Patient and family engagement in patient care and research in Canadian intensive care units: a national survey; [Engagement des patients et des familles dans les soins aux patients et la recherche dans les unités de soins intensifs canadiennes : un sondage national]

被引：0

作者：

Burns K.E.A. ^{[1
,2
,3
]}

McDonald E. ^{[4
]}

Debigaré S. ^{[5
]}

Zamir N. ^{[1
]}

Vasquez M. ^{[6
]}

Piche-Ayotte M. ^{[7
]}

Oczkowski S. ^{[3
,6
,8
]}

机构：

[1] Interdepartmental Division of Critical Care, University of Toronto, Toronto, ON

[2] Unity Health Toronto – St. Michael’s Hospital, Li Ka Shing Knowledge Institute, Toronto, M5B 1W8, ON

[3] Department of Health Research Methods, Impact and Evaluation, McMaster University, Hamilton, ON

[4] St. Joseph’s Hospital, Hamilton, ON

[5] Central Quebec School Board, Québec City, QC

[6] Juravinski Hospital, Hamilton Health Sciences, Hamilton, ON

[7] Department of Biology, Concordia University, Montreal, QC

[8] Department of Medicine, McMaster University, Hamilton, ON

来源：

Canadian Journal of Anesthesia/Journal canadien d'anesthésie | 2022年 / 69卷 / 12期

关键词：

clinical care; engagement; research; survey;

D O I：

10.1007/s12630-022-02342-w

中图分类号：

学科分类号：

摘要：

Purpose: While patient and family engagement may improve clinical care and research, current practices for engagement in Canadian intensive care units (ICUs) are unknown. Methods: We developed and administered a cross-sectional questionnaire to ICU leaders of current engagement practices, facilitators, and barriers to engagement, and whether engagement was a priority, using to an ordinal Likert scale from 1 to 10. Results: The response rate was 53.4% (124/232). Respondents were from 11 provinces and territories, mainly from medical surgical ICUs (76%) and community hospitals (70%). Engagement in patient care included bedside care (84%) and bedside rounds (66%), presence during procedures/crises (65%), and survey completion (77%). Research engagement included ethics committees (36%), protocol review (31%), and knowledge translation (30%). Facilitators of engagement in patient care included family meetings (87%), open visitation policies (81%), and engagement as an institutional priority (74%). Support from departmental (43%) and hospital (33%) leadership was facilitator of research engagement. Time was the main barrier to engagement in any capacity. Engagement was a higher priority in patient care vs research (median [interquartile range], 8 [7–9] vs 3 [1–7]; P < 0.001) and in pediatric vs adult ICUs (10 [9–10] vs 8 [7–9]; P = 0.003). Research engagement was significantly higher in academic vs other ICUs (7 [5–8] vs 2 [1–4]; P < 0.001), and pediatric vs adult ICUs (7 [5–8] vs 3 [1–6]; P = 0.01). Conclusions: Organizational strategies and institutional support were key facilitators of engagement. Engagement in patient care was a higher priority than engagement in research. © 2022, Canadian Anesthesiologists' Society.

引用

页码：1527 / 1536

页数：9

共 35 条

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