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Journal of critical care · Dec 2024
Establishing consensus on patient- and family-centered care in adult intensive care units: A Delphi survey.
- Søs Bohart, Anne Højager Nielsen, Jette Led Sørensen, Anne Sofie Andreasen, Tina Waldau, Ann Merete Møller, and Thordis Thomsen.
- Department of Anesthesiology and Intensive Care Medicine, Copenhagen University Hospital, Herlev and Gentofte Hospital, Borgmester Ib Juuls Vej 1, 2730 Herlev, Denmark. Electronic address: soes.bohart@regionh.dk.
- J Crit Care. 2024 Dec 1; 84: 154859154859.
PurposeTo 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 MethodsWe 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.ResultsSixty-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.ConclusionsThe 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.Copyright © 2023. Published by Elsevier Inc.
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