Pub Date : 2022-05-01DOI: 10.1164/ajrccm-conference.2022.205.1_meetingabstracts.a2388
C. Chen, S. Sullivan, R. Lorenz, E. Wittenberg, C.-S. Li, Y.-P. Chang
{"title":"COMFORT Communication in the ICU: Pilot Test of a Nurse-Led Communication Intervention for Surrogates","authors":"C. Chen, S. Sullivan, R. Lorenz, E. Wittenberg, C.-S. Li, Y.-P. Chang","doi":"10.1164/ajrccm-conference.2022.205.1_meetingabstracts.a2388","DOIUrl":"https://doi.org/10.1164/ajrccm-conference.2022.205.1_meetingabstracts.a2388","url":null,"abstract":"","PeriodicalId":300248,"journal":{"name":"B18. SYMPTOMS AND COMMUNICATION AMONG PATIENTS AND FAMILIES","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124368417","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.a2386
J. Shin, J. Choi, J. Tate
Rationale: Patient- and family-centered care is recognized as a key component of safe and effective care in the Intensive Care Unit (ICU). The COVID-19 pandemic has accelerated the adoption of technologies in health care settings. It is timely to review the current state of science in technology use for family engagement in the ICU. Methods: Following Whittemore and Knafl's methodology, PubMed, CINAHL, Web of Science, and SCOPUS were searched to describe studies that used technology-based strategies to promote family engagement in adult ICUs. We included studies that (1) were conducted in the adult ICU setting, (2) involved family engagement during ICU stay, and (3) involved technology use as a way to engage family members. We excluded studies that were not peer-reviewed journal publications or non-English papers. Study findings were further synthesized based on conceptual elements of patient and family engagement: Collaboration, Respect and Dignity, Activation and Participation, Information Sharing, and Decision Making (Brown et al., 2015, AJRCCM, 191, 358-360). Results: Out of 2702 possible citations, fifteen studies (four observational, five qualitative/mixed methods, and six experimental) were included. The majority of studies (n=14) were conducted between 2015 and 2021. Most studies were at the early stage of development and implementation to investigate participants' perceptions or user experiences with various technologies: web-, tablet-, SMS-, television-based technologies or video-conferencing and robotic telepresence. Those technologies were used to 1) provide information about ICU environment and patient care, 2) augment the decision-making process for caregivers, 3) virtual access to the family decisionmaking conference, or 4) increase family knowledge of interdisciplinary rounds. There was a wide variation in the inclusion of family engagement components among the technologies. At the simplest level, technology was used only for information sharing without tailoring or two-way communication (e.g., tablet-based family education package). In studies addressing most components of family engagement comprehensively, interactive devices enabled tailored information with two-way communication and active family involvement in decision making (e.g., interactive web-based decision aid). Figure 1 displays the conceptual elements of patient and family engagement included by types of technology. Conclusion: The findings of this review may be helpful for future considerations in developing and implementing technology-based strategies to improve family engagement in the ICU. Future research should use more robust methods and develop interventions with close family input. We recommend future studies address conceptual components of family engagement when designing technology-based interventions.
理由:以患者和家庭为中心的护理被认为是重症监护室(ICU)安全有效护理的关键组成部分。COVID-19大流行加速了卫生保健环境中技术的采用。对ICU家庭参与的技术应用现状进行回顾是及时的。方法:遵循Whittemore和Knafl的方法，检索PubMed、CINAHL、Web of Science和SCOPUS，以描述使用基于技术的策略促进成人icu家庭参与的研究。我们纳入了以下研究:(1)在成人ICU环境中进行的研究，(2)涉及ICU住院期间的家庭参与，以及(3)涉及技术使用作为家庭成员参与的一种方式。我们排除了未经同行评审的期刊出版物或非英语论文的研究。基于协作、尊重和尊严、激活和参与、信息共享和决策(Brown et .， 2015, journal of clinical nursing, 19, 358-360)等概念要素，进一步综合了研究结果。结果:在2702条可能的引用中，纳入了15项研究(4项观察性研究、5项定性/混合方法研究和6项实验性研究)。大多数研究(n=14)是在2015年至2021年间进行的。大多数研究都处于开发和实施的早期阶段，以调查参与者对各种技术的看法或用户体验:基于网络、平板电脑、短信、电视的技术或视频会议和机器人远程呈现。这些技术被用于1)提供关于ICU环境和患者护理的信息，2)增强护理人员的决策过程，3)虚拟访问家庭决策会议，或4)增加跨学科查房的家庭知识。在这些技术中包含的家庭参与成分有很大的差异。在最简单的层面上，技术仅用于信息共享，而没有剪裁或双向交流(例如，基于平板电脑的家庭教育包)。在全面解决家庭参与的大多数组成部分的研究中，互动设备通过双向沟通和家庭积极参与决策(例如，基于网络的交互式决策辅助)提供了量身定制的信息。图1显示了按技术类型划分的患者和家庭参与的概念元素。结论:本综述的发现可能有助于未来考虑制定和实施基于技术的策略，以提高ICU的家庭参与。未来的研究应该使用更有力的方法，并开发有密切家庭投入的干预措施。我们建议未来的研究在设计基于技术的干预措施时解决家庭参与的概念组成部分。
{"title":"Family Engagement Using Technology in Adult Intensive Care Units: An Integrative Review","authors":"J. Shin, J. Choi, J. Tate","doi":"10.1164/ajrccm-conference.2022.205.1_meetingabstracts.a2386","DOIUrl":"https://doi.org/10.1164/ajrccm-conference.2022.205.1_meetingabstracts.a2386","url":null,"abstract":"Rationale: Patient- and family-centered care is recognized as a key component of safe and effective care in the Intensive Care Unit (ICU). The COVID-19 pandemic has accelerated the adoption of technologies in health care settings. It is timely to review the current state of science in technology use for family engagement in the ICU. Methods: Following Whittemore and Knafl's methodology, PubMed, CINAHL, Web of Science, and SCOPUS were searched to describe studies that used technology-based strategies to promote family engagement in adult ICUs. We included studies that (1) were conducted in the adult ICU setting, (2) involved family engagement during ICU stay, and (3) involved technology use as a way to engage family members. We excluded studies that were not peer-reviewed journal publications or non-English papers. Study findings were further synthesized based on conceptual elements of patient and family engagement: Collaboration, Respect and Dignity, Activation and Participation, Information Sharing, and Decision Making (Brown et al., 2015, AJRCCM, 191, 358-360). Results: Out of 2702 possible citations, fifteen studies (four observational, five qualitative/mixed methods, and six experimental) were included. The majority of studies (n=14) were conducted between 2015 and 2021. Most studies were at the early stage of development and implementation to investigate participants' perceptions or user experiences with various technologies: web-, tablet-, SMS-, television-based technologies or video-conferencing and robotic telepresence. Those technologies were used to 1) provide information about ICU environment and patient care, 2) augment the decision-making process for caregivers, 3) virtual access to the family decisionmaking conference, or 4) increase family knowledge of interdisciplinary rounds. There was a wide variation in the inclusion of family engagement components among the technologies. At the simplest level, technology was used only for information sharing without tailoring or two-way communication (e.g., tablet-based family education package). In studies addressing most components of family engagement comprehensively, interactive devices enabled tailored information with two-way communication and active family involvement in decision making (e.g., interactive web-based decision aid). Figure 1 displays the conceptual elements of patient and family engagement included by types of technology. Conclusion: The findings of this review may be helpful for future considerations in developing and implementing technology-based strategies to improve family engagement in the ICU. Future research should use more robust methods and develop interventions with close family input. We recommend future studies address conceptual components of family engagement when designing technology-based interventions.","PeriodicalId":300248,"journal":{"name":"B18. SYMPTOMS AND COMMUNICATION AMONG PATIENTS AND FAMILIES","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126952758","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.a2384
K. Potter, H. Dunn, A. Krupp, M. Mueller, S. Newman, T. Girard, S. Miller
{"title":"Discharge Destination Among Latent Subgroups of Acute Respiratory Failure Survivors","authors":"K. Potter, H. Dunn, A. Krupp, M. Mueller, S. Newman, T. Girard, S. Miller","doi":"10.1164/ajrccm-conference.2022.205.1_meetingabstracts.a2384","DOIUrl":"https://doi.org/10.1164/ajrccm-conference.2022.205.1_meetingabstracts.a2384","url":null,"abstract":"","PeriodicalId":300248,"journal":{"name":"B18. SYMPTOMS AND COMMUNICATION AMONG PATIENTS AND FAMILIES","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131801190","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.a2385
S. Miller, D. Layne, M. Nichols, M. Mueller, C. Strange, P. Davenport, T. Kelechi, M. Pittman, M. Madisetti, R. Teufel
{"title":"Symptom Assessment in the Home Environment Using a Technology-Enhanced Self-Management Intervention in Adults with COPD and Dyspnea","authors":"S. Miller, D. Layne, M. Nichols, M. Mueller, C. Strange, P. Davenport, T. Kelechi, M. Pittman, M. Madisetti, R. Teufel","doi":"10.1164/ajrccm-conference.2022.205.1_meetingabstracts.a2385","DOIUrl":"https://doi.org/10.1164/ajrccm-conference.2022.205.1_meetingabstracts.a2385","url":null,"abstract":"","PeriodicalId":300248,"journal":{"name":"B18. SYMPTOMS AND COMMUNICATION AMONG PATIENTS AND FAMILIES","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132449423","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.a2387
J. Shin, K. Kober, B. Cooper, S. Paul, C. Miaskowski
{"title":"Higher Levels of Perceived Stress Are Associated with Distinct Shortness of Breath Profiles in Oncology Patients Receiving Chemotherapy","authors":"J. Shin, K. Kober, B. Cooper, S. Paul, C. Miaskowski","doi":"10.1164/ajrccm-conference.2022.205.1_meetingabstracts.a2387","DOIUrl":"https://doi.org/10.1164/ajrccm-conference.2022.205.1_meetingabstracts.a2387","url":null,"abstract":"","PeriodicalId":300248,"journal":{"name":"B18. SYMPTOMS AND COMMUNICATION AMONG PATIENTS AND FAMILIES","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124804744","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.a2383
B. Saconi, A. Sawyer, M. Melanie Lyons, R. Lang-Gallagher, S. Renz, A. Watach, M. McPhillips, I. Rosen
{"title":"Asynchronous Case-Based Sleep Education Outcomes Among Primary Care Nurse Practitioner Students","authors":"B. Saconi, A. Sawyer, M. Melanie Lyons, R. Lang-Gallagher, S. Renz, A. Watach, M. McPhillips, I. Rosen","doi":"10.1164/ajrccm-conference.2022.205.1_meetingabstracts.a2383","DOIUrl":"https://doi.org/10.1164/ajrccm-conference.2022.205.1_meetingabstracts.a2383","url":null,"abstract":"","PeriodicalId":300248,"journal":{"name":"B18. SYMPTOMS AND COMMUNICATION AMONG PATIENTS AND FAMILIES","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127175697","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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