Jiyeon Kang, Sun Ju Chang, Mi-Kyeong Jeon, Gee Young Suh, Chi Ryang Chung
{"title":"ICU康复中的患者、家庭和提供者优先事项:一项基于经验的联合设计研究。","authors":"Jiyeon Kang, Sun Ju Chang, Mi-Kyeong Jeon, Gee Young Suh, Chi Ryang Chung","doi":"10.1111/nicc.70151","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Intensive care unit (ICU) rehabilitation has been shown to improve physical, psychological and functional outcomes in critically ill patients. However, implementation varies widely, and clinical practice guidelines (CPGs) are needed to ensure consistent, evidence-based care. Incorporating patient and public involvement (PPI) into CPG development is essential to reflect the lived experiences and priorities of service users.</p><p><strong>Aim: </strong>To explore the experiences of ICU rehabilitation from the perspectives of patients, families and healthcare providers and to identify shared priorities that can inform the development of Korean CPGs for ICU rehabilitation and post-intensive care syndrome.</p><p><strong>Study design: </strong>This study applied the Experience-Based Co-Design (EBCD) approach. We conducted observations of ICU rehabilitation practices through institutional educational video recordings, individual interviews with four ICU survivors and a focus group interview with five ICU healthcare professionals. A trigger audio recording, derived from the patient interviews, and thematic touchpoints from qualitative analysis were presented in a group feedback event. ICU clinicians involved in CPG development participated to validate the findings and identify shared priorities.</p><p><strong>Results: </strong>Four core priorities were identified: patients and families as partners, person-centred approach, fostering rehabilitation culture and teamwork, and ensuring sustainability of rehabilitation.</p><p><strong>Conclusions: </strong>Successful ICU rehabilitation requires placing patients and families at the centre throughout the entire rehabilitation journey, from ICU admission to community reintegration. Structural support addressing workforce limitations and cost reimbursement issues, complemented by a culturally sensitive team approach, is essential for establishing effective linkages between ICU rehabilitation and community services.</p><p><strong>Relevance to clinical practice: </strong>ICU healthcare providers should create more opportunities for patient and family engagement in rehabilitation processes. A dynamic team approach that flexibly incorporates diverse staff is crucial for delivering person-centred services. Administrators and policymakers should develop comprehensive strategies and policies that facilitate seamless continuation of rehabilitation from ICU to community settings.</p>","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":"30 5","pages":"e70151"},"PeriodicalIF":2.6000,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Patient, Family and Provider Priorities in ICU Rehabilitation: An Experience-Based Co-Design Study.\",\"authors\":\"Jiyeon Kang, Sun Ju Chang, Mi-Kyeong Jeon, Gee Young Suh, Chi Ryang Chung\",\"doi\":\"10.1111/nicc.70151\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Intensive care unit (ICU) rehabilitation has been shown to improve physical, psychological and functional outcomes in critically ill patients. However, implementation varies widely, and clinical practice guidelines (CPGs) are needed to ensure consistent, evidence-based care. Incorporating patient and public involvement (PPI) into CPG development is essential to reflect the lived experiences and priorities of service users.</p><p><strong>Aim: </strong>To explore the experiences of ICU rehabilitation from the perspectives of patients, families and healthcare providers and to identify shared priorities that can inform the development of Korean CPGs for ICU rehabilitation and post-intensive care syndrome.</p><p><strong>Study design: </strong>This study applied the Experience-Based Co-Design (EBCD) approach. We conducted observations of ICU rehabilitation practices through institutional educational video recordings, individual interviews with four ICU survivors and a focus group interview with five ICU healthcare professionals. A trigger audio recording, derived from the patient interviews, and thematic touchpoints from qualitative analysis were presented in a group feedback event. ICU clinicians involved in CPG development participated to validate the findings and identify shared priorities.</p><p><strong>Results: </strong>Four core priorities were identified: patients and families as partners, person-centred approach, fostering rehabilitation culture and teamwork, and ensuring sustainability of rehabilitation.</p><p><strong>Conclusions: </strong>Successful ICU rehabilitation requires placing patients and families at the centre throughout the entire rehabilitation journey, from ICU admission to community reintegration. Structural support addressing workforce limitations and cost reimbursement issues, complemented by a culturally sensitive team approach, is essential for establishing effective linkages between ICU rehabilitation and community services.</p><p><strong>Relevance to clinical practice: </strong>ICU healthcare providers should create more opportunities for patient and family engagement in rehabilitation processes. A dynamic team approach that flexibly incorporates diverse staff is crucial for delivering person-centred services. Administrators and policymakers should develop comprehensive strategies and policies that facilitate seamless continuation of rehabilitation from ICU to community settings.</p>\",\"PeriodicalId\":51264,\"journal\":{\"name\":\"Nursing in Critical Care\",\"volume\":\"30 5\",\"pages\":\"e70151\"},\"PeriodicalIF\":2.6000,\"publicationDate\":\"2025-09-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Nursing in Critical Care\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1111/nicc.70151\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"NURSING\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Nursing in Critical Care","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1111/nicc.70151","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"NURSING","Score":null,"Total":0}
Patient, Family and Provider Priorities in ICU Rehabilitation: An Experience-Based Co-Design Study.
Background: Intensive care unit (ICU) rehabilitation has been shown to improve physical, psychological and functional outcomes in critically ill patients. However, implementation varies widely, and clinical practice guidelines (CPGs) are needed to ensure consistent, evidence-based care. Incorporating patient and public involvement (PPI) into CPG development is essential to reflect the lived experiences and priorities of service users.
Aim: To explore the experiences of ICU rehabilitation from the perspectives of patients, families and healthcare providers and to identify shared priorities that can inform the development of Korean CPGs for ICU rehabilitation and post-intensive care syndrome.
Study design: This study applied the Experience-Based Co-Design (EBCD) approach. We conducted observations of ICU rehabilitation practices through institutional educational video recordings, individual interviews with four ICU survivors and a focus group interview with five ICU healthcare professionals. A trigger audio recording, derived from the patient interviews, and thematic touchpoints from qualitative analysis were presented in a group feedback event. ICU clinicians involved in CPG development participated to validate the findings and identify shared priorities.
Results: Four core priorities were identified: patients and families as partners, person-centred approach, fostering rehabilitation culture and teamwork, and ensuring sustainability of rehabilitation.
Conclusions: Successful ICU rehabilitation requires placing patients and families at the centre throughout the entire rehabilitation journey, from ICU admission to community reintegration. Structural support addressing workforce limitations and cost reimbursement issues, complemented by a culturally sensitive team approach, is essential for establishing effective linkages between ICU rehabilitation and community services.
Relevance to clinical practice: ICU healthcare providers should create more opportunities for patient and family engagement in rehabilitation processes. A dynamic team approach that flexibly incorporates diverse staff is crucial for delivering person-centred services. Administrators and policymakers should develop comprehensive strategies and policies that facilitate seamless continuation of rehabilitation from ICU to community settings.
期刊介绍:
Nursing in Critical Care is an international peer-reviewed journal covering any aspect of critical care nursing practice, research, education or management. Critical care nursing is defined as the whole spectrum of skills, knowledge and attitudes utilised by practitioners in any setting where adults or children, and their families, are experiencing acute and critical illness. Such settings encompass general and specialist hospitals, and the community. Nursing in Critical Care covers the diverse specialities of critical care nursing including surgery, medicine, cardiac, renal, neurosciences, haematology, obstetrics, accident and emergency, neonatal nursing and paediatrics.
Papers published in the journal normally fall into one of the following categories:
-research reports
-literature reviews
-developments in practice, education or management
-reflections on practice