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Related Experiment Videos

Developing a care program to better know the chronically critically ill.

Marie-José Roulin1, Rebecca Spirig

  • 1Nursing Directorate, Medical Intensive Care Unit, University Hospital Geneva, 1211 Geneva 14, Switzerland. Marie-Jose.Roulin@hcuge.ch

Intensive & Critical Care Nursing
|April 8, 2006
PubMed
Summary

A new care program improved the management of chronically critically ill (CCI) patients by enhancing nurse skills and holistic assessments. This initiative transformed the perception of CCI patient care from frustrating to challenging and interesting.

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Area of Science:

  • Critical Care Medicine
  • Nursing Science
  • Healthcare Management

Background:

  • Chronically critically ill (CCI) patients require prolonged intensive care and mechanical ventilation, posing significant challenges to healthcare teams.
  • Slow patient progress in fast-paced intensive care units (ICUs) can lead to frustration among healthcare professionals.
  • A need exists to better understand and improve the care of this complex patient population.

Purpose of the Study:

  • To implement and evaluate a new care program for chronically critically ill patients at University Hospital Geneva.
  • To enhance the knowledge and skills of nurses caring for CCI patients.
  • To improve the holistic care and outcomes for CCI patients.

Main Methods:

  • Action research methodology guided the project, informed by emancipatory practice development values.

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  • Key assessment tools included nursing-focused patient histories and weekly nursing rounds for holistic assessment and care planning.
  • Interventions focused on communication, physical care, and a patient diary to provide context beyond hospitalization.

    • Main Results:

    • The program facilitated the development of new nursing skills and created an environment for dynamic reflection.
    • Nurses' perception of caring for CCI patients began shifting towards viewing it as challenging and interesting.
    • Periodic holistic assessments and improved care planning were established.

    Conclusions:

    • The implemented care program positively impacted the management of chronically critically ill patients.
    • Nurses gained enhanced skills and a more positive perspective on caring for this demanding patient group.
    • The program demonstrated the value of structured assessment and holistic care planning in the ICU setting.