Understanding Patient and Family Perspectives of Accelerated Discharge Planning in the Critically Ill
Notice bibliographique
Résumé
Accelerated discharge, which involves initiation of discharge planning earlier in patients’ intensive care unit (ICU) stay, has become more common to reduce discharge delays and mitigate capacity strain challenges experienced in Canadian ICUs. Successful accelerated discharge planning relies on effective clinician communication and partnering with patients and family caregivers, who are the only constant throughout the care journey. To best enable family caregivers to feel self-efficacious in collaborating in the care of their critically ill loved one, their perspectives on the practice of accelerated discharge planning are needed to help facilitate successful transitions in care. The work presented in this thesis sought to understand patient and family perspectives on accelerated discharge planning as with their insights on supportive elements in accelerated discharge plans. We conducted 45-minute virtual semi-structured interviews with former critically ill patients and family caregivers of former critically ill patients between October 2021 and January 2022. We used inductive, reflexive thematic analysis to identify relevant themes and subthemes. Key themes identified following thematic analysis from seven participants (n=2 former critically ill patients, n=5 family caregivers) included: discharge planning process and stakeholder goal alignment (i.e., benefits of earlier planning, communication and continuity of care, and desire for stakeholder collaboration in care), patient and family support needs in accelerated discharge planning (i.e., informational support, psychological support, and logistical support), scope of support across care settings (i.e., form and timing of supports), individuality of dyads (i.e., condition, capacity, and environmental characteristics specific to each dyad), facilitators and barriers to accelerated discharge planning at the individual and structural level. The work presented in this thesis suggest that patients and families are receptive to accelerated discharge planning because accelerated discharge planning may provide opportunities for patients and family that are not present in current models of discharge; that is, there is alignment of objectives between this transition in care model and patient and family goals of care. Individualized, realistic accelerated discharge plans that provide informational, psychological, and logistical supports may help facilitate successful transitions in care.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,000 | 0,000 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,001 | 0,000 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,000 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,002 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».