Bulger Jeffrey L, Quinn Thomas V, Glover Crystal M, Basapur Santosh, Shah Raj C, Greenberg Jared A
Department of Internal Medicine, Rush University Medical Center, Chicago, IL.
Division of Pulmonary and Critical Care, Department of Internal Medicine, Rush University Medical Center, Chicago, IL.
Crit Care Explor. 2021 Jul 13;3(7):e0473. doi: 10.1097/CCE.0000000000000473. eCollection 2021 Jul.
ICU providers may invite families to participate in daily rounds to inform them of the patient's condition and to support their emotional well-being. Daily written summaries of care may provide complementary benefits.
Qualitative interviews with surrogates of ICU patients who received daily written summaries of care.
Single, urban academic medical center.
PATIENTS/SUBJECTS: A convenience sample of 30 surrogates of nondecisional, medical ICU patients.
Daily written summaries detailed each of the patient's main ICU problems, the presumed causes of each of the problems, and the medical team's plan to address each of the problems for each ICU day.
There were four ways that written summaries affected the participant's experience: 1) providing clarity to participants regarding the patient's condition, 2) facilitating participant understanding of the patient's clinical course, 3) facilitating communication between participants and medical providers, and 4) facilitating communication between participants and other family members. Overarching themes were that summaries were understandable, had appropriate level of detail, and added value to the ICU experience.
In this pilot study, family members had positive impressions of receiving daily written summaries of care. Further study is needed to determine the extent to which written communication may affect family and patient outcomes.
重症监护病房（ICU）的医护人员可能会邀请家属参与每日查房，以便告知他们患者的病情并帮助他们缓解情绪。每日护理书面总结可能会带来额外的益处。
对接受每日护理书面总结的ICU患者代理人进行定性访谈。
一家城市学术医疗中心。
患者/受试者：30名非决策性医疗ICU患者代理人的便利样本。
每日书面总结详细列出患者在每个ICU日的主要问题、每个问题的推测原因以及医疗团队针对每个问题的处理计划。
书面总结影响参与者体验的方式有四种：1）让参与者清楚了解患者的病情；2）帮助参与者理解患者的临床病程；3）促进参与者与医疗人员之间的沟通；4）促进参与者与其他家庭成员之间的沟通。总体主题是总结内容易懂、细节程度合适且为ICU体验增添了价值。
在这项试点研究中，家属对收到每日护理书面总结有积极的印象。需要进一步研究以确定书面沟通对家属和患者结局的影响程度。
