Impact of Patient and Family Involvement in Long-Term Outcomes
Surviving a critical illness can have long-term effects on both patients and families. These effects can be physical, emotional, cognitive, and social, and they affect both the patient and the family. Family members play a key role in helping their loved one recover, and this recovery process can take considerable time. Transferring out of an intensive care unit, and discharging home from a hospital, are important milestones, but they represent only the beginning of recovery and healing after a critical illness. Recognizing that these challenges exist both for patients and families is important to improve critical illness ...
Source: Critical Care Nursing Clinics of North America - April 7, 2020 Category: Nursing Authors: Christopher J. Grant, Lauren F. Doig, Joanna Everson, Nadine Foster, Christopher James Doig Source Type: research

The Critical Care Nurse Communicator Program
Twenty percent of Americans die in an intensive care unit (ICU), often incapacitated or requiring assisted decision making. Surrogates are often required to make urgent, complex, high-stakes decisions. Communication among patients, families, and clinicians is often delayed and inefficient with frequent missed opportunities to support the emotional and psychological needs of surrogates, particularly at the end of life. The Critical Care Nurse Communicator program is a nurse-led, primary palliative care intervention designed to improve the quality and consistency of communication in the ICU and address the informational, psy...
Source: Critical Care Nursing Clinics of North America - April 7, 2020 Category: Nursing Authors: Andrew O ’Donnell, April Buffo, Toby C. Campbell, William J. Ehlenbach Source Type: research

Family Integrated Care for Preterm Infants
Parent-infant separation is a major source of stress for parents of hospitalized preterm infants and has negative consequences for infant health and development. Family Integrated Care (FICare) uses a strengths-based approach, based on family-centered care principles to promote parental empowerment, learning, shared decision making, and positive parent-infant caregiving experiences. Outcomes of FICare include increased self-efficacy upon discharge and improved parent-infant relationships and infant developmental outcomes. In this article, the authors describe the FICare model and emerging evidence regarding outcomes of FIC...
Source: Critical Care Nursing Clinics of North America - March 30, 2020 Category: Nursing Authors: Linda S. Franck, Chandra Waddington, Karel O ’Brien Source Type: research

Sleep in the Intensive Care Unit
There is a clear relationship between lack of sleep, poor health outcomes, and delayed recovery from illness in the intensive care unit. Several factors can contribute to poor quality sleep in the intensive care unit, including (1) environmental disruptions such as light and sound, (2) physiologic disruptions such as discomfort, nausea, and pain, (3) psychological disruptions such as anxiety and a lack of privacy, and (4) health care provider-related disruptions, such as medication administration and nursing care. Nursing implications include increased attention to the role of sleep to promote intensive care unit patient â...
Source: Critical Care Nursing Clinics of North America - March 30, 2020 Category: Nursing Authors: Karin Reuter-Rice, Mary Grace McMurray, Elise Christoferson, Haley Yeager, Brooke Wiggins Source Type: research

Implementation of a Patient and Family-Centered Intensive Care Unit Peer Support Program at a Veterans Affairs Hospital
Peer support is a novel strategy to mitigate postintensive care syndrome and postintensive care syndrome –family. This project implemented a peer support program to address postintensive care syndrome for patients and family members. Using a free-flow, unstructured format, a chaplain, social worker, nurse, and intensive care unit survivor led veterans and loved ones in discussion of intensive care un it experiences, fears, and the challenges of recovery. Evaluations indicated group participation is beneficial for emotional support, coping, and understanding common situations related to prolonged intensive care unit stay....
Source: Critical Care Nursing Clinics of North America - March 30, 2020 Category: Nursing Authors: Leanne M. Boehm, Kelly Drumright, Ralph Gervasio, Christopher Hill, Nancy Reed Source Type: research