Interprofessional Interventions to Improve Serious Illness Communication in the Intensive Care Unit: A Scoping Review

Bernal, Olivia A.; Roberts, Benjamin; Wu, David

doi:10.1177/10499091221130755

Cited by 2 publications

(1 citation statement)

References 43 publications

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“…For instance, research strongly suggests that improved IPC and job satisfaction are associated with lower complication rates, shorter lengths of stay in ICUs and better overall patient outcomes [40,41]. High job satisfaction is also associated with lower burnout rates and higher job retention, fostering continuity and stability in care [42].…”

Section: Discussionmentioning

confidence: 99%

Interprofessional cooperation and job satisfaction in German intensive care units - a cross-sectional survey within the PRiVENT project

Fleischhauer,

Biehler,

Michels

et al. 2024

Preprint

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Background: The PRiVENT study aims to reduce the number of long-term ventilated patients by improving interprofessional collaboration among healthcare professionals. To assess the current state of interprofessional cooperation and job satisfaction in intensive care units, a written survey was conducted among service providers from four clusters, each of which consist of one weaning centre and 7-12 other cooperation hospitals. Methods: The Interprofessional Socialization and Valuing Scale, Assessment of Interprofessional Team Collaboration Scale and the Warr-Cook-Wall Scale were used. In addition to a descriptive analysis, a subgroup analysis was performed comparing scores between physicians and non-physicians and the four clusters. Correlation coefficients were calculated to check for correlations between age group and gender with interprofessional collaboration and work satisfaction. Internal consistency of the questionnaires was assessed via Crohnbach’s Alphas. Analyses were performed using Excel version 1808 and R (version 4.0.3). Results: A total of 60 questionnaires were filled out by health workers at the WCs and CCs participating in the project, corresponding to a response rate of 46%. 36 (59%) questionnaires were completed by physicians and 24 (41%) by the other health professionals. The average work experience was 18.4 ± 11.4 years. Most respondents rated their personal teamwork skills and interprofessional cooperation as good. Job satisfaction was high, particularly regarding the collegial environment and variety of work tasks. Satisfaction with physical workload, income, and working hours was lower. Non-physicians’ ratings were lower for all questionnaires and most items, although the difference in total scores was not statistically significant. No statistically significant differences were observed between clusters. There was a statistically significant positive monotonous correlation between age group and years of work experience with overall work satisfaction. Internal consistency of the questionnaires was excellent. Conclusions: The findings show that staff members are generally satisfied with their workplace conditions and environment and rate their individual team skills and interprofessional cooperation as good. Non-physicians were less satisfied with their working conditions, although the difference was not statistically significant. Future surveys at mid-term and at the end of the intervention period will provide insights into the impact of PRiVENT on interprofessional cooperation and job satisfaction. Registration The study protocol of the PRiVENT study was registered on 02.03.2022 in the German Register of Clinical Trials under the number DRKS00028196.

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Section: Discussionmentioning

confidence: 99%

Interprofessional cooperation and job satisfaction in German intensive care units - a cross-sectional survey within the PRiVENT project

Fleischhauer,

Biehler,

Michels

et al. 2024

Preprint

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Assessing palliative care practices in intensive care units and interpreting them using the lens of appropriate care concepts. An umbrella review

Salins,

Dhyani,

Mathew

et al. 2024

Intensive Care Med

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Purpose: Intensive care units (ICUs) have significant palliative care needs but lack a reliable care framework. This umbrella review addresses them by synthesising palliative care practices provided at end-of-life to critically ill patients and their families before, during, and after ICU admission.Methods: Seven databases were systematically searched for systematic reviews, and the umbrella review was conducted according to the guidelines laid out by the Joanna Briggs Institute (JBI).Results: Out of 3122 initial records identified, 40 systematic reviews were included in the synthesis. Six key themes were generated that reflect the palliative and end-of-life care practices in the ICUs and their outcomes. Effective communication and accurate prognostications enabled families to make informed decisions, cope with uncertainty, ease distress, and shorten ICU stays. Inter-team discussions and agreement on a plan are essential before discussing care goals. Recording care preferences prevents unnecessary end-of-life treatments. Exceptional end-of-life care should include symptom management, family support, hydration and nutrition optimisation, avoidance of unhelpful treatments, and bereavement support. Evaluating end-of-life care quality is critical and can be accomplished by seeking family feedback or conducting a survey. Conclusion:This umbrella review encapsulates current palliative care practices in ICUs, influencing patient and family outcomes and providing insights into developing an appropriate care framework for critically ill patients needing end-of-life care and their families.

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Interprofessional Interventions to Improve Serious Illness Communication in the Intensive Care Unit: A Scoping Review

Cited by 2 publications

References 43 publications

Interprofessional cooperation and job satisfaction in German intensive care units - a cross-sectional survey within the PRiVENT project

Interprofessional cooperation and job satisfaction in German intensive care units - a cross-sectional survey within the PRiVENT project

Assessing palliative care practices in intensive care units and interpreting them using the lens of appropriate care concepts. An umbrella review

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