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Erschienen in: Intensive Care Medicine 11/2007

01.11.2007 | Original

The views of patients and relatives of what makes a good intensivist: a European survey

verfasst von: The CoBaTrICE Collaboration

Erschienen in: Intensive Care Medicine | Ausgabe 11/2007

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Abstract

Objective

This study examined the views of adult patients and relatives about desirable characteristics of specialists in intensive care medicine (ICM) to incorporate these into an international competency-based training programme, CoBaTrICE.

Design

Convenience sample of patients and relatives administered after discharge from 70 participating ICUs in eight European countries (1,398 evaluable responses). The structured questionnaire included 21 characteristics of medical competence categorised as ‘medical knowledge and skills’, ‘communication with patients’, and ‘communication with relatives’. It was available in the national languages of the countries involved. Questions were rated by respondents for importance using a four-point Likert scale. Responses to open questions were also invited.

Results

Most characteristics were highly rated, with priority given to medical knowledge and skills. Women were more likely to emphasise communication skills. There were no consistent regional differences. Free-text responses welcomed the opportunity to participate.

Conclusions

Patients and relatives with experience of intensive care in different European countries share similar views on the importance of knowledge, skills, decision making and communication in the training of intensive care specialists. These generic patient-centred components of training have been incorporated into the international competency-based ICM training programme, CoBaTrICE.
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Literatur
1.
Zurück zum Zitat CoBaTrICE Collaboration (2006) Development of core competencies for an international training programme in intensive care medicine. Intensive Care Med 32:1371–1382CrossRef CoBaTrICE Collaboration (2006) Development of core competencies for an international training programme in intensive care medicine. Intensive Care Med 32:1371–1382CrossRef
2.
Zurück zum Zitat Hasman A, on behalf of the CoBaTrICE Collaboration (2005) CoBaTrICE survey of patients and relatives in intensive care medicine. Intensive Care Med 31 [Suppl 1]:S23 Hasman A, on behalf of the CoBaTrICE Collaboration (2005) CoBaTrICE survey of patients and relatives in intensive care medicine. Intensive Care Med 31 [Suppl 1]:S23
3.
Zurück zum Zitat Rothen H, Berg P (2006) Presented at the annual meeting of the Swiss Society of Intensive Care Medicine, Basle, Switzerland. Kardiovask Med 9 [Suppl 12]:9S Rothen H, Berg P (2006) Presented at the annual meeting of the Swiss Society of Intensive Care Medicine, Basle, Switzerland. Kardiovask Med 9 [Suppl 12]:9S
4.
Zurück zum Zitat Elpern E, Patterson P, Gloskey D, Bone R (1992) Patients' preferences for intensive care. Crit Care Med 20:43–47PubMedCrossRef Elpern E, Patterson P, Gloskey D, Bone R (1992) Patients' preferences for intensive care. Crit Care Med 20:43–47PubMedCrossRef
5.
Zurück zum Zitat Cochran J, Ganong L (1989) A comparison of nurses' and patients' perceptions of intensive care unit stressors. J Adv Nurs 14:1038–1043PubMedCrossRef Cochran J, Ganong L (1989) A comparison of nurses' and patients' perceptions of intensive care unit stressors. J Adv Nurs 14:1038–1043PubMedCrossRef
6.
Zurück zum Zitat McKinley S, Nagy S, Stein-Parbury J, Bramwell M, Hudson J (2002) Vulnerability and security in seriously ill patients in intensive care. Intensive Crit Care Nurs 18:27–36PubMedCrossRef McKinley S, Nagy S, Stein-Parbury J, Bramwell M, Hudson J (2002) Vulnerability and security in seriously ill patients in intensive care. Intensive Crit Care Nurs 18:27–36PubMedCrossRef
7.
Zurück zum Zitat Stein-Parbury J, McKinley S (2000) Patients' experiences of being in an intensive care unit: a select literature review. Am J Crit Care 9:20–27PubMed Stein-Parbury J, McKinley S (2000) Patients' experiences of being in an intensive care unit: a select literature review. Am J Crit Care 9:20–27PubMed
8.
Zurück zum Zitat Holland C, Cason C, Prater L (1997) Patients' recollections of critical care. Dimens Crit Care Nurs 16:132–141PubMedCrossRef Holland C, Cason C, Prater L (1997) Patients' recollections of critical care. Dimens Crit Care Nurs 16:132–141PubMedCrossRef
9.
Zurück zum Zitat Turner JS, Briggs SJ, Springhorn HE, Potgieter PD (1990) Patients' recollection of intensive care unit experience. Crit Care Med 18:966–968PubMedCrossRef Turner JS, Briggs SJ, Springhorn HE, Potgieter PD (1990) Patients' recollection of intensive care unit experience. Crit Care Med 18:966–968PubMedCrossRef
10.
Zurück zum Zitat Puntillo KA (1990) Pain experiences of intensive care unit patients. Heart Lung 19:526–533PubMed Puntillo KA (1990) Pain experiences of intensive care unit patients. Heart Lung 19:526–533PubMed
11.
Zurück zum Zitat Granberg A, Bergbom Engberg I, Lundberg D (1998) Patients' experience of being critically ill or severely injured and cared for in an intensive care unit in relation to the ICU syndrome. I Intensive Crit Care Nurs 14:294–307CrossRef Granberg A, Bergbom Engberg I, Lundberg D (1998) Patients' experience of being critically ill or severely injured and cared for in an intensive care unit in relation to the ICU syndrome. I Intensive Crit Care Nurs 14:294–307CrossRef
12.
Zurück zum Zitat Burr G (1998) Contextualising critical care family needs through triangulation: an Australian study. Intensive Crit Care Nurs 14:161–169PubMedCrossRef Burr G (1998) Contextualising critical care family needs through triangulation: an Australian study. Intensive Crit Care Nurs 14:161–169PubMedCrossRef
13.
Zurück zum Zitat Buchman T, Ray S, Wax M, Cassell J, Rich D, Niemczycki MA (2003) Families perceptions of surgical intensive care. J Am Coll Surg 196:977–983PubMedCrossRef Buchman T, Ray S, Wax M, Cassell J, Rich D, Niemczycki MA (2003) Families perceptions of surgical intensive care. J Am Coll Surg 196:977–983PubMedCrossRef
14.
Zurück zum Zitat Lautrette A, Darmon M, Megarbane B, Joly LM, Chevret S, Adrie C, Barnoud D, Bleichner G, Bruel C, Choukroun G, Curtis JR, Fieux F, Galliot R, Garrouste-Orgeas M, Georges H, Goldgran-Toledano D, Jourdain M, Loubert G, Reignier J, Saidi F, Souweine B, Vincent F, Barnes NK, Pochard F, Schlemmer B, Azoulay E (2007) A communication strategy and brochure for relatives of patients dying in the ICU. N Engl J Med 356:469–478PubMedCrossRef Lautrette A, Darmon M, Megarbane B, Joly LM, Chevret S, Adrie C, Barnoud D, Bleichner G, Bruel C, Choukroun G, Curtis JR, Fieux F, Galliot R, Garrouste-Orgeas M, Georges H, Goldgran-Toledano D, Jourdain M, Loubert G, Reignier J, Saidi F, Souweine B, Vincent F, Barnes NK, Pochard F, Schlemmer B, Azoulay E (2007) A communication strategy and brochure for relatives of patients dying in the ICU. N Engl J Med 356:469–478PubMedCrossRef
15.
Zurück zum Zitat Holden J, Harrison L, Johnson M (2002) Families, nurses and intensive care patients: a review of the literature. J Clin Nurs 11:140–148PubMedCrossRef Holden J, Harrison L, Johnson M (2002) Families, nurses and intensive care patients: a review of the literature. J Clin Nurs 11:140–148PubMedCrossRef
16.
Zurück zum Zitat Holland C, Cason C, Prater L (1997) Patients' recollections of critical care. Dimens Crit Care Nur 16:132–141CrossRef Holland C, Cason C, Prater L (1997) Patients' recollections of critical care. Dimens Crit Care Nur 16:132–141CrossRef
17.
Zurück zum Zitat Burfitt S, Greiner D, Miers L, Kinney M, Branyon M (1993) Professional nurse caring as perceived by critically ill patients: a phenomenological study. Am J Crit Care 2:489–499PubMed Burfitt S, Greiner D, Miers L, Kinney M, Branyon M (1993) Professional nurse caring as perceived by critically ill patients: a phenomenological study. Am J Crit Care 2:489–499PubMed
18.
Zurück zum Zitat Cescutti-Butler L, Galvin K (2003) Parents' perceptions of staff competency in a neonatal intensive care unit. J Clin Nurs 12:752–761PubMedCrossRef Cescutti-Butler L, Galvin K (2003) Parents' perceptions of staff competency in a neonatal intensive care unit. J Clin Nurs 12:752–761PubMedCrossRef
19.
Zurück zum Zitat Lam P, Beaulieu M (2004) Experiences of families in the neurological ICU: a bedside phenomenon. J Neurosci Nurs 36:142–146PubMedCrossRef Lam P, Beaulieu M (2004) Experiences of families in the neurological ICU: a bedside phenomenon. J Neurosci Nurs 36:142–146PubMedCrossRef
20.
Zurück zum Zitat Azoulay E, Chevret S, Leleu G, Pochard F, Barboteu M, Adrie C, Canoui P, Le Gall JR, Schlemmer B (2000) Half the families of intensive care unit patients experience inadequate communication with physicians. Crit Care Med 28:3044–3049PubMedCrossRef Azoulay E, Chevret S, Leleu G, Pochard F, Barboteu M, Adrie C, Canoui P, Le Gall JR, Schlemmer B (2000) Half the families of intensive care unit patients experience inadequate communication with physicians. Crit Care Med 28:3044–3049PubMedCrossRef
21.
Zurück zum Zitat Azoulay E, Pochard F, Chevret S, Arich C, Brivet F, Brun F, Charles PE, Desmettre T, Dubois D, Galliot R, Garrouste-Orgeas M, Goldgran-Toledano D, Herbecq P, Joly LM, Jourdain M, Kaidomar M, Lepape A, Letellier N, Marie O, Page B, Parrot A, Rodie-Talbere PA, Sermet A, Tenaillon A, Thuong M, Tulasne P, Le Gall JR, Schlemmer B (2003) Family participation in care to the critically ill: opinions of families and staff. Intensive Care Med 29:1498–1504PubMedCrossRef Azoulay E, Pochard F, Chevret S, Arich C, Brivet F, Brun F, Charles PE, Desmettre T, Dubois D, Galliot R, Garrouste-Orgeas M, Goldgran-Toledano D, Herbecq P, Joly LM, Jourdain M, Kaidomar M, Lepape A, Letellier N, Marie O, Page B, Parrot A, Rodie-Talbere PA, Sermet A, Tenaillon A, Thuong M, Tulasne P, Le Gall JR, Schlemmer B (2003) Family participation in care to the critically ill: opinions of families and staff. Intensive Care Med 29:1498–1504PubMedCrossRef
22.
Zurück zum Zitat Curtis JR, Engelberg RA, Wenrich MD, Shannon SE, Treece PD, Rubenfeld GD (2005) Missed opportunities during family conferences about end-of-life care in the intensive care unit. Am J Respir Crit Care Med 171:844–849PubMedCrossRef Curtis JR, Engelberg RA, Wenrich MD, Shannon SE, Treece PD, Rubenfeld GD (2005) Missed opportunities during family conferences about end-of-life care in the intensive care unit. Am J Respir Crit Care Med 171:844–849PubMedCrossRef
23.
Zurück zum Zitat Heyland DK, Dodek P, Rocker G, Groll D, Gafni A, Pichora D, Shortt S, Tranmer J, Lazar N, Kutsogiannis J, Lam M (2006) What matters most in end-of-life care: perceptions of seriously ill patients and their family members. Can Med Assoc J 174:627–633CrossRef Heyland DK, Dodek P, Rocker G, Groll D, Gafni A, Pichora D, Shortt S, Tranmer J, Lazar N, Kutsogiannis J, Lam M (2006) What matters most in end-of-life care: perceptions of seriously ill patients and their family members. Can Med Assoc J 174:627–633CrossRef
24.
Zurück zum Zitat Heyland DK, Rocker GM, O'Callaghan CJ, Dodek PM, Cook DJ (2003) Dying in the ICU: perspectives of family members. Chest 124:392–397PubMedCrossRef Heyland DK, Rocker GM, O'Callaghan CJ, Dodek PM, Cook DJ (2003) Dying in the ICU: perspectives of family members. Chest 124:392–397PubMedCrossRef
25.
Zurück zum Zitat Malacrida R, Bettelini CM, Degrate A, Martinez M, Badia F, Piazza J, Vizzardi N, Wullschleger R, Rapin CH (1998) Reasons for dissatisfaction: a survey of relatives of intensive care patients who died. Crit Care Med 26:1187–1193PubMedCrossRef Malacrida R, Bettelini CM, Degrate A, Martinez M, Badia F, Piazza J, Vizzardi N, Wullschleger R, Rapin CH (1998) Reasons for dissatisfaction: a survey of relatives of intensive care patients who died. Crit Care Med 26:1187–1193PubMedCrossRef
26.
Zurück zum Zitat Barrett H, Bion JF, on behalf of the CoBaTrICE Collaboration (2005) An international survey of training in adult intensive care medicine. Intensive Care Med 31:553–561PubMedCrossRef Barrett H, Bion JF, on behalf of the CoBaTrICE Collaboration (2005) An international survey of training in adult intensive care medicine. Intensive Care Med 31:553–561PubMedCrossRef
27.
Zurück zum Zitat Sprung CL, Cohen SL, Sjokvist P, Baras M, Bulow HH, Hovilehto S, Ledoux D, Lippert A, Maia P, Phelan D, Schobersberger W, Wennberg E, Woodcock T (2003) End-of-life practices in European ICUs: The ETHICUS Study. JAMA 290:790–797PubMedCrossRef Sprung CL, Cohen SL, Sjokvist P, Baras M, Bulow HH, Hovilehto S, Ledoux D, Lippert A, Maia P, Phelan D, Schobersberger W, Wennberg E, Woodcock T (2003) End-of-life practices in European ICUs: The ETHICUS Study. JAMA 290:790–797PubMedCrossRef
Metadaten
Titel
The views of patients and relatives of what makes a good intensivist: a European survey
verfasst von
The CoBaTrICE Collaboration
Publikationsdatum
01.11.2007
Verlag
Springer-Verlag
Erschienen in
Intensive Care Medicine / Ausgabe 11/2007
Print ISSN: 0342-4642
Elektronische ISSN: 1432-1238
DOI
https://doi.org/10.1007/s00134-007-0799-4

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