Pub Date : 2022-05-01DOI: 10.1164/ajrccm-conference.2022.205.1_meetingabstracts.a1527
S. Gayen, V. Dronamraju, N. van der Rijst, O. O'corragain, M. V. Vega Sanchez, E. Camac
{"title":"Intensive Care Unit (ICU) in a Nutshell Curriculum: A Fellow Led Intervention","authors":"S. Gayen, V. Dronamraju, N. van der Rijst, O. O'corragain, M. V. Vega Sanchez, E. Camac","doi":"10.1164/ajrccm-conference.2022.205.1_meetingabstracts.a1527","DOIUrl":"https://doi.org/10.1164/ajrccm-conference.2022.205.1_meetingabstracts.a1527","url":null,"abstract":"","PeriodicalId":264442,"journal":{"name":"A44. ICU CURRICULUM AND SYSTEMS","volume":"161 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134128825","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-05-01DOI: 10.1164/ajrccm-conference.2022.205.1_meetingabstracts.a1531
B. Harris, A. Butler, E. Wilson, E. Hirshberg, R.O. Hopkins, J. Butler, J. Orme, S.M. Brown, S. Beesley
{"title":"Effect of a Policy Change to Invite Family to ICU Procedures on Trainee Educational Satisfaction","authors":"B. Harris, A. Butler, E. Wilson, E. Hirshberg, R.O. Hopkins, J. Butler, J. Orme, S.M. Brown, S. Beesley","doi":"10.1164/ajrccm-conference.2022.205.1_meetingabstracts.a1531","DOIUrl":"https://doi.org/10.1164/ajrccm-conference.2022.205.1_meetingabstracts.a1531","url":null,"abstract":"","PeriodicalId":264442,"journal":{"name":"A44. ICU CURRICULUM AND SYSTEMS","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115604814","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-05-01DOI: 10.1164/ajrccm-conference.2022.205.1_meetingabstracts.a1547
M. Wayne, S. Seelye, T. Valley, D. Arenberg, J. De Cardenas, H. Prescott
{"title":"Variation in Bronchoscopy Among Patients Receiving Mechanical Ventilation in the United States (2012-2018)","authors":"M. Wayne, S. Seelye, T. Valley, D. Arenberg, J. De Cardenas, H. Prescott","doi":"10.1164/ajrccm-conference.2022.205.1_meetingabstracts.a1547","DOIUrl":"https://doi.org/10.1164/ajrccm-conference.2022.205.1_meetingabstracts.a1547","url":null,"abstract":"","PeriodicalId":264442,"journal":{"name":"A44. ICU CURRICULUM AND SYSTEMS","volume":"39 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116940774","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-05-01DOI: 10.1164/ajrccm-conference.2022.205.1_meetingabstracts.a1544
I. Ratnani, S. Fatima, F. Masud
Background - Among all the specialties, Critical Care Medicine physicians have reported the highest rate of burnout in the year 2021[Medscape National Physician Burnout & Suicide Report 2021]. Likewise, all Intensive Care Unit (ICU) staff such as nurses, respiratory therapists and patient care assistants as frontline workers have been experiencing stress during g the past 18 months of the COVID-19 pandemic. Here we present an initiative of Center for Performing Arts (CPAM) department at a tertiary care academic medical center to help reduce fatigue and burnout among ICU staff through splatter painting. Methods - This study was conducted in a 36-bed Cardiovascular ICU at a tertiary care hospital. Permission was obtained from the relative departments for the use of data. CPAM planned a 3-day splatter tent event in the ICU. This event was mainly for the ICU staff but was open to all the hospital staff. The event was advertised using colorful flyers. Each participant was led to a quiet room where they would drape, pick their favorite music selection, and color prop. Participants were then left alone to unwind and release all the feels in the form of creating art and could stay as long as they wanted. Pre- and post-completion surveys were recorded and, data was analyzed. Results - A total of 49 staff participated. 32 out of 49 participants returned their surveys. Overwhelmingly majority of the comments were positive. The most popular music genre was rap/hip hop. Average stress levels 1(low) to 5(high) were 4.19 - before to 2.56 - after. The average score (1-least) to 5-most) for if the intervention helped with compassion fatigue (F) and mental exhaustion (ME) was 4.22 and 4.44 respectively. The average score for if the intervention helped them feel more engaged at work (EW) and instilled positive attitude (PA) towards organization was 4.34 and 4.77 respectively. We did Pearson's correlation for the four components of the activity i.e., F, ME, EW and PA. Our R was strongly positive with value of 0.9913, using formula r = Σ((X - My)(Y - Mx)) / √((SSx)(SSy)). We also cross checked meta-numerics. Our value of R2 (the coefficient of determination) was 0.9827. Our P-Value was .001199, with significance at p < .05. Conclusions - The level of burnout amongst healthcare workers is at a critical level globally. Healthcare administrations need to find ways to mitigate feelings of burnout and fatigue amongst staff. (Figure Presented).
{"title":"Splatter Paint Room Event in the ICU - An Effort to Mitigate Burnout","authors":"I. Ratnani, S. Fatima, F. Masud","doi":"10.1164/ajrccm-conference.2022.205.1_meetingabstracts.a1544","DOIUrl":"https://doi.org/10.1164/ajrccm-conference.2022.205.1_meetingabstracts.a1544","url":null,"abstract":"Background - Among all the specialties, Critical Care Medicine physicians have reported the highest rate of burnout in the year 2021[Medscape National Physician Burnout & Suicide Report 2021]. Likewise, all Intensive Care Unit (ICU) staff such as nurses, respiratory therapists and patient care assistants as frontline workers have been experiencing stress during g the past 18 months of the COVID-19 pandemic. Here we present an initiative of Center for Performing Arts (CPAM) department at a tertiary care academic medical center to help reduce fatigue and burnout among ICU staff through splatter painting. Methods - This study was conducted in a 36-bed Cardiovascular ICU at a tertiary care hospital. Permission was obtained from the relative departments for the use of data. CPAM planned a 3-day splatter tent event in the ICU. This event was mainly for the ICU staff but was open to all the hospital staff. The event was advertised using colorful flyers. Each participant was led to a quiet room where they would drape, pick their favorite music selection, and color prop. Participants were then left alone to unwind and release all the feels in the form of creating art and could stay as long as they wanted. Pre- and post-completion surveys were recorded and, data was analyzed. Results - A total of 49 staff participated. 32 out of 49 participants returned their surveys. Overwhelmingly majority of the comments were positive. The most popular music genre was rap/hip hop. Average stress levels 1(low) to 5(high) were 4.19 - before to 2.56 - after. The average score (1-least) to 5-most) for if the intervention helped with compassion fatigue (F) and mental exhaustion (ME) was 4.22 and 4.44 respectively. The average score for if the intervention helped them feel more engaged at work (EW) and instilled positive attitude (PA) towards organization was 4.34 and 4.77 respectively. We did Pearson's correlation for the four components of the activity i.e., F, ME, EW and PA. Our R was strongly positive with value of 0.9913, using formula r = Σ((X - My)(Y - Mx)) / √((SSx)(SSy)). We also cross checked meta-numerics. Our value of R2 (the coefficient of determination) was 0.9827. Our P-Value was .001199, with significance at p < .05. Conclusions - The level of burnout amongst healthcare workers is at a critical level globally. Healthcare administrations need to find ways to mitigate feelings of burnout and fatigue amongst staff. (Figure Presented).","PeriodicalId":264442,"journal":{"name":"A44. ICU CURRICULUM AND SYSTEMS","volume":"544 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116227563","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-05-01DOI: 10.1164/ajrccm-conference.2022.205.1_meetingabstracts.a1537
E. H. Pratt, C. E. Cox, M. Olsen, A. Parish, A. Jan
Background: The COVID-19 pandemic has led to extremely high levels of emotional distress and burnout amongst frontline healthcare workers. Rapidly deployable and scalable interventions are desperately needed to help combat the burgeoning mental health crisis among frontline healthcare works. Methods: We designed a prospective, randomized, waitlist-controlled pilot study assessing the impact of a mobile mindfulness app (LIFT) among nurses working in COVID-19 units. Participants were randomized in a 2:1 fashion to receive access to mobile mindfulness content (intervention) or to a waitlist to receive access to mobile mindfulness content outside the study period (control). All patients completed a survey that includes the Patient Health Questionairre-9 (PHQ-9), The General Anxiety Disorder-7 (GAD-7), the Perceived Stress Scale-4 (PSS-4), and the Maslach Burnout Index (MBI) at baseline (T1) and at the end of the study period (28 days after enrollment, T2). Primary outcomes are feasibility as assessed by the number of participants completing all 4 weeks of mindfulness therapy as well as the total number of daily mindfulness sessions completed. Secondary outcomes included change in PHQ-9, GAD-7, PSS-4, and MBI scores from T1 to T2. Results: Enrollment began in May of 2021. To date 82 participants have been enrolled and randomized, 56 to intervention and 24 to waitlist, with a target enrollment of 100. Median PHQ-9 scores in each group were 8 (IQR 6-11.25) and 7 (IQR 5-10) indicating moderate amounts of emotional distress in each group. Enrollment and follow-up are ongoing, with enrollment planned to be completed in December 2021. Conclusions: We have successfully enrolled 82 participants in an ongoing randomized, waitlist-controlled trial testing the clinical impact of a mobile mindfulness intervention on emotional distress and burnout in frontline healthcare workers. Final results will be presented at ATS International Meeting.
{"title":"Mobile Mindfulness Intervention to Reduce Emotional Distress and Burnout in Frontline Healthcare Workers: The LIFT-HCW Pilot RCT","authors":"E. H. Pratt, C. E. Cox, M. Olsen, A. Parish, A. Jan","doi":"10.1164/ajrccm-conference.2022.205.1_meetingabstracts.a1537","DOIUrl":"https://doi.org/10.1164/ajrccm-conference.2022.205.1_meetingabstracts.a1537","url":null,"abstract":"Background: The COVID-19 pandemic has led to extremely high levels of emotional distress and burnout amongst frontline healthcare workers. Rapidly deployable and scalable interventions are desperately needed to help combat the burgeoning mental health crisis among frontline healthcare works. Methods: We designed a prospective, randomized, waitlist-controlled pilot study assessing the impact of a mobile mindfulness app (LIFT) among nurses working in COVID-19 units. Participants were randomized in a 2:1 fashion to receive access to mobile mindfulness content (intervention) or to a waitlist to receive access to mobile mindfulness content outside the study period (control). All patients completed a survey that includes the Patient Health Questionairre-9 (PHQ-9), The General Anxiety Disorder-7 (GAD-7), the Perceived Stress Scale-4 (PSS-4), and the Maslach Burnout Index (MBI) at baseline (T1) and at the end of the study period (28 days after enrollment, T2). Primary outcomes are feasibility as assessed by the number of participants completing all 4 weeks of mindfulness therapy as well as the total number of daily mindfulness sessions completed. Secondary outcomes included change in PHQ-9, GAD-7, PSS-4, and MBI scores from T1 to T2. Results: Enrollment began in May of 2021. To date 82 participants have been enrolled and randomized, 56 to intervention and 24 to waitlist, with a target enrollment of 100. Median PHQ-9 scores in each group were 8 (IQR 6-11.25) and 7 (IQR 5-10) indicating moderate amounts of emotional distress in each group. Enrollment and follow-up are ongoing, with enrollment planned to be completed in December 2021. Conclusions: We have successfully enrolled 82 participants in an ongoing randomized, waitlist-controlled trial testing the clinical impact of a mobile mindfulness intervention on emotional distress and burnout in frontline healthcare workers. Final results will be presented at ATS International Meeting.","PeriodicalId":264442,"journal":{"name":"A44. ICU CURRICULUM AND SYSTEMS","volume":"54 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125182330","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-05-01DOI: 10.1164/ajrccm-conference.2022.205.1_meetingabstracts.a1548
C. Leba, S. Vydro, S. Drapeau, D. Romero, M. Norris, D. Harmon
{"title":"Development and Incorporation of a 3 Dimensional (3D)-Printed Tracheobronchial Model for Pulmonary Bronchoscopy Training","authors":"C. Leba, S. Vydro, S. Drapeau, D. Romero, M. Norris, D. Harmon","doi":"10.1164/ajrccm-conference.2022.205.1_meetingabstracts.a1548","DOIUrl":"https://doi.org/10.1164/ajrccm-conference.2022.205.1_meetingabstracts.a1548","url":null,"abstract":"","PeriodicalId":264442,"journal":{"name":"A44. ICU CURRICULUM AND SYSTEMS","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131000588","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-05-01DOI: 10.1164/ajrccm-conference.2022.205.1_meetingabstracts.a1543
A. Alhaidari, Research Summer School group
{"title":"Exploring Factors Affecting Critical Care Response Team (CCRT) Service at a Tertiary Hospital in Riyadh, Saudi Arabia","authors":"A. Alhaidari, Research Summer School group","doi":"10.1164/ajrccm-conference.2022.205.1_meetingabstracts.a1543","DOIUrl":"https://doi.org/10.1164/ajrccm-conference.2022.205.1_meetingabstracts.a1543","url":null,"abstract":"","PeriodicalId":264442,"journal":{"name":"A44. ICU CURRICULUM AND SYSTEMS","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134565522","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-05-01DOI: 10.1164/ajrccm-conference.2022.205.1_meetingabstracts.a1542
E. Munroe, H. Prescott
{"title":"Intensive Care Unit Policies Regarding Vasopressor Administration: A Survey of Michigan Hospitals","authors":"E. Munroe, H. Prescott","doi":"10.1164/ajrccm-conference.2022.205.1_meetingabstracts.a1542","DOIUrl":"https://doi.org/10.1164/ajrccm-conference.2022.205.1_meetingabstracts.a1542","url":null,"abstract":"","PeriodicalId":264442,"journal":{"name":"A44. ICU CURRICULUM AND SYSTEMS","volume":"139 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133607964","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-05-01DOI: 10.1164/ajrccm-conference.2022.205.1_meetingabstracts.a1546
M. Kalani, K. Khan, R. Berger
{"title":"Missing the Minnesota: A Trial of Tube Training","authors":"M. Kalani, K. Khan, R. Berger","doi":"10.1164/ajrccm-conference.2022.205.1_meetingabstracts.a1546","DOIUrl":"https://doi.org/10.1164/ajrccm-conference.2022.205.1_meetingabstracts.a1546","url":null,"abstract":"","PeriodicalId":264442,"journal":{"name":"A44. ICU CURRICULUM AND SYSTEMS","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117057054","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-05-01DOI: 10.1164/ajrccm-conference.2022.205.1_meetingabstracts.a1529
I. Riestra Guiance, D. Shilling, K. Varga, A. Niven, L. Wallace, K. Philbrick, J. Chitulangoma, O. Gajic, M. Weiman, E. Schmitt, D. Pasko, L. Karnatovskaia
{"title":"Communication in the ICU: An Unintended Nocebo Effect","authors":"I. Riestra Guiance, D. Shilling, K. Varga, A. Niven, L. Wallace, K. Philbrick, J. Chitulangoma, O. Gajic, M. Weiman, E. Schmitt, D. Pasko, L. Karnatovskaia","doi":"10.1164/ajrccm-conference.2022.205.1_meetingabstracts.a1529","DOIUrl":"https://doi.org/10.1164/ajrccm-conference.2022.205.1_meetingabstracts.a1529","url":null,"abstract":"","PeriodicalId":264442,"journal":{"name":"A44. ICU CURRICULUM AND SYSTEMS","volume":"138 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132985914","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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