Optimizing Critical Illness Recovery: Perspectives and Solutions From the Caregivers of ICU Survivors
Author
Sevin, Carla M.Boehm, Leanne M.
Hibbert, Elizabeth
Bastin, Anthony J.
Jackson, James C.
Meyer, Joel
Quasim, Tara
Bakhru, Rita N.
Montgomery-Yates, Ashley
Slack, Andrew
Still, Mary
Netzer, Giora
Mikkelsen, Mark E.
Iwashyna, Theodore J.
Haines, Kimberley J.
McPeake, Joanne
Date
2021-05-12Journal
Critical care explorationsPublisher
Ovid Technologies (Wolters Kluwer Health)Type
Article
Metadata
Show full item recordAbstract
Objectives: To understand the unmet needs of caregivers of ICU survivors, how they accessed support post ICU, and the key components of beneficial ICU recovery support systems as identified from a caregiver perspective. Design: International, qualitative study. Subjects: We conducted 20 semistructured interviews with a diverse group of caregivers in the United States, the United Kingdom, and Australia, 11 of whom had interacted with an ICU recovery program. Setting: Seven hospitals in the United States, United Kingdom, and Australia. Interventions: None. Measurements and main results: Content analysis was used to explore prevalent themes related to unmet needs, as well as perceived strategies to improve ICU outcomes. Post-ICU care was perceived to be generally inadequate. Desired caregiver support fell into two main categories: practical support and emotional support. Successful care delivery initiatives included structured programs, such as post discharge telephone calls, home health programs, post-ICU clinics, and peer support groups, and standing information resources, such as written educational materials and online resources. Conclusions: This qualitative, multicenter, international study of caregivers of critical illness survivors identified consistently unmet needs, means by which caregivers accessed support post ICU, and several care mechanisms identified by caregivers as supporting optimal ICU recovery.Keyword
caregiverscritical illness
intensive care unit follow-up clinics
peer support
postintensive care syndrome
Identifier to cite or link to this item
http://hdl.handle.net/10713/15958ae974a485f413a2113503eed53cd6c53
10.1097/cce.0000000000000420
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