Satisfaction in the Intensive Care Unit (ICU). Patient opinion as a cornerstone

Peña, María Sierra; Talledo, N. Marina; Ruiz, E. Ots; Gómez, J.M. Lanza; Ruiz, Armando; Miguélez, A.; Marcos, V. Gómez; Artiga, M.J. Domínguez; Hernández-Hernández, Miguel A.; Wallmann, Reinhard; Díaz, Javier Llorca

doi:10.1016/j.medine.2016.06.004

Cited by 11 publications

(8 citation statements)

References 24 publications

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“…Satisfaction during and after ICU admission is increasingly becoming an issue of interest considering that low satisfaction negatively impacts psychological sequelae after critical care [54]. Evidence suggests that patients generally indicate that they are satisfied with ICU care [55,56]. We found similarly high levels of reported satisfaction and showed that despite these high numbers, ICU-VR improved satisfaction, ratings, and perceived quality of ICU aftercare.…”

Section: Principal Findingsmentioning

confidence: 57%

Intensive Care Unit–Specific Virtual Reality for Critically Ill Patients With COVID-19: Multicenter Randomized Controlled Trial

Vlake¹,

Bommel²,

Wils³

et al. 2022

J Med Internet Res

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Background Although psychological sequelae after intensive care unit (ICU) treatment are considered quite intrusive, robustly effective interventions to treat or prevent these long-term sequelae are lacking. Recently, it was demonstrated that ICU-specific virtual reality (ICU-VR) is a feasible and acceptable intervention with potential mental health benefits. However, its effect on mental health and ICU aftercare in COVID-19 ICU survivors is unknown. Objective This study aimed to explore the effects of ICU-VR on mental health and on patients’ perceived quality of, satisfaction with, and rating of ICU aftercare among COVID-19 ICU survivors. Methods This was a multicenter randomized controlled trial. Patients were randomized to either the ICU-VR (intervention) or the control group. All patients were invited to an COVID-19 post-ICU follow-up clinic 3 months after hospital discharge, during which patients in the intervention group received ICU-VR. One month and 3 months later (4 and 6 months after hospital discharge), mental health, quality of life, perceived quality, satisfaction with, and rating of ICU aftercare were scored using questionnaires. Results Eighty-nine patients (median age 58 years; 63 males, 70%) were included. The prevalence and severity of psychological distress were limited throughout follow-up, and no differences in psychological distress or quality of life were observed between the groups. ICU-VR improved satisfaction with (mean score 8.7, SD 1.6 vs 7.6, SD 1.6 [ICU-VR vs control]; t64=–2.82, P=.006) and overall rating of ICU aftercare (mean overall rating of aftercare 8.9, SD 0.9 vs 7.8, SD 1.7 [ICU-VR vs control]; t64=–3.25; P=.002) compared to controls. ICU-VR added to the quality of ICU aftercare according to 81% of the patients, and all patients would recommend ICU-VR to other ICU survivors. Conclusions ICU-VR is a feasible and acceptable innovative method to improve satisfaction with and rating of ICU aftercare and adds to its perceived quality. We observed a low prevalence of psychological distress after ICU treatment for COVID-19, and ICU-VR did not improve psychological recovery or quality of life. Future research is needed to confirm our results in other critical illness survivors to potentially facilitate ICU-VR’s widespread availability and application during follow-up. Trial Registration Netherlands Trial Register NL8835; https://www.trialregister.nl/trial/8835 International Registered Report Identifier (IRRID) RR2-10.1186/s13063-021-05271-z

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Section: Principal Findingsmentioning

confidence: 57%

Intensive Care Unit–Specific Virtual Reality for Critically Ill Patients With COVID-19: Multicenter Randomized Controlled Trial

Vlake¹,

Bommel²,

Wils³

et al. 2022

J Med Internet Res

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“…A relative is nominated as the designated family member (DFM) upon the patient's admission to the ICU. The designated family member is the person with the closest family, social, and emotional relationship with the patient, by consanguinity and also by intimacy [ 14 ], ideally defined by the patient or, if this is not possible, through assessment by the clinical staff. The participants of the study were the DFM; other inclusion criteria included are age above 18, being literate, patient hospitalization of at least 48 hours, and having at least one presential visit to the ICU.…”

Section: Methodsmentioning

confidence: 99%

“…The FS-ICU 24 is a 24-item version of the questionnaire that has been refined and condensed [ 16 ]. Nowadays, it has been translated to several languages and used in numerous international research studies [ 3 , 8 , 10 , 14 ].…”

Section: Methodsmentioning

confidence: 99%

“…The collected data was subjected to a descriptive analysis. In order to perform the necessary statistical analysis and as suggested by the survey authors, the questionnaire responses' format (Likert scale) had to be converted to a numerical scale of 0-100, where 0 = poor, 25 = fair, 50 = good, 75 = very good, and 100 = excellent [ 14 ]. Demographic information and satisfaction scores were presented as mean and standard deviation (SD) or percentage if appropriate.…”

Section: Methodsmentioning

confidence: 99%

“…The ICU physician contacted the family by phone on the admission day March to June 2020: there were only allowed visits in end-of-life situations From June 2020: the visits were scheduled in advance and were only allowed for patients admitted for more than five days in the ICU Senior nurses were responsible for reaching out to families by phone or video call twice daily Medical contact was made by phone when the patient's condition changed, the nursing staff signaled for extra contact, or the family requested it Patients that were awake and able to interact were encouraged to have a daily video call with their relatives A relative is nominated as the designated family member (DFM) upon the patient's admission to the ICU. The designated family member is the person with the closest family, social, and emotional relationship with the patient, by consanguinity and also by intimacy [14], ideally defined by the patient or, if this is not possible, through assessment by the clinical staff. The participants of the study were the DFM; other inclusion criteria included are age above 18, being literate, patient hospitalization of at least 48 hours, and having at least one presential visit to the ICU.…”

Section: Pandemic Periodmentioning

confidence: 99%

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Family Satisfaction With Critical Care: Before and After the COVID-19 Outbreak

Jorge¹,

Hipólito-Reis²,

Esteves³

et al. 2023

Cureus

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IntroductionFamily satisfaction with intensive care units (ICU) is recognized as a key component of the quality of care. As a result, family members are now more involved in the care process, and their needs are recognized throughout the ICU stay. The coronavirus disease 2019 (COVID-19) changed healthcare worldwide, due to the several restrictions imposed; the communication patterns changed drastically, and institutions were forced to adapt to create a balance between security and the needs of relatives. The aim of this study was to assess family members' satisfaction with the ICU and determine if the COVID-19 restructuring affected family satisfaction. MethodsA prospective observational study was performed among the designated family members (DFM) of ICU patients over two time periods, a pre-pandemic period from December 2019 to February 2020 and a pandemic period from May 2020 to February 2021. The Family Satisfaction in the Intensive Care Unit 24 (FS-ICU 24) questionnaire, which was given to the DFM, was the instrument used to determine family satisfaction. ResultsThe study involved 290 DFM, 175 during the pre-pandemic phase and 115 during the pandemic period. The overall and domain-specific family satisfaction scores were high (score > 80) in both the pre-pandemic and pandemic periods. The greatest satisfaction levels were related with symptom management and how nurses and doctors cared for the patient. No statistical differences were found between the two time periods. Lastly, a positive association between the two domains explored by FS-ICU 24, satisfaction with care and satisfaction with decision-making process, was verified in both time frames. ConclusionThe data obtained revealed very good outcomes on the different FS-ICU 24 domains, in line with other studies in literature. No significant differences were found between the pre-pandemic and pandemic periods, suggesting that the measures implemented during the COVID-19 were successful. The importance of involving families in the decision-making process, providing them with accurate information, and active listening, as well as using better communication skills, is emphasized throughout all these results. The relevance of measuring family satisfaction should be brought to the attention of family members and healthcare professionals so that additional research may be conducted.

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National validation of the nursing Intensive‐Care satisfaction scale: Research protocol

Alcalá‐Jiménez,

Delgado‐Hito,

Benito‐Aracil

et al. 2023

Nursing Open

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Aim Validate the Nursing Intensive‐Care Satisfaction Scale in ICUs throughout Spain. Identify the improvement strategies recommended by the patients and professionals. Design Quantitative psychometric methodology and a cross‐sectional descriptive correlational design. Methods The study population will be all patients discharged from 19 participating ICUs in Spain. Consecutive sampling (n = 564). Once discharged from the ICUs, they will receive the questionnaire and then, after 48 hours it will be given to them again to analyse the temporal stability. To validate the questionnaire, the internal consistency (Cronbach's Alpha) and temporal stability (test–retest) will be analysed. Results Improve the quality of nursing care by modifying, changing or strengthening behaviours, skills, attitudes or areas for improvement involved in the process.

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Satisfaction in the Intensive Care Unit (ICU). Patient opinion as a cornerstone

Cited by 11 publications

References 24 publications

Intensive Care Unit–Specific Virtual Reality for Critically Ill Patients With COVID-19: Multicenter Randomized Controlled Trial

Intensive Care Unit–Specific Virtual Reality for Critically Ill Patients With COVID-19: Multicenter Randomized Controlled Trial

Family Satisfaction With Critical Care: Before and After the COVID-19 Outbreak

National validation of the nursing Intensive‐Care satisfaction scale: Research protocol

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