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22.04.2020 | Original Work

Satisfaction with Care and Satisfaction with Decision Making are Similar Regardless of Staffing Model in a Neurocritical Care Unit

verfasst von: Christopher R. Newey, Pravin George, Ryan Honomichl, Joao Gomes, Anita Maraj, Tyler Kinzy, Sarah Conley, Bradley Douglas, Michael Stoltz, David Hang, Tarig Omer, Samer Abubakr, Gwen Lynch, Dhimant Dani, Irene Katzan

Erschienen in: Neurocritical Care | Ausgabe 1/2021

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Abstract

Introduction

Patient-centered care, particularly shared medical decision making, is difficult to measure in critically ill patients where decisions are often made by a designated surrogate, often receiving information from multiple providers with varying degrees of training. The purpose of this study was to compare short-term satisfaction with care and decision making in patients or surrogates between two neurocritical care units [one staffed by a neurocritical care attending and advanced practice providers (APPs) and one staffed by a neurocritical care attending and resident/fellow trainees] using the Family Satisfaction in the ICU (FS-ICU) survey.

Methods

Over a 6-month period, the FS-ICU was administered on a tablet device to patients or surrogates at least 24 h after admission and stored on REDCap database.

Results

One hundred and thirty-four patients or surrogates completed the FS-ICU. The response rates were 59.97% and 46.58% in the APP and trainee units, respectively. There were no differences in patient age, sex, ventilator days or ICU length of stay. Overall, there were no differences in satisfaction with care or perceived shared medical making between the units. Respondents who identified their relationship with the patient as “other” (not a spouse, parent, nor a sibling) were less satisfied with care. Additionally, surrogates who identified as parents of the patient were more satisfied with degree of shared medical decision making.

Conclusion

This study showed that: (1) collecting FS-ICU in a neurocritical care unit is feasible, (2) overall there is no difference in short-term satisfaction with care or shared decision making between a NICU staffed with trainees compared to one staffed with APPs, and (3) parents of patients have a higher short-term satisfaction with degree of shared medical decision making.
Literatur
1.
Zurück zum Zitat Davidson JE, Powers K, Hedayat KM, et al. Clinical practice guidelines for support of the family in the patient-centered intensive care unit: american college of critical care medicine task force 2004–2005. Crit Care Med. 2007;35:605–22.CrossRef Davidson JE, Powers K, Hedayat KM, et al. Clinical practice guidelines for support of the family in the patient-centered intensive care unit: american college of critical care medicine task force 2004–2005. Crit Care Med. 2007;35:605–22.CrossRef
2.
Zurück zum Zitat Institute of Medicine (IOM). Health care must be patient centered. In: Crossing the quality chasm: a new health system for the 21st century. Washington, D.C: National Academic Press, 2001. Institute of Medicine (IOM). Health care must be patient centered. In: Crossing the quality chasm: a new health system for the 21st century. Washington, D.C: National Academic Press, 2001.
3.
Zurück zum Zitat Sarpong Y, Nattanmai P, Schelp G, et al. Improvement in quality metrics outcomes and patient and family satisfaction in a neurosciences intensive care unit after creation of a dedicated neurocritical care team. Crit Care Res Practice. 2017;2017:6394105.CrossRef Sarpong Y, Nattanmai P, Schelp G, et al. Improvement in quality metrics outcomes and patient and family satisfaction in a neurosciences intensive care unit after creation of a dedicated neurocritical care team. Crit Care Res Practice. 2017;2017:6394105.CrossRef
4.
Zurück zum Zitat Rothen HU, Stricker KH, Heyland DK. Family satisfaction with critical care: measurements and messages. Curr Opin Crit Care. 2010;16:623–31.CrossRef Rothen HU, Stricker KH, Heyland DK. Family satisfaction with critical care: measurements and messages. Curr Opin Crit Care. 2010;16:623–31.CrossRef
5.
Zurück zum Zitat Kupfer JM, Bond EU. Patient satisfaction and patient-centered care: necessary but not equal. JAMA. 2012;11:139–40.CrossRef Kupfer JM, Bond EU. Patient satisfaction and patient-centered care: necessary but not equal. JAMA. 2012;11:139–40.CrossRef
6.
Zurück zum Zitat Hwang DY, Yagoda D, Perrey HM, et al. Consistency of communication among intensive care unit staff as perceived by family members of patients surviving to discharge. J Crit Care. 2014;29:134–8.CrossRef Hwang DY, Yagoda D, Perrey HM, et al. Consistency of communication among intensive care unit staff as perceived by family members of patients surviving to discharge. J Crit Care. 2014;29:134–8.CrossRef
7.
Zurück zum Zitat Davidson JE, Aslakson RA, Long AC, et al. Guidelines for family-centered care in the neonatal, pediatric, and adult ICU. Crit Care Med. 2017;45:103–28.CrossRef Davidson JE, Aslakson RA, Long AC, et al. Guidelines for family-centered care in the neonatal, pediatric, and adult ICU. Crit Care Med. 2017;45:103–28.CrossRef
8.
Zurück zum Zitat Cai X, Robinson J, Muehlschlege S, et al. Patient preferences and surrogate decision making in neuroscience intensive care units. Neurocrit Care. 2015;23:131–41.CrossRef Cai X, Robinson J, Muehlschlege S, et al. Patient preferences and surrogate decision making in neuroscience intensive care units. Neurocrit Care. 2015;23:131–41.CrossRef
9.
Zurück zum Zitat Goold SD, Williams B, Arnold RM. Conflicts regarding decisions to limit treatment: a differential diagnosis. JAMA. 2000;283:909–14.CrossRef Goold SD, Williams B, Arnold RM. Conflicts regarding decisions to limit treatment: a differential diagnosis. JAMA. 2000;283:909–14.CrossRef
10.
Zurück zum Zitat Epstein RM, Alper BS, Quill TE. Communicating evidence for participatory decision making. JAMA. 2004;291:2359–66.CrossRef Epstein RM, Alper BS, Quill TE. Communicating evidence for participatory decision making. JAMA. 2004;291:2359–66.CrossRef
11.
Zurück zum Zitat Volk RJ, Cass AR, Spann SJ. A randomized controlled trial of shared decision making for prostate cancer screening. Arch Fam Med. 1999;8:333–40.CrossRef Volk RJ, Cass AR, Spann SJ. A randomized controlled trial of shared decision making for prostate cancer screening. Arch Fam Med. 1999;8:333–40.CrossRef
12.
Zurück zum Zitat Fried TR, Bradley EH, Towle VR, Allore H. Understanding the treatment preferences of seriously ill patients. N Engl J Med. 2002;346:1061–6.CrossRef Fried TR, Bradley EH, Towle VR, Allore H. Understanding the treatment preferences of seriously ill patients. N Engl J Med. 2002;346:1061–6.CrossRef
13.
Zurück zum Zitat Kirch DG, Petelle K. Addressing the physician shortage: the peril of ignoring demography. JAMA. 2017;317:1947–8.CrossRef Kirch DG, Petelle K. Addressing the physician shortage: the peril of ignoring demography. JAMA. 2017;317:1947–8.CrossRef
14.
Zurück zum Zitat Kreeftenberg HG, Pouwels S, Bindels AJG, et al. Impact of the advanced practice provider in adult critical care: a systematic review and meta-analysis. Crit Care Med. 2019;47:722–30.CrossRef Kreeftenberg HG, Pouwels S, Bindels AJG, et al. Impact of the advanced practice provider in adult critical care: a systematic review and meta-analysis. Crit Care Med. 2019;47:722–30.CrossRef
15.
Zurück zum Zitat Gracias VH, Sicoutris CP, Stawicki SP, et al. Critical care nurse practitioners improve compliance with clinical practice guidelines in “semiclosed” surgical intensive care unit. J Nurs Care Qual. 2008;23:338–44.CrossRef Gracias VH, Sicoutris CP, Stawicki SP, et al. Critical care nurse practitioners improve compliance with clinical practice guidelines in “semiclosed” surgical intensive care unit. J Nurs Care Qual. 2008;23:338–44.CrossRef
16.
Zurück zum Zitat Wall RJ, Engelberg RA, Downey L, et al. Refinement, scoring, and validation of the family satisfaction in the intensive care unit (FS-ICU) survey. Crit Care Med. 2007;35:271–9.CrossRef Wall RJ, Engelberg RA, Downey L, et al. Refinement, scoring, and validation of the family satisfaction in the intensive care unit (FS-ICU) survey. Crit Care Med. 2007;35:271–9.CrossRef
17.
Zurück zum Zitat Schwarzkopf D, Behrend S, Skupin H, et al. Family satisfaction in the intensive care unit: a quantitative and qualitative analysis. Intensive Care Med. 2013;39:1071–9.CrossRef Schwarzkopf D, Behrend S, Skupin H, et al. Family satisfaction in the intensive care unit: a quantitative and qualitative analysis. Intensive Care Med. 2013;39:1071–9.CrossRef
18.
Zurück zum Zitat Cleveland O, Piuzzi NS, Stmad G, et al. Implementing a scientifically valid, cost-effective, and scalable data collection system at point of care: the Cleveland Clinic OME cohort. J Bone Joint Surg Am. 2019;101:458–64.CrossRef Cleveland O, Piuzzi NS, Stmad G, et al. Implementing a scientifically valid, cost-effective, and scalable data collection system at point of care: the Cleveland Clinic OME cohort. J Bone Joint Surg Am. 2019;101:458–64.CrossRef
19.
Zurück zum Zitat Slatore CG, Hansen L, Ganzini L, et al. Communication by nurses in the intensive care unit: qualitative analysis of domains of patient-centered care. Am J Crit Care. 2012;21:410–8.CrossRef Slatore CG, Hansen L, Ganzini L, et al. Communication by nurses in the intensive care unit: qualitative analysis of domains of patient-centered care. Am J Crit Care. 2012;21:410–8.CrossRef
20.
Zurück zum Zitat Heyland DK, Rocker GM, Dodek PM, et al. Family satisfaction with care in the intensive care unit: results of a multiple center study. Crit Care Med. 2002;30:1413–8.CrossRef Heyland DK, Rocker GM, Dodek PM, et al. Family satisfaction with care in the intensive care unit: results of a multiple center study. Crit Care Med. 2002;30:1413–8.CrossRef
21.
Zurück zum Zitat Pouchard F, Azoulay E, Chevret S, et al. Symptoms of anxiety and depression in family members of intensive care unit patients: ethical hypothesis regarding decision-making capacity. Crit Care Med. 2001;29:1893–7.CrossRef Pouchard F, Azoulay E, Chevret S, et al. Symptoms of anxiety and depression in family members of intensive care unit patients: ethical hypothesis regarding decision-making capacity. Crit Care Med. 2001;29:1893–7.CrossRef
Metadaten
Titel
Satisfaction with Care and Satisfaction with Decision Making are Similar Regardless of Staffing Model in a Neurocritical Care Unit
verfasst von
Christopher R. Newey
Pravin George
Ryan Honomichl
Joao Gomes
Anita Maraj
Tyler Kinzy
Sarah Conley
Bradley Douglas
Michael Stoltz
David Hang
Tarig Omer
Samer Abubakr
Gwen Lynch
Dhimant Dani
Irene Katzan
Publikationsdatum
22.04.2020
Verlag
Springer US
Erschienen in
Neurocritical Care / Ausgabe 1/2021
Print ISSN: 1541-6933
Elektronische ISSN: 1556-0961
DOI
https://doi.org/10.1007/s12028-020-00967-7

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