A survey of psychology practice in critical-care settings.

Stucky, Kirk; Jutte, Jennifer E.; Warren, Ann Marie; Jackson, James C.; Merbitz, Nancy Hansen

doi:10.1037/rep0000071

Cited by 14 publications

(15 citation statements)

References 25 publications

(28 reference statements)

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“…Despite this, presence of psychology in the ICU setting remains scarce with only 17% of responding units offering psychological services [ 17 ]. In the United States, a survey of the American Psychological Association list serve’s practicing psychologists identified 51 individuals who provide cognitive assessments, family support, education, behavioral management, psychotherapy, and/or suicide risk assessments in critical care settings [ 18 ]. Limited outcome data is available to date, however.…”

Section: Discussionmentioning

confidence: 99%

Psychiatry’s role in the prevention of post-intensive care mental health impairment: stakeholder survey

et al. 2022

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Background Many critical illness survivors experience new or worsening mental health impairments. Psychiatry consultation services can provide a critical role in identifying, addressing, and preventing mental health challenges during and after admission to the acute medical care setting. However, psychiatry involvement in the ICU setting is lower than in other hospital settings and the conventional process in many hospitals requires other care providers to request consultation by psychiatry. Despite these differences, no studies have sought ICU provider perspectives on psychiatry consultation’s current and desired role. We aimed to obtain stakeholder feedback on psychiatry’s current and desired roles in the ICU, and potential benefits and drawbacks of increasing psychiatry’s presence. Methods A web-based survey obtained perspectives from 373 critical care physicians and advance practice providers, bedside nurses, physical and occupational therapists, pharmacists, and consultation-liaison psychiatry physicians and advance practice providers at a tertiary care center using multiple choice and open-ended questions. Descriptive information and content analysis of qualitative data provided information on stakeholder perspectives. Results Psychiatry’s primary current role was seen as assistance with management of mental health issues (38%) and suicide risk assessments (23%). 46% wished for psychiatry’s increased involvement in the ICU. Perceived benefits of increased psychiatry presence in the ICU included early psychological support in parallel with medical care, identification of psychiatric factors impacting treatment, and facilitation of family understanding of the patient’s mental state/delirium. An additional perceived benefit included reduction in provider burnout through processing difficult situations and decreasing family psychological distress. However, one concern included potential conflict among providers regarding treatment. Conclusions Those who work closely with the critically ill patients think that increased psychological support in the ICU would be beneficial. By contrast, psychiatry’s current involvement is seen to be limited, perhaps driven by varying perceptions of what psychiatry’s role is or should be.

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Section: Discussionmentioning

confidence: 99%

Psychiatry’s role in the prevention of post-intensive care mental health impairment: stakeholder survey

et al. 2022

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“…Psicologia ▪ Suporte psicológico e/ou psicoeducação com familiares (30,31) ; ▪ Avaliações cognitivas e neuropsicológicas (30) ; ▪ Assistência psicológica ao paciente, com intervenções de apoio e orientação (31) ;…”

Section: Nutriçãounclassified

Mudanças da atuação multiprofissional em pacientes com COVID-19 em unidades de terapia intensiva

Angelo

Batista²,

Vasconcelos³

et al. 2020

HRJ

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Em dezembro de 2019, o surto do novo coronavírus (SARS-CoV-2) na China se espalhou pelo mundo, tornando-se uma emergência de grande preocupação internacional. A pandemia pelo SARS-CoV-2 fez com que muitos profissionais de saúde modificassem sua rotina de cuidados, especialmente os intensivistas. Este trabalho tem como objetivo avaliar e comparar a atuação multiprofissional em pacientes com COVID-19 internados em unidades de terapia intensiva, antes e após a instalação da pandemia. Foi realizada uma revisão da literatura nas bases de PubCovid-19, PUBMED, EMBASE, MEDLINE, LILACS e Scielo, com artigos publicados de 2015 até o momento, sendo todos os artigos encontrados avaliados, inicialmente, por meio do título e resumo e lidos em sua íntegra apenas aqueles que tratassem do tema. Observou-se a mudança da reconciliação medicamentosa e validação de medicamentos de forma remotas, através de prontuário eletrônico e contato telefônico, bem como o início de atendimentos psicológicos também remotos, aos pacientes, familiares e equipe sendo as intervenções presenciais restritas a casos excepcionais. Além disso, observou-se que pacientes que permanecerem por mais de 48 horas na UTI devem ser considerados em risco de desnutrição. Palavras-chave: Coronavirus; Odontologia; Farmácia; Nutrição; Psicologia

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“…A comprehensive review of this topic would far exceed space limitations; therefore, the focus is on brief summarizations designed to point the way to a more directed and in-depth study for the interested reader. Although we are aware that a survey recently demonstrated that psychologists from several specialty backgrounds (i.e., health, rehabilitation, and neuropsychology) are involved in critical care settings (Stucky, Jutte, Warren, Jackson, & Merbitz, 2016), for the purposes of this chapter, we have elected to focus on a discussion of specific implications for rehabilitation psychologists with hope that it might stimulate critical thinking about evolving roles, activities, opportunities, and issues for that specialty. Admittedly, the foundational principles of health, rehabilitation, and neuropsychology are similar in that they all emphasize the application of the biopsychosocial model in medical settings.…”

Section: Kirk Stucky and Ann Marie Warrenmentioning

confidence: 99%

“…This paper is now referenced as a supplemental reading in the chapter on rehabilitation in Resources for Optimal Care of the Injured Patient published by the American College of Surgeons Committee on Trauma (2014, p. 93). It also is interesting to note that in a recent survey, psychologists who worked in critical care settings at least monthly were more likely to be at a Level I or pediatric trauma center, and a higher proportion of rehabilitationoriented providers provided intensive care, critical care, and neurointensive care services relative to nonrehabilitation-oriented providers (Stucky et al, 2016). This trend may be related to the unique skills that rehabilitation-oriented psychologists possess.…”

Section: The Development and Expansion Of Level I Trauma Centersmentioning

confidence: 99%