Key mechanisms by which post-ICU activities can improve in-ICU care: results of the international THRIVE collaboratives

Kimberley J. Haines, Carla M. Sevin, Elizabeth Hibbert, Leanne M. Boehm, Krishna Aparanji, Rita N. Bakhru, Anthony J. Bastin, Sarah J. Beesley, Brad W. Butcher, Kelly Drumright, Tammy L. Eaton, Thomas Farley, Penelope Firshman, Andrew Fritschle, Clare Holdsworth, Aluko A. Hope, Annie Johnson, Michael T. Kenes, Babar A. Khan, Janet A. KloosErin K. Kross, Belinda J. MacLeod-Smith, Pamela Mactavish, Joel Meyer, Ashley Montgomery-Yates, Tara Quasim, Howard L. Saft, Andrew Slack, Joanna Stollings, Gerald Weinhouse, Jessica Whitten, Giora Netzer, Ramona O. Hopkins, Mark E. Mikkelsen, Theodore J. Iwashyna, Joanne McPeake

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Objective: To identify the key mechanisms that clinicians perceive improve care in the intensive care unit (ICU), as a result of their involvement in post-ICU programs. Methods: Qualitative inquiry via focus groups and interviews with members of the Society of Critical Care Medicine’s THRIVE collaborative sites (follow-up clinics and peer support). Framework analysis was used to synthesize and interpret the data. Results: Five key mechanisms were identified as drivers of improvement back into the ICU: (1) identifying otherwise unseen targets for ICU quality improvement or education programs—new ideas for quality improvement were generated and greater attention paid to detail in clinical care. (2) Creating a new role for survivors in the ICU—former patients and family members adopted an advocacy or peer volunteer role. (3) Inviting critical care providers to the post-ICU program to educate, sensitize, and motivate them—clinician peers and trainees were invited to attend as a helpful learning strategy to gain insights into post-ICU care requirements. (4) Changing clinician’s own understanding of patient experience—there appeared to be a direct individual benefit from working in post-ICU programs. (5) Improving morale and meaningfulness of ICU work—this was achieved by closing the feedback loop to ICU clinicians regarding patient and family outcomes. Conclusions: The follow-up of patients and families in post-ICU care settings is perceived to improve care within the ICU via five key mechanisms. Further research is required in this novel area.

Original languageEnglish (US)
Pages (from-to)939-947
Number of pages9
JournalIntensive Care Medicine
Volume45
Issue number7
DOIs
StatePublished - Jul 1 2019

Fingerprint

Intensive Care Units
Critical Care
Quality Improvement
Morale
Focus Groups
Survivors
Volunteers
Learning
Interviews
Education
Research

Keywords

  • Intensive care unit follow-up clinics
  • Peer support
  • Post-intensive care syndrome

ASJC Scopus subject areas

  • Critical Care and Intensive Care Medicine

Cite this

Haines, K. J., Sevin, C. M., Hibbert, E., Boehm, L. M., Aparanji, K., Bakhru, R. N., ... McPeake, J. (2019). Key mechanisms by which post-ICU activities can improve in-ICU care: results of the international THRIVE collaboratives. Intensive Care Medicine, 45(7), 939-947. https://doi.org/10.1007/s00134-019-05647-5

Key mechanisms by which post-ICU activities can improve in-ICU care : results of the international THRIVE collaboratives. / Haines, Kimberley J.; Sevin, Carla M.; Hibbert, Elizabeth; Boehm, Leanne M.; Aparanji, Krishna; Bakhru, Rita N.; Bastin, Anthony J.; Beesley, Sarah J.; Butcher, Brad W.; Drumright, Kelly; Eaton, Tammy L.; Farley, Thomas; Firshman, Penelope; Fritschle, Andrew; Holdsworth, Clare; Hope, Aluko A.; Johnson, Annie; Kenes, Michael T.; Khan, Babar A.; Kloos, Janet A.; Kross, Erin K.; MacLeod-Smith, Belinda J.; Mactavish, Pamela; Meyer, Joel; Montgomery-Yates, Ashley; Quasim, Tara; Saft, Howard L.; Slack, Andrew; Stollings, Joanna; Weinhouse, Gerald; Whitten, Jessica; Netzer, Giora; Hopkins, Ramona O.; Mikkelsen, Mark E.; Iwashyna, Theodore J.; McPeake, Joanne.

In: Intensive Care Medicine, Vol. 45, No. 7, 01.07.2019, p. 939-947.

Research output: Contribution to journalArticle

Haines, KJ, Sevin, CM, Hibbert, E, Boehm, LM, Aparanji, K, Bakhru, RN, Bastin, AJ, Beesley, SJ, Butcher, BW, Drumright, K, Eaton, TL, Farley, T, Firshman, P, Fritschle, A, Holdsworth, C, Hope, AA, Johnson, A, Kenes, MT, Khan, BA, Kloos, JA, Kross, EK, MacLeod-Smith, BJ, Mactavish, P, Meyer, J, Montgomery-Yates, A, Quasim, T, Saft, HL, Slack, A, Stollings, J, Weinhouse, G, Whitten, J, Netzer, G, Hopkins, RO, Mikkelsen, ME, Iwashyna, TJ & McPeake, J 2019, 'Key mechanisms by which post-ICU activities can improve in-ICU care: results of the international THRIVE collaboratives', Intensive Care Medicine, vol. 45, no. 7, pp. 939-947. https://doi.org/10.1007/s00134-019-05647-5
Haines, Kimberley J. ; Sevin, Carla M. ; Hibbert, Elizabeth ; Boehm, Leanne M. ; Aparanji, Krishna ; Bakhru, Rita N. ; Bastin, Anthony J. ; Beesley, Sarah J. ; Butcher, Brad W. ; Drumright, Kelly ; Eaton, Tammy L. ; Farley, Thomas ; Firshman, Penelope ; Fritschle, Andrew ; Holdsworth, Clare ; Hope, Aluko A. ; Johnson, Annie ; Kenes, Michael T. ; Khan, Babar A. ; Kloos, Janet A. ; Kross, Erin K. ; MacLeod-Smith, Belinda J. ; Mactavish, Pamela ; Meyer, Joel ; Montgomery-Yates, Ashley ; Quasim, Tara ; Saft, Howard L. ; Slack, Andrew ; Stollings, Joanna ; Weinhouse, Gerald ; Whitten, Jessica ; Netzer, Giora ; Hopkins, Ramona O. ; Mikkelsen, Mark E. ; Iwashyna, Theodore J. ; McPeake, Joanne. / Key mechanisms by which post-ICU activities can improve in-ICU care : results of the international THRIVE collaboratives. In: Intensive Care Medicine. 2019 ; Vol. 45, No. 7. pp. 939-947.
@article{b314ad1cc76d4a34a46cfe43daccbfb2,
title = "Key mechanisms by which post-ICU activities can improve in-ICU care: results of the international THRIVE collaboratives",
abstract = "Objective: To identify the key mechanisms that clinicians perceive improve care in the intensive care unit (ICU), as a result of their involvement in post-ICU programs. Methods: Qualitative inquiry via focus groups and interviews with members of the Society of Critical Care Medicine’s THRIVE collaborative sites (follow-up clinics and peer support). Framework analysis was used to synthesize and interpret the data. Results: Five key mechanisms were identified as drivers of improvement back into the ICU: (1) identifying otherwise unseen targets for ICU quality improvement or education programs—new ideas for quality improvement were generated and greater attention paid to detail in clinical care. (2) Creating a new role for survivors in the ICU—former patients and family members adopted an advocacy or peer volunteer role. (3) Inviting critical care providers to the post-ICU program to educate, sensitize, and motivate them—clinician peers and trainees were invited to attend as a helpful learning strategy to gain insights into post-ICU care requirements. (4) Changing clinician’s own understanding of patient experience—there appeared to be a direct individual benefit from working in post-ICU programs. (5) Improving morale and meaningfulness of ICU work—this was achieved by closing the feedback loop to ICU clinicians regarding patient and family outcomes. Conclusions: The follow-up of patients and families in post-ICU care settings is perceived to improve care within the ICU via five key mechanisms. Further research is required in this novel area.",
keywords = "Intensive care unit follow-up clinics, Peer support, Post-intensive care syndrome",
author = "Haines, {Kimberley J.} and Sevin, {Carla M.} and Elizabeth Hibbert and Boehm, {Leanne M.} and Krishna Aparanji and Bakhru, {Rita N.} and Bastin, {Anthony J.} and Beesley, {Sarah J.} and Butcher, {Brad W.} and Kelly Drumright and Eaton, {Tammy L.} and Thomas Farley and Penelope Firshman and Andrew Fritschle and Clare Holdsworth and Hope, {Aluko A.} and Annie Johnson and Kenes, {Michael T.} and Khan, {Babar A.} and Kloos, {Janet A.} and Kross, {Erin K.} and MacLeod-Smith, {Belinda J.} and Pamela Mactavish and Joel Meyer and Ashley Montgomery-Yates and Tara Quasim and Saft, {Howard L.} and Andrew Slack and Joanna Stollings and Gerald Weinhouse and Jessica Whitten and Giora Netzer and Hopkins, {Ramona O.} and Mikkelsen, {Mark E.} and Iwashyna, {Theodore J.} and Joanne McPeake",
year = "2019",
month = "7",
day = "1",
doi = "10.1007/s00134-019-05647-5",
language = "English (US)",
volume = "45",
pages = "939--947",
journal = "Intensive Care Medicine",
issn = "0342-4642",
publisher = "Springer Verlag",
number = "7",

}

TY - JOUR

T1 - Key mechanisms by which post-ICU activities can improve in-ICU care

T2 - results of the international THRIVE collaboratives

AU - Haines, Kimberley J.

AU - Sevin, Carla M.

AU - Hibbert, Elizabeth

AU - Boehm, Leanne M.

AU - Aparanji, Krishna

AU - Bakhru, Rita N.

AU - Bastin, Anthony J.

AU - Beesley, Sarah J.

AU - Butcher, Brad W.

AU - Drumright, Kelly

AU - Eaton, Tammy L.

AU - Farley, Thomas

AU - Firshman, Penelope

AU - Fritschle, Andrew

AU - Holdsworth, Clare

AU - Hope, Aluko A.

AU - Johnson, Annie

AU - Kenes, Michael T.

AU - Khan, Babar A.

AU - Kloos, Janet A.

AU - Kross, Erin K.

AU - MacLeod-Smith, Belinda J.

AU - Mactavish, Pamela

AU - Meyer, Joel

AU - Montgomery-Yates, Ashley

AU - Quasim, Tara

AU - Saft, Howard L.

AU - Slack, Andrew

AU - Stollings, Joanna

AU - Weinhouse, Gerald

AU - Whitten, Jessica

AU - Netzer, Giora

AU - Hopkins, Ramona O.

AU - Mikkelsen, Mark E.

AU - Iwashyna, Theodore J.

AU - McPeake, Joanne

PY - 2019/7/1

Y1 - 2019/7/1

N2 - Objective: To identify the key mechanisms that clinicians perceive improve care in the intensive care unit (ICU), as a result of their involvement in post-ICU programs. Methods: Qualitative inquiry via focus groups and interviews with members of the Society of Critical Care Medicine’s THRIVE collaborative sites (follow-up clinics and peer support). Framework analysis was used to synthesize and interpret the data. Results: Five key mechanisms were identified as drivers of improvement back into the ICU: (1) identifying otherwise unseen targets for ICU quality improvement or education programs—new ideas for quality improvement were generated and greater attention paid to detail in clinical care. (2) Creating a new role for survivors in the ICU—former patients and family members adopted an advocacy or peer volunteer role. (3) Inviting critical care providers to the post-ICU program to educate, sensitize, and motivate them—clinician peers and trainees were invited to attend as a helpful learning strategy to gain insights into post-ICU care requirements. (4) Changing clinician’s own understanding of patient experience—there appeared to be a direct individual benefit from working in post-ICU programs. (5) Improving morale and meaningfulness of ICU work—this was achieved by closing the feedback loop to ICU clinicians regarding patient and family outcomes. Conclusions: The follow-up of patients and families in post-ICU care settings is perceived to improve care within the ICU via five key mechanisms. Further research is required in this novel area.

AB - Objective: To identify the key mechanisms that clinicians perceive improve care in the intensive care unit (ICU), as a result of their involvement in post-ICU programs. Methods: Qualitative inquiry via focus groups and interviews with members of the Society of Critical Care Medicine’s THRIVE collaborative sites (follow-up clinics and peer support). Framework analysis was used to synthesize and interpret the data. Results: Five key mechanisms were identified as drivers of improvement back into the ICU: (1) identifying otherwise unseen targets for ICU quality improvement or education programs—new ideas for quality improvement were generated and greater attention paid to detail in clinical care. (2) Creating a new role for survivors in the ICU—former patients and family members adopted an advocacy or peer volunteer role. (3) Inviting critical care providers to the post-ICU program to educate, sensitize, and motivate them—clinician peers and trainees were invited to attend as a helpful learning strategy to gain insights into post-ICU care requirements. (4) Changing clinician’s own understanding of patient experience—there appeared to be a direct individual benefit from working in post-ICU programs. (5) Improving morale and meaningfulness of ICU work—this was achieved by closing the feedback loop to ICU clinicians regarding patient and family outcomes. Conclusions: The follow-up of patients and families in post-ICU care settings is perceived to improve care within the ICU via five key mechanisms. Further research is required in this novel area.

KW - Intensive care unit follow-up clinics

KW - Peer support

KW - Post-intensive care syndrome

UR - http://www.scopus.com/inward/record.url?scp=85067023644&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85067023644&partnerID=8YFLogxK

U2 - 10.1007/s00134-019-05647-5

DO - 10.1007/s00134-019-05647-5

M3 - Article

C2 - 31165227

AN - SCOPUS:85067023644

VL - 45

SP - 939

EP - 947

JO - Intensive Care Medicine

JF - Intensive Care Medicine

SN - 0342-4642

IS - 7

ER -