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Showing posts with label dignity. Show all posts
Showing posts with label dignity. Show all posts

Tuesday, 25 February 2020

Humanizing Intensive Care: Toward a Human-Centered Care ICU Model



by Nin Vaeza, Nicolas; Martin Delgado, MarĂ­a Cruz; Heras La Calle, Gabriel 


“If you could choose, how would you like the Intensive Care Units (ICUs) to be?” The Humanization of Intensive Care movement (Proyecto HU-CI) arose after we asked this simple question in our blog, receiving suggestions from more 10,000 people (1). Created in Spain on February 2014, the Humanization of Intensive Care movement is an international research project that seeks, using evidence-based medicine, to answer that same question, thus creating a paradigm shift in the way we deliver our care toward a more friendly and human-centered model (2). Although many may be surprised and feel a contradiction toward this humanistic model, is an essential skill in health professionals that should have never been lost. When professionals are face with the reality of being patients or a family member of critically ill patient, it is then, when they appreciate how it works. “Yet many professionals cite lack of humanistic care as a cause for burnout, an epidemic among health professions today” (3).
Displaying kindness and concern for all the individuals that are part of the healthcare environment, not only patients and its families, is a necessity and the path toward building an excellent healthcare system. We will not be able to cure all people, but surely, we can improve the care we provide by focusing on the dignity of people…

Wednesday, 22 February 2017

A Direct Observation Checklist to Measure Respect and Dignity in the ICU

A Direct Observation Checklist to Measure Respect and Dignity in the ICU
Carrese, J A et al
Critical Care Medicine: February 2017 - Volume 45 - Issue 2 - p 263–270

Objective: Treating patients and family members with respect and dignity is a core objective of health care, yet it is unclear how best to measure this in the ICU setting. Accordingly, we sought to create a direct observation checklist to assess the “respect and dignity status” of an ICU. Design: A draft checklist based on previous work was iteratively revised to enhance accuracy and feasibility. Setting: Seven ICUs within the Johns Hopkins Health System. Subjects: A total of 351 patient-clinician encounters with 184 different patients. Interventions: Four study team members pilot tested the checklist between January and August 2015. 
Measurements and Main Results: Standard psychometric analyses were performed. The direct observation checklist exhibits strong content and face validity as well as high reliability and internal consistency. All items load on one factor that supports the unidimensionality of the total index. Furthermore, concurrent validity of the direct observation checklist is demonstrated by statistically significant differences in mean scores between ICUs, between types of clinicians, and between patients’ clinical status and mood. 
Conclusions: We rigorously developed, pilot tested, and analyzed a direct observation checklist designed to assess the extent to which patients and families in the ICU setting are treated with respect and dignity. Future research should validate this checklist in other settings and compare its results with other measures. Data gathered about individual items on the direct observation checklist could be used to target areas for training and education; doing so should help facilitate more respectful treatment of patients and their families.

Thursday, 28 May 2015

Intensive care patients' perceptions of how their dignity is maintained

Intensive care patients' perceptions of how their dignity is maintained: A phenomomenalogical study. Intensive and Critical Care Nursing, May 2015 [in press]

Moen, E.K. and Naden, D.

http://www.intensivecriticalcarenursing.com/article/S0964-3397(15)00022-1/abstract?rss=yes

The aim of the study was to acquire knowledge of what contributes to maintaining and promoting the dignity of intensive care patients.

Tuesday, 9 December 2008

Rabina Tindale on the RCN dignity campaign

EBSCO ( CINAHL with Full Text ) - via Athens (02/2002 - /)
Proquest NHS (03/1999 - 07/2006)
Page: 39-39 Vol/Issue: 2008 ; VOL 16 ; PART 7
ISSN Print: 1354-5752
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