 个焦点小组中采访了 38 名参与者,其中包括 10 名护士、7 名医生、6 名高级医疗服务提供者、5 名康复治疗师、1 名呼吸治疗师和 1 名社会工作者。这些主题强调了 GTKMB 在多个领域的作用,包括 a) 为危重病人提供人性化护理;b) 促进沟通;c) 与家属建立联系;d) 指导和促进护理流程。每个类别都确定了几个次主题:GTKMB被认为对促进ICU跨专业团队不同成员的人性化护理、帮助促进沟通、建立家庭联系和指导护理非常重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Perspectives of Clinicians on the Value of the Get to Know Me Board in the ICU.

Background: Critical illness can render patients at heightened risk of anonymity, loss of dignity, and dehumanization. Because dehumanization results in significant patient distress, it is imperative to find ways to humanize care in the ICU. A Get to Know Me board (GTKMB) is a personal patient profile designed to bring the patient from anonymity; however, its widespread adoption has been challenging.

Research question: Identify perspectives of ICU clinicians on the value of the GTKMB in caring for ICU patients.

Study design and methods: This qualitative study used focus groups conducted via videoconference. We recruited stakeholders from multiprofessional teams across different ICU settings at a large US quaternary care center. Thematic content analysis approach was performed to identify key themes and concepts.

Results: We interviewed 38 participants in 6 focus groups including 10 nurses, 7 physicians, 6 advanced practice providers, 5 rehabilitation therapists, a respiratory therapist, and a social worker. Themes highlighted the role of the GTKMB in multiple domains including humanizing care of the critically ill, fostering communication, connecting with families, and guiding and facilitating care processes. Several subthemes were identified for each category.

Interpretation: The GTKMB was considered important in fostering humanized caring in the ICU by diverse members of an interprofessional ICU team, helping to facilitate communication, establish family connection, and guide care.

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来源期刊
Chest
Chest 医学-呼吸系统
CiteScore
13.70
自引率
3.10%
发文量
3369
审稿时长
15 days
期刊介绍: At CHEST, our mission is to revolutionize patient care through the collaboration of multidisciplinary clinicians in the fields of pulmonary, critical care, and sleep medicine. We achieve this by publishing cutting-edge clinical research that addresses current challenges and brings forth future advancements. To enhance understanding in a rapidly evolving field, CHEST also features review articles, commentaries, and facilitates discussions on emerging controversies. We place great emphasis on scientific rigor, employing a rigorous peer review process, and ensuring all accepted content is published online within two weeks.
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