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Published on: February 19, 2021
Evaluating an interprofessional team coaching program to promote a human-centered ICU environment.
Jami L Simpson1, John McCartney1, Jacqueline M Kruser1
1Division of Allergy, Pulmonary, and Critical Care, Department of Medicine, University of Wisconsin School of Medicine and Public Health, Madison, WI, United States.
Interprofessional team coaching effectively addressed the need for human-centered care training in intensive care units (ICUs). This program improved team members' ability to foster compassionate environments for patients, families, and colleagues.
Area of Science:
- Healthcare Education
- Interprofessional Collaboration
- Patient-Centered Care
Background:
- Intensive care unit (ICU) environments can be dehumanizing.
- Existing educational efforts primarily focus on patient/family-centered care, neglecting team well-being.
- There is a need to humanize the ICU environment for all stakeholders.
Purpose of the Study:
- To develop and evaluate an interprofessional educational program using team coaching to humanize the ICU.
- To assess the program's impact on participants' perceived capability to promote a human-centered team environment.
Main Methods:
- A 3-year mixed-methods evaluation of an interprofessional ICU team coaching program.
- Program involved 3 sessions led by a certified coach, focusing on roles, end-of-life care, and dignity/respect.
- Data collected via pre/post surveys and qualitative analysis of reflections and debriefings.
Main Results:
- 43 ICU team members from 7 professions participated; 70% attendance rate.
- Post-coaching, unmet needs for promoting human-centered environments decreased significantly for patients (p<0.01), families (p<0.01), and team members (p<0.01).
- Interprofessional Consultation and Relational Empathy (CARE) scores improved (p=0.047), with qualitative data showing commitment to relationship growth.
Conclusions:
- Confirms an unmet need for training in humanizing ICU environments.
- Interprofessional team coaching is a promising strategy to improve human-centered care within ICUs.
- Suggests potential for program expansion to further enhance ICU care delivery.
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