Experiences, opinions and expectations of health care providers towards an intensive care unit follow-up clinic: Qualitative study and online survey

Rohr, Magdalena and Weiss, Annette and Bein, Thomas and Bernardi, Christine and Brandstetter, Susanne and Drewitz, Karl Philipp and Fisser, Christoph and Loss, Julika and Malfertheiner, Maximilian and Apfelbacher, Christian (2021) Experiences, opinions and expectations of health care providers towards an intensive care unit follow-up clinic: Qualitative study and online survey. INTENSIVE AND CRITICAL CARE NURSING, 67: 103084. ISSN 0964-3397, 1532-4036

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Abstract

Objectives: Independent of the underlying disease, intensive care unit survivors often suffer from cog-nitive, physical and mental impairments, also known as post-intensive care syndrome (PICS). Specific follow-up services are recommended for these patients. This study aims to capture the perspectives of health care providers on the development of the first intensive care unit follow-up-clinic in Germany. Research methodology: A qualitative study with six focus groups (n = 41) and six expert inter-views, followed by a quantitative survey was conducted, involving nine different professions. Qualitative and quantitative data were analysed using thematic analysis and descriptive statistics, respectively. Findings: Participants described aftercare of former intensive care unit patients as complex and appreciated the idea of an intensive care unit follow-up clinic to improve continuity of care and multidisciplinary collaboration. The favoured model combined diagnostics and targeted refer-ral of patients to specialists and therapists with the provision of information. In the survey, par-ticipants disagreed on how to implement this referral system but agreed that assessments should be multidimensional. Conclusion: The necessity of and important criteria for the design of an intensive care unit follow-up clinic were identified. We will integrate these data with further evidence to develop a concept for a complex intervention. (c) 2021 Elsevier Ltd. All rights reserved.

Item Type: Article
Uncontrolled Keywords: PROLONGED MECHANICAL VENTILATION; RESPIRATORY-DISTRESS-SYNDROME; POSTTRAUMATIC STRESS; CRITICAL ILLNESS; AFTER-DISCHARGE; OF-LIFE; SURVIVORS; OUTCOMES; NEEDS; Care coordination; Health care research; Post-ICU care; Qualitative interviews; Quantitative online survey
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Lehrstuhl für Anästhesiologie
Medicine > Lehrstuhl für Innere Medizin II
Medicine > Lehrstuhl für Kinder- und Jugendmedizin
Medicine > Institut für Epidemiologie und Präventivmedizin
Depositing User: Dr. Gernot Deinzer
Date Deposited: 09 Aug 2022 08:38
Last Modified: 09 Aug 2022 08:38
URI: https://pred.uni-regensburg.de/id/eprint/46190

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