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B9. B009 PATIENT, FAMILY, AND PROVIDER EXPERIENCES IN CRITICAL CARE AND CHRONIC PATIENT MANAGEMENT最新文献

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COVID-19 Pandemic: Impact on Nurses Working in Critical Care in the United States COVID-19大流行:对美国从事重症监护工作的护士的影响
Pub Date : 1900-01-01 DOI: 10.1164/ajrccm-conference.2021.203.1_meetingabstracts.a1087
J. Guttormson, K. Calkins, N. McAndrew, J. Fitzgerald, H. Losurdo, D. Loonsfoot
Rationale: It is likely the COVID-19 pandemic has and will continue to have a tremendous influence on intensive care unit (ICU) nurses' mental health and continuation in the critical care work force. The purpose of this study is to describe the impact of COVID-19 on nurse moral distress, burnout, anxiety, and depression. Methods: This descriptive study recruited a national sample of nurses that have worked in the ICU during the COVID-19 pandemic through American Association of Critical Care Nurses newsletters and social media (Twitter;Facebook). Reliable and Valid measures included: Measure of Moral Distress in Healthcare Professionals, Professional Quality of Life Scale, and the Patient Health Questionnaire Anxiety and Depression Scale. Results: The survey was launched in November 2020 and data collection is ongoing. To date, 498 nurses have completed the survey. Staff nurses comprise 90% of respondents with the majority working in a University Medical Center or a community hospital. Of the respondents, 28% were reassigned to a COVID unit other than their usual ICU. The majority (71%) experienced a shortage of personal protective equipment (PPE). Analysis of respondent anxiety, depression, burnout, and moral distress will be completed after the survey closes at the end of December 2020. Conclusion: To fully support nurses working on the frontline, we must understand the impact of the pandemic on ICU nurses. Results from this study will be used to develop recommendations for supporting nurses as the pandemic continues, as well as after the crisis. Improving the well-being of ICU nurses and decreasing nurse turnover are urgent critical care research and practice priorities. This study offers important insights about the mental health of nurses during a global pandemic that can guide the development of tailored interventions for ICU nurses.
理由:COVID-19大流行可能已经并将继续对重症监护病房(ICU)护士的心理健康和重症监护工作队伍的延续产生巨大影响。本研究的目的是描述COVID-19对护士道德困扰、倦怠、焦虑和抑郁的影响。方法:本描述性研究通过美国重症监护护士协会通讯和社交媒体(Twitter、Facebook)招募了在COVID-19大流行期间在ICU工作的全国护士样本。信、效量表包括:《医护人员道德困扰量表》、《职业生活质量量表》和《患者健康问卷焦虑抑郁量表》。结果:该调查于2020年11月启动,数据收集正在进行中。到目前为止,已有498名护士完成了调查。工作人员护士占应答者的90%,其中大多数在大学医疗中心或社区医院工作。在受访者中,28%的人被重新分配到他们通常的ICU以外的新冠病房。大多数国家(71%)缺乏个人防护装备。受访者焦虑、抑郁、倦怠和道德困境的分析将在2020年12月底调查结束后完成。结论:要全力支持一线护士工作,必须了解疫情对ICU护士的影响。这项研究的结果将用于制定在大流行持续期间以及危机之后支持护士的建议。提高ICU护士的福利和减少护士流失率是急症护理研究和实践的优先事项。这项研究提供了关于全球大流行期间护士心理健康的重要见解,可以指导ICU护士量身定制干预措施的发展。
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引用次数: 0
Physical Function, Symptoms and Health-Related Quality of Life in Pulmonary Arterial Hypertension 肺动脉高压患者的身体功能、症状和健康相关生活质量
Pub Date : 1900-01-01 DOI: 10.1164/ajrccm-conference.2021.203.1_meetingabstracts.a1085
L. Matura, J. Fargo, J. Fritz, A. Smith, J. Mazurek, D. Pinder, C. Archer-Chicko, H. Palevsky, C. Burwell, K. Mark, A. Pack, M. Sommers, S. Kawut
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引用次数: 0
Parent Experience of Neonatal Hospitalization During the COVID-19 Pandemic COVID-19大流行期间新生儿住院的家长经验
Pub Date : 1900-01-01 DOI: 10.1164/ajrccm-conference.2021.203.1_meetingabstracts.a1083
A. Vance, K. Malin, C. Shuman, T. A. Moore
Rationale: Prior to the COVID-19 pandemic, parental presence was encouraged through unrestricted visitation and family-centered care practices in neonatal intensive care units (NICU). Parental caregiving is essential to an infant's healthy development, especially during hospitalization. Parental presence encourages attachment, improves parental well-being and confidence, enhances management of illness, and promotes continuity of care. By examining parental experience of hospitalization during the pandemic, we can better understand parental needs during neonatal hospitalization. Therefore, our objective was to describe the impact of neonatal hospitalization during the COVID-19 pandemic from the parent perspective Methods: We conducted an online survey to explore parent's experiences of neonatal hospitalization during the first 6 months of the COVID-19 pandemic. We invited parents to participate via social media through parental support groups. Inclusion criteria included having an infant admitted to a NICU between February 1-July 31, 2020. We used a thematic analytic approach to identify shared patterns of how parents experienced their child's NICU stay. Free text responses from five open-ended questions covering topics such as visitation experience, transition home, and clinician interactions were analyzed using NVivo 11 qualitative data analysis software. Results: Of the 178 survey respondents, 169 answered one or more of the open-ended questions. We focused on examining continuities and discontinuities of parents' perspectives of neonatal hospitalization within the context of COVID-19. Through this lens, we identified three broad themes: 1) Parents' NICU experiences during COVID-19 were emotionally isolating and overwhelming, 2) Restrictive visitation policies split the family unit, and 3) Interactions with NICU staff exacerbated or mitigated the emotional strain on parents (figure 1). To quote a parent, “hospital policies [were] not in touch with the reality of families, making the impossible pain of [having] a baby in the NICU even more impossible.” Overall, parents of infants in the NICU experienced and expressed feelings of painful separation, disconnection, isolation, splitting, and alienation. Parents desired more empathy from providers and hospital administrators. Conclusions: Parental distress and disconnection were exacerbated amidst neonatal hospitalization during COVID-19. Perceived lack-of empathy and restrictive policies intensified parental distress related to lack of support, separation and isolation. Parents expressed a strong desire to engage in decision making and advocated for the value of connection and community during these challenging times. NICU clinicians need to support parents with empathy and connection to mitigate parental distress. (Table Presented).
理由:在COVID-19大流行之前,通过在新生儿重症监护病房(NICU)不受限制的探视和以家庭为中心的护理实践,鼓励父母在场。父母的照料对婴儿的健康发育至关重要,尤其是在住院期间。父母的存在鼓励依恋,提高父母的幸福感和信心,加强对疾病的管理,促进护理的连续性。通过检查大流行期间的父母住院经验,我们可以更好地了解新生儿住院期间父母的需求。因此,我们的目的是从父母的角度来描述COVID-19大流行期间新生儿住院的影响方法:我们通过在线调查来了解父母在COVID-19大流行前6个月的新生儿住院经历。我们邀请家长通过社交媒体通过家长支持小组参与进来。纳入标准包括在2020年2月1日至7月31日期间入住NICU的婴儿。我们使用主题分析方法来确定父母如何体验孩子在新生儿重症监护病房的共同模式。使用NVivo 11定性数据分析软件对五个开放式问题的免费文本回答进行分析,这些问题涵盖了探视经历、过渡家庭和临床医生互动等主题。结果:在178名调查对象中,169人回答了一个或多个开放式问题。我们重点研究了在COVID-19背景下父母对新生儿住院的看法的连续性和非连续性。通过这个镜头,我们确定了三个广泛的主题:1)父母在COVID-19期间的新生儿重症监护病房经历在情感上是孤立和不堪重负的,2)限制探视政策分裂了家庭单位,3)与新生儿重症监护病房工作人员的互动加剧或减轻了父母的情绪压力(图1)。引用一位家长的话,“医院政策与家庭现实脱节,使得在新生儿重症监护病房生孩子的痛苦变得更加不可能。”总的来说,新生儿重症监护室婴儿的父母经历并表达了痛苦的分离、断开、孤立、分裂和疏远的感觉。家长们希望从医疗服务提供者和医院管理人员那里得到更多的同情。结论:新生儿COVID-19住院期间,父母的痛苦和疏离加剧。缺乏同情心和限制性政策加剧了父母因缺乏支持、分离和孤立而产生的痛苦。在这个充满挑战的时代,家长们表达了参与决策的强烈愿望,并倡导联系和社区的价值。新生儿重症监护室的临床医生需要用同情和联系来支持父母,以减轻父母的痛苦。(表)。
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引用次数: 0
Nurse-Led Palliative Care Improves Knowledge and Preparedness in Caregivers of Patients with Idiopathic Pulmonary Fibrosis 护士主导的姑息治疗提高了特发性肺纤维化患者护理人员的知识和准备
Pub Date : 1900-01-01 DOI: 10.1164/ajrccm-conference.2021.203.1_meetingabstracts.a1084
K. Lindell, S. Klein, M. Veatch, K. Gibson, D. Kass, S. Nouraie, M. Rosenzweig
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引用次数: 1
Feasibility Acceptability, and Perceived Value of a Nurse-Led Intervention to Ensure Timely, Routine Interprofessional Family Meetings in the ICU: Findings from the SET-to-Meet Pilot Trial 护士主导的干预措施确保ICU及时、常规的跨专业家庭会议的可行性、可接受性和感知价值:SET-to-Meet试点试验的结果
Pub Date : 1900-01-01 DOI: 10.1164/ajrccm-conference.2021.203.1_meetingabstracts.a1082
J. Seaman, D.B. White, D. Ren, A. Vercelli, A.K. Carpenter, T. Cohen, E. Miller, A.E. Sullivan, R. Arnold
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引用次数: 0
Seen but Not Heard: An Analysis of Nurse Involvement in Interprofessional Family Meetings in Intensive Care Units 看不见听不见:重症监护病房护士参与跨专业家庭会议的分析
Pub Date : 1900-01-01 DOI: 10.1164/ajrccm-conference.2021.203.1_meetingabstracts.a1089
K. Kraevsky-Phillips, D. B. White, R. Arnold, J. Seaman
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引用次数: 1
Quality of Unsupervised Home Spirometry in Children with Asthma 儿童哮喘无监督家庭肺活量测定的质量
Pub Date : 1900-01-01 DOI: 10.1164/ajrccm-conference.2021.203.1_meetingabstracts.a1088
N. Agerskov, S. Coughlin, H. Parrott, S. Saglani, S. Sonnappa, L. Fleming
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引用次数: 0
Medication Literacy in Older Adults with Asthma 老年哮喘患者的药物素养
Pub Date : 1900-01-01 DOI: 10.1164/ajrccm-conference.2021.203.1_meetingabstracts.a1086
B. Polivka, L. Huntington-Moskos, R. Folz, D. Antimisiaris
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引用次数: 0
Development of a Mobile Application to Promote Family Caregiver Engagement in the Assessment and Management of Patient Symptoms During Mechanical Ventilation in the Intensive Care Unit (ICU) 开发一个移动应用程序,促进家庭护理人员参与重症监护病房(ICU)机械通气期间患者症状的评估和管理
Pub Date : 1900-01-01 DOI: 10.1164/ajrccm-conference.2021.203.1_meetingabstracts.a1090
B. Hetland, C. Bach, E. Grotts, J. Heusinkvelt, B. Pozehl, E. Rubenfeld, A. Wawers
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引用次数: 0
期刊
B9. B009 PATIENT, FAMILY, AND PROVIDER EXPERIENCES IN CRITICAL CARE AND CHRONIC PATIENT MANAGEMENT
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