Measuring the intensive care experience: A cross-sectional survey of patient and family experiences of critical care.

Williams, H; Gow, J; Rana, R; Rouse, A; Chinthamuneedi, M; Beccaria, G; Ralph, N

Measuring the intensive care experience: A cross-sectional survey of patient and family experiences of critical care.

Williams, H Gow, J Rana, R Rouse, A Chinthamuneedi, M Beccaria, G Ralph, N

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Publisher:: Wiley
Publication Type:: Journal Article
Citation:: Journal of Clinical Nursing, 2021, 30, (23-24), pp. 3623-3633
Issue Date:: 2021-12

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Field	Value	Language
dc.contributor.author	Williams, H
dc.contributor.author	Gow, J
dc.contributor.author	Rana, R
dc.contributor.author	Rouse, A
dc.contributor.author	Chinthamuneedi, M
dc.contributor.author	Beccaria, G
dc.contributor.author	Ralph, N https://orcid.org/0000-0002-7404-9996
dc.date.accessioned	2022-01-10T03:29:10Z
dc.date.available	2021-05-07
dc.date.available	2022-01-10T03:29:10Z
dc.date.issued	2021-12
dc.identifier.citation	Journal of Clinical Nursing, 2021, 30, (23-24), pp. 3623-3633
dc.identifier.issn	0962-1067
dc.identifier.issn	1365-2702
dc.identifier.uri	http://hdl.handle.net/10453/152866
dc.description.abstract	AIMS AND OBJECTIVES: To report patient and family intensive care experiences using the Measuring the Intensive Care Experience (MICE) tool across two intensive care units (ICU). BACKGROUND: The patient and family experience of care is an important indicator for quality improvement of ICUs, yet few studies evaluate both patient and family experiences in relation to overall care quality as well as specifically measuring quality of medical care, nursing care and organisational care as well as overall experience of the quality of intensive care. DESIGN: A cross-sectional survey. METHODS: A 23 item survey was administered to ICU patients and their family members across two ICUs, a regional 189-bed hospital and a metropolitan 227-bed hospital in Queensland, Australia. The response rate was 272 of 394 ICU patients (36.4%). STROBE guidelines were used in reporting this study. RESULTS: Findings indicate a highly positive overall experience of ICU care among patients and families. However, patients reported areas of unmet needs following their stay in ICU broadly related to (1) symptom management, education and information support, and (2) improving the incorporation of patient and family care ICU-related shared decision-making. CONCLUSIONS: Supportive interventions are needed that target improve symptom management and inform and education ICU patients. RELEVANCE TO CLINICAL PRACTICE: The MICE survey facilitated the identification of a range of areas requiring quality improvement. Improving the integration of patients and families into shared decision-making and support is a key aspect for quality improvement.
dc.format	Print-Electronic
dc.language	eng
dc.publisher	Wiley
dc.relation.ispartof	Journal of Clinical Nursing
dc.relation.isbasedon	10.1111/jocn.15884
dc.rights	info:eu-repo/semantics/closedAccess
dc.subject	1110 Nursing, 1117 Public Health and Health Services, 1701 Psychology
dc.subject.classification	Nursing
dc.subject.mesh	Critical Care
dc.subject.mesh	Cross-Sectional Studies
dc.subject.mesh	Family
dc.subject.mesh	Humans
dc.subject.mesh	Intensive Care Units
dc.subject.mesh	Palliative Care
dc.subject.mesh	Critical Care
dc.subject.mesh	Cross-Sectional Studies
dc.subject.mesh	Family
dc.subject.mesh	Humans
dc.subject.mesh	Intensive Care Units
dc.subject.mesh	Palliative Care
dc.subject.mesh	Humans
dc.subject.mesh	Critical Care
dc.subject.mesh	Palliative Care
dc.subject.mesh	Cross-Sectional Studies
dc.subject.mesh	Family
dc.subject.mesh	Intensive Care Units
dc.title	Measuring the intensive care experience: A cross-sectional survey of patient and family experiences of critical care.
dc.type	Journal Article
utslib.citation.volume	30
utslib.location.activity	England
utslib.for	1110 Nursing
utslib.for	1117 Public Health and Health Services
utslib.for	1701 Psychology
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
utslib.copyright.status	closed_access	*
pubs.consider-herdc	false
dc.date.updated	2022-01-10T03:29:09Z
pubs.issue	23-24
pubs.publication-status	Published
pubs.volume	30
utslib.citation.issue	23-24

Abstract:

AIMS AND OBJECTIVES: To report patient and family intensive care experiences using the Measuring the Intensive Care Experience (MICE) tool across two intensive care units (ICU). BACKGROUND: The patient and family experience of care is an important indicator for quality improvement of ICUs, yet few studies evaluate both patient and family experiences in relation to overall care quality as well as specifically measuring quality of medical care, nursing care and organisational care as well as overall experience of the quality of intensive care. DESIGN: A cross-sectional survey. METHODS: A 23 item survey was administered to ICU patients and their family members across two ICUs, a regional 189-bed hospital and a metropolitan 227-bed hospital in Queensland, Australia. The response rate was 272 of 394 ICU patients (36.4%). STROBE guidelines were used in reporting this study. RESULTS: Findings indicate a highly positive overall experience of ICU care among patients and families. However, patients reported areas of unmet needs following their stay in ICU broadly related to (1) symptom management, education and information support, and (2) improving the incorporation of patient and family care ICU-related shared decision-making. CONCLUSIONS: Supportive interventions are needed that target improve symptom management and inform and education ICU patients. RELEVANCE TO CLINICAL PRACTICE: The MICE survey facilitated the identification of a range of areas requiring quality improvement. Improving the integration of patients and families into shared decision-making and support is a key aspect for quality improvement.

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http://hdl.handle.net/10453/152866