Applying the Care and Communication Bundle to Promote Palliative Care in a Neuro-Intensive Care Unit: Why and How

Mroz, Emily; Olasoji, Esther; Henke, Charlotte; Lim, Christina; Pacheco, Sean C.; Swords, Gabriel; Hester, Jeannette; Weisbrod, Neal; Babi, Marc Alain; Busl, Katharina M.; Baron-Lee, Jacqueline

doi:10.1089/jpm.2020.0730

Cited by 6 publications

(6 citation statements)

References 47 publications

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“…Although in Penrod et al (2012) no workplace achieved the best results in the nine measures, performance varied greatly depending on department, with the greatest differences between workplaces observed in the establishing of resuscitation preferences and in spiritual support. In the study by Mroz et al (2021), results showed compliance with CCB standards, including excellent consistency in establishing patient-focused communication and referral to support services (e.g. social work, spiritual support).…”

Section: Discussionmentioning

confidence: 88%

“…social work, spiritual support). They see the scoring system as an opportunity to motivate improvement and reduce differences in the integration of palliative care (Mroz et al, 2021). In both studies, and our own, there is a difference in the approach of staff to meeting the standard.…”

Section: Discussionmentioning

confidence: 93%

“…Our study focused on monitoring compliance with the JCIbased standard. Similarly, Penrod et al (2012) and Mroz et al (2021) conducted a prospective observational study of key processes of palliative care performed in intensive care units (ICU). The authors relied on the Care and Communication Bundle (CCB), which provides a standardized procedure for the provision of effective palliative care services in ICUs (Mroz et al, 2021).…”

Section: Discussionmentioning

confidence: 99%

“…Similarly, Penrod et al (2012) and Mroz et al (2021) conducted a prospective observational study of key processes of palliative care performed in intensive care units (ICU). The authors relied on the Care and Communication Bundle (CCB), which provides a standardized procedure for the provision of effective palliative care services in ICUs (Mroz et al, 2021). Although in Penrod et al (2012) no workplace achieved the best results in the nine measures, performance varied greatly depending on department, with the greatest differences between workplaces observed in the establishing of resuscitation preferences and in spiritual support.…”

Section: Discussionmentioning

confidence: 99%

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Standard operating procedure - palliative care

Plevová¹,

Kadlubová²

2023

Cent Eur J Nurs Midw

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Aim: The aim of the research was to determine the fulfilment of the standard operating procedure -"Care of patients with increased risk levelˮ incorporating the JCI AOP 1.7 standard "Patients and their loved ones are investigated and reinvestigated due to their individualized needsˮ by healthcare professionals of the selected healthcare facility. Design: A cross-sectional study. Methods: A quantitative survey was selected for data collection. The data were obtained through structured interviews with selected healthcare professionals from the designated facilities conducted by hospital management and recorded in writing in a pre-prepared record sheet. The research sample consisted of 78 respondents, of whom 36 were physicians and 42 were nurses, from 14 facilities. The research was conducted from 15. 1. -31. 12. 2018. Results: From the interviews, we found that respondents regarded terminal patients and their loved ones holistically, but failed to record the information obtained. We also found that there was no difference in the evaluation of the patient and his / her loved ones according to the profession of the respondents, the length of their medical practice, or their workplace. In terms of the respondentsʼ workplace, there was no difference in perceptions of the quality of palliative care provided in the selected hospital. Conclusion: Respondents perceive patients holistically and they are assessed as a bio-psycho-socio-spiritual unit, and their loved ones are included in the assessment. However, the information obtained is not fully documented in written form.

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Section: Discussionmentioning

confidence: 88%

Section: Discussionmentioning

confidence: 93%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Standard operating procedure - palliative care

Plevová¹,

Kadlubová²

2023

Cent Eur J Nurs Midw

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“…From a total of 915 records retrieved, after duplicate exclusion and screening from abstracts, 363 relevant articles were screened from full text; of those, 15 articles [ 6 , 7 , 8 , 9 , 10 , 11 , 12 , 13 , 14 , 15 , 16 , 17 , 18 , 19 , 20 ] were adjudicated relevant for inclusion in this review and provided the basis for data and discussion presented on the topic ( Table 1 ). Twelve studies were conducted in a single center, and only three were multicentric studies.…”

Section: Resultsmentioning

confidence: 99%

Palliative Care and End-of-Life Issues in Patients with Brain Cancer Admitted to ICU

et al. 2023

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Background and Objectives: Palliative care is an interdisciplinary medical specialty focused on improving the quality of life of critically ill patients, including those with frailty, during their illness. Materials and Methods: We conducted an extensive literature review on Pubmed focusing on palliative care in neuro-oncology patients admitted to intensive care units (ICUs). Results: We identified 967 articles and, after excluding 952 articles in accordance with the PRISMA flow chart, we included a total of 15 articles in the final selection. The potential role of palliative care in neuro-oncology appears necessary to ensure comprehensive end-of-life patient care. However, this seems underestimated and poorly applied, especially in the context of intensive care units. Medical personnel also face ethical dilemmas, considering not only the pathology but also the socio-spiritual context of the patient. In addition, caregivers’ understanding of prognosis and realistic goals is critical for optimal end-of-life management. Conclusions: The provision of palliative care to neuro-oncological patients admitted to ICU is a complex challenge supported by fragmented evidence. Additional research on palliative care and communication about end-of-life care in the neuro-oncology and neuro-ICU setting is needed.

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