TY - JOUR
T1 - Establishing consensus on patient- and family-centered care in adult intensive care units
T2 - A Delphi survey
AU - Bohart, Søs
AU - Nielsen, Anne Højager
AU - Sørensen, Jette Led
AU - Andreasen, Anne Sofie
AU - Waldau, Tina
AU - Møller, Ann Merete
AU - Thomsen, Thordis
N1 - Copyright © 2023. Published by Elsevier Inc.
PY - 2024/7/13
Y1 - 2024/7/13
N2 - PURPOSE: To establish consensus between intensive care unit (ICU) experts on concrete patient- and family-centered care statements for adult patients and relatives in the ICU.MATERIALS AND METHODS: We did a three-round Delphi survey with a panel of ICU health care professionals from 23 ICUs in Denmark. In round 1, participants answered 20 open-ended questions, based on existing evidence. Analysis of their responses generated close-ended statements, which participants primary rated on a five-point-Likert-scale, from very important to not important at all. In rounds 2 and 3., consensus was predefined as ≥75% of participants rating a statement important.RESULTS: Sixty-nine participated: 38 nurses, 24 physicians, and four occupational and physiotherapists. In total 96%, 90% and 72% answered the first, second, and third rounds, respectively. In round 1, participants answers resulted in >3000 statements that were analyzed into 82 condensed statements. After participants rated the statements in round 2 and 3, 47 statements reached consensus as important.CONCLUSIONS: The 47 statements rated to be important included interdisciplinary approaches to systematic information sharing and consultations with patients and family-members, with the aim being to accommodate patients and family-members´ individual needs throughout the ICU stay.
AB - PURPOSE: To establish consensus between intensive care unit (ICU) experts on concrete patient- and family-centered care statements for adult patients and relatives in the ICU.MATERIALS AND METHODS: We did a three-round Delphi survey with a panel of ICU health care professionals from 23 ICUs in Denmark. In round 1, participants answered 20 open-ended questions, based on existing evidence. Analysis of their responses generated close-ended statements, which participants primary rated on a five-point-Likert-scale, from very important to not important at all. In rounds 2 and 3., consensus was predefined as ≥75% of participants rating a statement important.RESULTS: Sixty-nine participated: 38 nurses, 24 physicians, and four occupational and physiotherapists. In total 96%, 90% and 72% answered the first, second, and third rounds, respectively. In round 1, participants answers resulted in >3000 statements that were analyzed into 82 condensed statements. After participants rated the statements in round 2 and 3, 47 statements reached consensus as important.CONCLUSIONS: The 47 statements rated to be important included interdisciplinary approaches to systematic information sharing and consultations with patients and family-members, with the aim being to accommodate patients and family-members´ individual needs throughout the ICU stay.
UR - http://www.scopus.com/inward/record.url?scp=85198284446&partnerID=8YFLogxK
U2 - 10.1016/j.jcrc.2024.154859
DO - 10.1016/j.jcrc.2024.154859
M3 - Journal article
C2 - 39003924
SN - 0883-9441
VL - 84
SP - 154859
JO - Journal of Critical Care
JF - Journal of Critical Care
M1 - 154859
ER -