Beyond the walls: A review of ICU clinics and their impact on patient outcomes after leaving hospital

Williams, Teresa A.; Leslie, Gavin

doi:10.1016/j.aucc.2007.11.001

Cited by 55 publications

(39 citation statements)

References 59 publications

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“…Although the benefits of follow-up services are acknowledged, a survey of practices across the UK (Griffiths et al 2006) revealed that only 30% of hospitals offered ICU follow-up. Similarly, a literature review of ICU follow-up clinics revealed only a small number of reported services, most of which were nurse-led and the need to determine the best service model to meet patient and family needs (Williams & Leslie 2006). Appropriate recognition and funding of such services by health authorities would improve access and potentially health outcomes for patients recovering from critical illness.…”

Section: Relevance Of Study Results and Implications For Future Researchmentioning

confidence: 99%

Patients’ recovery after critical illness at early follow‐up

Kelly

McKinley

2010

Journal of Clinical Nursing

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Section: Relevance Of Study Results and Implications For Future Researchmentioning

confidence: 99%

Patients’ recovery after critical illness at early follow‐up

Kelly

McKinley

2010

Journal of Clinical Nursing

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“…As critical care has evolved, it has become evident that understanding long-term survival, morbidity and quality of life (QOL) after critical illness is as important as dealing with short-term survival (25). Understanding the consequences of critical illness informs preventive measures that can be integrated into patient management and enable improvements in the quality of care.…”

Section: Responsibility In the Philosophical Context And Its Relationmentioning

confidence: 99%

Responsibility: From its conceptual foundations to its practical application in intensive care units

2018

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There has been a shift in the language of responsibility because the threat of malpractice litigation is encouraging physicians to assume a more responsible role in caring for their patients. Consequently, instead of paying attention to the moral dimension of this principle, professionals are sometimes much more concerned about legal repercussions. This article aims therefore at analyzing the recent literature on responsibility in intensive care, focusing on its ethical dimension. By analyzing the contributions of Emmanuel Levinas, Hans Jonas and Paul Ricoeur, who placed special emphasis on the theme of "moral responsibility", we will attempt to shed some light on this ethical principle within the specific context of Intensive Care Medicine. This paper underlines the importance of responsibility in order to draw attention to the need to establish an appropriate balance between autonomy and self/other-oriented responsibilities. A tridimensional approach is suggested to frame responsibility within the context of intensive care.Key words: professional ethics, clinical ethics, end-of-life care, decision-making, inter-personal relations, professional-patient relationshipResponsabilidad: desde el fundamento conceptual a la aplicación práctica en unidades de cuidado intensivo Resumen: Ha habido un cambio en el lenguaje sobre la responsabilidad, debido a que la amenaza de demandas por mala práctica fuerza a los médicos a asumir un rol más responsable en el cuidado de sus pacientes. Por consiguiente, en lugar de prestar atención a la dimensión moral de este principio, muchas veces los profesionales están más preocupados de las repercusiones legales. Este artículo tiene como objetivo analizar la bibliografía reciente sobre responsabilidad en cuidados intensivos, enfocándose en la dimensión ética. Al analizar las contribuciones de Emmanuel Levinas, Han Jonas y Paul Ricoeur, que pusieron especial énfasis en el tema de la "responsabilidad moral", tratamos de iluminar este principio ético en el contexto de la Medicina del Cuidado Intensivo. Este trabajo enfatiza la importancia de en dirigir la atención a la necesidad de establecer un balance apropiado entre la autonomía y las responsabilidades orientadas hacia uno mismo o hacia el otro. Se sugiere una aproximación tridimensional para enmarcar la responsabilidad en el contexto del cuidado intensivo.Palabras clave: ética profesional, ética clínica, cuidado al final de la vida, toma de decisiones, relaciones interpersonales, relación paciente-profesional Responsabilidade: de suas bases conceituais para a sua aplicação prática em unidades de terapia intensiva Resumo: Tem havido uma mudança na linguagem da responsabilidade uma vez que a ameaça de litígio por imperícia está incentivando os médicos a assumir um papel mais responsável no cuidado de seus pacientes. Por conseguinte, em vez de prestar atenção à dimensão moral deste princípio, os profissionais algumas vezes estão muito mais preocupados com as repercussões legais. Portanto, este artigo visa analisar a literatura...

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“…Even before this recommendation, ICU follow-up initiatives were offered sporadically in Scandinavia and the UK. Different elements of care have been offered, such as ICU diaries, patient photographs, follow-up visits and consultations (Jensen et al, 2015;Williams & Leslie, 2008). The most frequent follow-up model is the nurse-led approach with some interprofessional team involvement (Egerod et al, 2013;Griffiths, Barber, Cuthbertson, & Young, 2006).…”

Section: Introductionmentioning

confidence: 99%

Stimulated by insight: Exploration of critical care nurses' experience of research participation in a recovery programme for intensive care survivors

Lehmkuhl

Egerod

Overgaard

et al. 2020

Journal of Clinical Nursing

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Aims and objectives To explore critical care nurses' experiences of research participation during a one‐year recovery programme for intensive care survivors. Background Nurse‐led postintensive care follow‐up consultations have emerged to help patients to recover and overcome problems related to critical illness and admission at the intensive care unit (ICU). Previous research exploring post‐ICU follow‐up programmes have shown inconclusive evidence of their effectiveness on patient‐reported outcome measurements, and provider evaluation is scarce. The context of this study is the Recovery and Aftercare in Postintensive care Therapy (RAPIT) trial. Design A qualitative descriptive telephone interview study. Methods Data were collected after completion of the RAPIT trial. Participants (n = 14) were trained intensive care nurses, who delivered the post‐ICU recovery programme, representing nine out of ten sites from the RAPIT trial. Two focus group discussions were used to construct a semistructured interview guide. A thematic data analysis was performed using Braun and Clark's six‐step method. This study conforms to the COREQ Research Reporting Guidelines for qualitative studies. Results Our study indicated that nurses considered participation in research as a positive experience. The main finding “Stimulated by insight” described how nurses' engagement and professional growth was gained by reflection, patient feedback and research competencies acquired in the clinical setting. The research programmes stimulated to new knowledge, broaden their perspectives and enhanced critical reflection of ICU nursing practice. Conclusions The study indicates that nurses developed research competencies and enhanced their job satisfaction by using critical reflection and patient feedback. However, there is still a substantial need for support to strengthen nurses' competencies in collaboration with colleagues, managers and researchers. Relevance to Clinical Practice This study can contribute to the development of recommendations supporting nurses doing research and to optimise implementation of clinical research.

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Beyond the walls: A review of ICU clinics and their impact on patient outcomes after leaving hospital

Cited by 55 publications

References 59 publications

Patients’ recovery after critical illness at early follow‐up

Patients’ recovery after critical illness at early follow‐up

Responsibility: From its conceptual foundations to its practical application in intensive care units

Stimulated by insight: Exploration of critical care nurses' experience of research participation in a recovery programme for intensive care survivors

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