ICU sedation, delirium & recovery
Giving a voice to patients at high risk of dying in the intensive care unit: a multiple source approach
Authors' conclusion
This list of 15 concerns may prove valuable for clinicians as a tool for improving communication and support to better meet the needs of patients at high risk of dying.
Study context
- Population
- Conscious patients at high risk of dying in the intensive care unit (ICU)
- Outcome
- Concerns expressed by conscious patients at high risk of dying in the ICU
Methodological detailsliterature review, expert panel, prospective study in 11 ICUs, in-depth interviews, thematic content analysis, Sources: literature review, panel of 50 ICU experts, prospective study in 11 ICUs, in-depth interviews with 17 families and 15 patients
- Literature review
- Expert panel
- Prospective study in 11 ICUs
- In-depth interviews
- Thematic content analysis
- Sources: literature review, panel of 50 ICU experts, prospective study in 11 ICUs, in-depth interviews with 17 families and 15 patients
Main finding
As reported in the abstract
Patient concerns
Concerns produced by the five sources
1307
Concerns extracted after removing redundancies and duplicates
28
Final list of concerns
15
Domains: loved-ones; symptom management and care; spiritual, religious and existential preoccupations; being oneself; comforting experiences and pleasure; dying and death; after death preoccupations
7
Observational data: associations, not effects.
Original publication
Giving a voice to patients at high risk of dying in the intensive care unit: a multiple source approach. Intensive Care Med. Published 24 June 2023. doi:10. 1007/ s00134-023-07112-w
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