Resilience and Motivation Following Intensive Care Unit Admission: Tools for Survivorship

Ede, Jody; Jones, Philippa; Westgate, Verity; Darbyshire, Julie; Gustafson, Owen

doi:10.1111/nicc.12474

Cited by 3 publications

(3 citation statements)

References 33 publications

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“…Studies have previously identified the positive impact of high resilience and self-efficacy in the recovery of ICU survivors 15,36,37 improving the psychological sequelae and ability to manage the activities of daily living. The exact role of resilience in post-ICU recovery, as well as the impact of the COVID-19 pandemic on patients' resilience has not yet been explored.…”

Section: Relationship To Previous Studiesmentioning

confidence: 99%

Exploring the recovery journey of COVID-19 critical care survivors during the first year after hospital discharge

Wodecka,

Koulouglioti,

Gonçalves

et al. 2024

Journal of the Intensive Care Society

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Objectives: To explore the longitudinal recovery of patients admitted to critical care following COVID-19 over the year following hospital discharge. To understand the important aspects of the patients’ recovery process and key elements of their caregivers’ experiences during this time. Design: A longitudinal qualitative study using semi-structured interviews. Setting: Two acute hospitals in South East England and follow-up in the community. Participants: Six COVID-19 critical care survivors from the first wave of the pandemic (March–May 2020) and five relatives were interviewed 3 months after hospital discharge. The same six survivors and one relative were interviewed again at 1 year. Interviews were transcribed verbatim, anonymised and a reflexive thematic analysis was conducted. Results: Three themes were developed: (1) ‘The cycle of guilt, fear and stigma’; (2) ‘Facing the uncertainties of recovery’ and (3) ‘Coping with lingering symptoms – the new norm’. The first theme highlights survivors’ reluctance to share their experiences associated with contracting the disease. The second theme, explores challenges faced by the survivors and their relatives in navigating the recovery process, given the unknown nature of the illness. The final theme illustrates the mechanisms survivors develop to come to terms with the remnants of their illness and critical care stay. Conclusions: The longitudinal nature of the study highlighted the persisting symptoms of long COVID-19, their impact on survivors and coping methods amidst the ongoing pandemic. Further research into the experiences of those affected in the first and subsequent waves of the COVID-19 pandemic, is desirable to help guide the formulation of the optimally supported recovery pathways.

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Section: Relationship To Previous Studiesmentioning

confidence: 99%

Exploring the recovery journey of COVID-19 critical care survivors during the first year after hospital discharge

Wodecka,

Koulouglioti,

Gonçalves

et al. 2024

Journal of the Intensive Care Society

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“…This differs from some ICU models of uninhibited access to ICU patients (open visiting), which was suggested because of the positive psychological effects that families provide to patients. 12 Pandemic ICU relative provision is challenging and involves striking a balance between the needs of the patient, relatives, and society by reducing transmission risks. Bereaved families in critical care experience greater levels of post-traumatic stress disorder (PTSD) than the "normal" population, and it is not unreasonable that this will be more profound during and following the pandemic.…”

Section: Environment: Icu Clinical Areamentioning

confidence: 99%

Using the Systems Engineering Initiative for Patient Safety (SEIPS) model to describe critical care nursing during the SARS‐CoV‐2 pandemic (2020)

Lumley

Ellis

Ritchings

et al. 2020

Nursing in Critical Care

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globally, there were over 1.3 million confirmed Covid-19 cases and 55 000 cases in the United Kingdom (WHO). 1 The Covid-19 pandemic is the greatest challenge faced by the National Health Service (NHS) to date. Recent data from the United Kingdom-based Intensive Care and National Audit Research centre (ICNARC) database 2 suggests patient mortality rates are almost double those of common viral pneumonia seen in intensive care unit (ICU) patients (50.1% vs 22.4%). In ventilated patients, ICU mortality is even higher (67%), 2 but interpretation should be cautious until further outcomes of this population become known. Severity of respiratory failure and high contagion index of SARS-Cov-2 has caused unprecedented patient numbers needing a high-dependency unit (HDU) or ICU. 3 In response, NHS ICUs have nationally increased bed capacity, 4 utilized staffing models not seen before, 5 and changed medical strategies. Previous pandemic preparedness models have highlighted "fourSs" that include: space (beds), staff (clinicians and operations), stuff (physical equipment), and system (co-ordination). 6 The Systems Engineering Initiative for Patient Safety (SEIPS) human factors model potentially offers a more comprehensive framework by focusing on health care structures, relationships, and processes. 7 It consists of five key domains: person, task, tools and technology, environment, and organization. The SEIPS model 7 may facilitate a pragmatic approach in provisioning for pandemic preparedness, incorporating additional elements of task, tools, and technology. The systematic framework of this model provides the opportunity and means to examine the Covid-19 pandemic while utilizing real-time experiences from the frontline. How to cite this article: Lumley C , Ellis A , Ritchings S , Venes T , Ede J . Using the Systems Engineering Initiative for Patient Safety (SEIPS) model to describe critical care nursing during the SARS-CoV-2 pandemic (2020).

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“…First, Jody Ede's editorial () makes a compelling argument for constructing post‐ICU rehabilitation in a novel ‘survivor’ framework. This framework would deliberately focus on both the patient and his or her family or social network as survivors.…”

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confidence: 99%

What's in this issue

Albarran¹,

Scholes²

2019

Nursing in Critical Care

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Resilience and Motivation Following Intensive Care Unit Admission: Tools for Survivorship

Cited by 3 publications

References 33 publications

Exploring the recovery journey of COVID-19 critical care survivors during the first year after hospital discharge

Exploring the recovery journey of COVID-19 critical care survivors during the first year after hospital discharge

Using the Systems Engineering Initiative for Patient Safety (SEIPS) model to describe critical care nursing during the SARS‐CoV‐2 pandemic (2020)

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