• Am. J. Crit. Care · Nov 2024

    Observational Study

    Picturing Empathy in the Intensive Care Unit: Patient Photographs at an Urban Community Teaching Hospital.

    • Dhruv Shah, Kuldeep Ghosh, Robin Singh, Ivonne Bonfante, Josette Nagales, Andrew Wuthrich, Christopher Wilson, Natoushka Trenard, and Armeen D Poor.
    • Dhruv Shah is a resident physician, Department of Medicine, NYC Health + Hospitals/Metropolitan, New York, New York.
    • Am. J. Crit. Care. 2024 Nov 1; 33 (6): 455461455-461.

    BackgroundIntensive care unit (ICU) clinicians are at risk for burnout, which can be driven by depersonalization. Photographs of patients in their baseline state of health before ICU admission may enhance the connection between clinicians and patients. The use of patient photographs has not been evaluated in an urban community teaching hospital.ObjectiveTo evaluate whether an interprofessional group of clinicians perceive that patient photographs in the ICU help them connect with patients and enhance empathy.MethodsA prospective observational quality improvement study was performed in the medical ICU of an urban community teaching hospital. Patients' families could display patients' photographs in the unit. Registered nurses, physicians, respiratory therapists, and patient care associates completed anonymous surveys.ResultsFamilies of 21 patients provided photographs; 82 clinicians (47 physicians, 25 nurses, 5 respiratory therapists, and 5 patient care associates) completed surveys. Most clinicians (83%) agreed that the patient's personality and character were emphasized by photographs, 77% agreed that photographs facilitated communication with the patient and/or family, 89% agreed that patient photographs helped them relate to the patient as an individual, and 76% were not upset by comparing the photograph with the patient. Responses did not significantly differ by clinician type. Survey comments highlighted themes of humanization, fulfillment, and hope.ConclusionPatient photographs may enhance connections between clinicians and patients in the ICU, potentially reducing depersonalization and burnout.©2024 American Association of Critical-Care Nurses.

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