Stress and Engagement Surrounding ICU Procedures Among Patients, Families and Clinicians
试验速览
- 阶段
- 不适用
- 状态
- 进行中（未招募）
- 入组人数
- 120
- 试验地点
- 2
- 主要终点
- Patient & Family Member Engagement
研究概览
简要总结
This study seeks to determine the effect of a quality improvement policy regarding allowing family members to remain in a patient's room during ICU procedures. The investigators hypothesized that our change in policy to invite family members to remain during procedures will improve patient & family engagement and improve long term psychological outcomes after an ICU admission. The study also seeks to determine if inviting family members to remain in a patient's room during ICU procedures will not increase clinician stress.
详细描述
This is a research study about the effect of a quality improvement policy change regarding family presence at ICU procedures on family and patient engagement, psychological outcomes and stress levels in clinicians. In the study, ICU patients, their family members and ICU clinicians will be surveyed regarding these outcomes, with some surveys obtained prior to a policy change and a second set during a second time period after policy change. The patients and family members will be asked survey questions after the procedure and 3 months later. This study will also evaluate the change in clinician stress related to this policy change, and clinicians will also answer survey questions.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Single Group
- 主要目的
- Supportive Care
- 盲法
- Single (Participant)
盲法说明
Family members and patients will be told the study is being done to understand engagement, but will not be told about the main intervention
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •18 years old or older
- •Able to read & speak English
- •Family member of a patient or a patient that has undergone one of these procedures at any point during the ICU stay (if the procedure occurs from Sunday at 8 am to Friday at 12 pm): intubation, central line placement, arterial line placement, bronchoscopy, thoracentesis, chest tube placement, paracentesis and lumbar puncture
- •Physician (both attending physicians and trainees) and nurses who work in the ICU during the study period.
排除标准
- •Patients for whom no family member can be identified
- •Non-English speaking individuals
- •Children (<18 years of age)
- •Participants with dementia, psychiatric disorder with psychosis, schizophrenia or known cognitive dysfunction (established from chart review, report and/or score greater than or equal to 3 on IQ Code screening).
- •Provider who does not want to participate
结局指标
主要结局
Patient & Family Member Engagement
时间窗: Time of ICU procedure to 48 hours afterwards
Engagement, as measured by the collaboRATE survey, administered to patients \& family members within 48 hours after a procedure in the ICU
次要结局
- Trainee Satisfaction with Procedure Education(Time of ICU procedure to 24 hours afterwards)
- Procedural Complication Rate(Through 7 days after the ICU procedure)
- Patient & Family Member Anxiety & Depression(3 months after ICU procedure)
- Patient & Family Member PTSD(3 months after ICU procedure)
- Patient & Family Member Stress(Time of ICU procedure to 48 hours afterwards)
- Clinician Stress(Time of ICU procedure to 48 hours afterwards)
研究者
Sarah Beesley
Pulmonologist - Shock Trauma ICU
Intermountain Health Care, Inc.