Critical-Care Visitation

Hardin, Sonya R.; Bernhardt-Tindal, Kim; Hart, Ann; Stepp, Amber; Henson, April

doi:10.1097/dcc.0b013e3181fd03a0

Cited by 15 publications

(2 citation statements)

References 12 publications

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“…1 Family and friends can improve patient-provider rapport, facilitate information exchange, encourage decision-making involvement, and increase patient satisfaction. 42 However, families and friends of stroke patients have reported feeling inadequately informed about and involved in patient care. 43 A review found that major issues faced by cancer caregivers included managing their own and patient’s psychological concerns, medical symptoms, side effects, and daily activities.…”

Section: Involvement Of Family and Friendsmentioning

confidence: 99%

Measuring the quality of patient-centered care: why patient-reported measures are critical to reliable assessment

Tzelepis¹,

Sanson‐Fisher²,

Zucca³

et al. 2015

PPA

130

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PurposeThe Institute of Medicine (IOM) identified patient-centeredness as crucial to quality health care. The IOM endorsed six patient-centeredness dimensions that stipulated that care must be: respectful to patients’ values, preferences, and expressed needs; coordinated and integrated; provide information, communication, and education; ensure physical comfort; provide emotional support; and involve family and friends. Patient-reported measures examine the patient’s perspective and are essential to the accurate assessment of patient-centered care. This article’s objectives are to: 1) use the six IOM-endorsed patient-centeredness dimensions as a framework to outline why patient-reported measures are crucial to the reliable measurement of patient-centered care; and 2) to identify existing patient-reported measures that assess each patient-centered care dimension.MethodsFor each IOM-endorsed patient-centeredness dimension, the published literature was searched to highlight the essential role of patients in assessing patient-centered care and informing quality improvement efforts. Existing literature was also searched to identify examples of patient-reported measures that assess each patient-centeredness dimension.ConclusionPatient-reported measures are arguably the best way to measure patient-centeredness. For instance, patients are best positioned to determine whether care aligns with patient values, preferences, and needs and the Measure of Patient Preferences is an example of a patient-reported measure that does so. Furthermore, only the patient knows whether they received the level of information desired, and if information was understood and can be recalled. Patient-reported measures that examine information provision include the Lung Information Needs Questionnaire and the EORTC QLQ-INFO25. In relation to physical comfort, only patients can report the severity of physical symptoms and whether medications provide adequate relief. Patient-reported measures that investigate physical comfort include the Pain Care Quality Survey and the Brief Pain Inventory. Using patient-reported measures to regularly measure patient-centered care is critical to identifying areas of health care where improvements are needed.

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Section: Involvement Of Family and Friendsmentioning

confidence: 99%

Measuring the quality of patient-centered care: why patient-reported measures are critical to reliable assessment

Tzelepis¹,

Sanson‐Fisher²,

Zucca³

et al. 2015

PPA

130

View full text Add to dashboard Cite

show abstract

“…In addition, these patients felt stressed when trying to communicate with visitors and when thinking about how upsetting this experience was for their families [10]. Recently, Hardin and colleagues surveyed 122 ICU patients on their satisfaction with unrestricted visiting hours [11]. Their results support those of Olsen and colleagues, since most patients wanted some restrictions and control over visitation.…”

mentioning

confidence: 90%

Open visitation policies and practices in US ICUs: can we ever get there?

McAdam

Puntillo

2013

Critical Care

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Patient-centred care: making cancer treatment centres accountable

Zucca

Sanson‐Fisher

Waller

2014

Support Care Cancer

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Patient-centred care is argued to be an essential component in the delivery of quality health and cancer care. This manuscript discusses the need to generate credible data which indicates the quality of patient-centred care provided by cancer treatment centres. Patient-centred care covers six domains including physical comfort; emotional support; respect for patients' preferences and values; integration and coordination; involvement of family and friends; and the provision of information, communication and education to enable patients to understand and make informed decisions about their care. First, we identify priority areas within each domain. Next, we propose three questions that should be asked of every patient across the six domains of patient-centred care. The first question explores whether patients were specifically asked by a healthcare provider at the cancer treatment centre about their concerns, values and preferences. Research indicates that it cannot be assumed that clinicians are aware of patient's needs or preferences in these six areas. Second, if the answer from the patient suggests that they would like assistance, then it would be expected that this would be offered. Thirdly, if the patient indicates that they would like such assistance and it is provided, then it might be expected that the patient would report that the provided assistance did relieve their suffering, or the assistance provided was consistent with their preferences, needs and values. Regular measurement and reporting of these aspects of patient-centred cancer care has the potential to identify deficits and inequities in care delivery, allow for comparisons across treatment centres and stimulate an improvement in the patient-centred care provided to cancer patients.

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Critical-Care Visitation

Cited by 15 publications

References 12 publications

Measuring the quality of patient-centered care: why patient-reported measures are critical to reliable assessment

Measuring the quality of patient-centered care: why patient-reported measures are critical to reliable assessment

Open visitation policies and practices in US ICUs: can we ever get there?

Patient-centred care: making cancer treatment centres accountable

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