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| Name | Class |
|---|---|
| University of Utah | OTHER |
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This study seeks to determine the effect of a quality improvement policy regarding allowing family members to remain in a patient's room during ICU procedures. The investigators hypothesized that our change in policy to invite family members to remain during procedures will improve patient & family engagement and improve long term psychological outcomes after an ICU admission. The study also seeks to determine if inviting family members to remain in a patient's room during ICU procedures will not increase clinician stress.
This is a research study about the effect of a quality improvement policy change regarding family presence at ICU procedures on family and patient engagement, psychological outcomes and stress levels in clinicians. In the study, ICU patients, their family members and ICU clinicians will be surveyed regarding these outcomes, with some surveys obtained prior to a policy change and a second set during a second time period after policy change. The patients and family members will be asked survey questions after the procedure and 3 months later. This study will also evaluate the change in clinician stress related to this policy change, and clinicians will also answer survey questions.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Families Excluded From Presence at Procedures | Placebo Comparator | Families not invited to remain for ICU procedures |
|
| Families Invited to Be Present at Procedures | Active Comparator | Families invited to remain for ICU procedures |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Families Invited to Be Present at Procedures | Procedure | Family members will be invited (but not required) to remain in the ICU room during procedures, if patients agree |
|
| Measure | Description | Time Frame |
|---|---|---|
| Patient & Family Member Engagement | Engagement, as measured by the collaboRATE survey, administered to patients & family members within 48 hours after a procedure in the ICU | Time of ICU procedure to 48 hours afterwards |
| Measure | Description | Time Frame |
|---|---|---|
| Patient & Family Member Stress | Perceived stress of patient & family members, assessed within 48 hours after a procedure in the ICU by the Perceived Stress Scale-4 (PSS-4), measured on a scale from 0 to 16 with high numbers indicating increased level of perceived stress. | Time of ICU procedure to 48 hours afterwards |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Sarah J Beesley, MD | Intermountain Health Care, Inc. | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Intermountain Medical Center | Murray | Utah | 84107 | United States |
Completely deidentified data may potentially be available to other researchers upon request
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Family members and patients will be told the study is being done to understand engagement, but will not be told about the main intervention
| Placebo/Control | Other | Family members will not be invited to remain in the ICU room |
|
| Clinician Stress |
Clinician stress, as assessed within 48 hours after a procedure in ICU by the visual analog scale, measured on a scale from 1-100 with 100 indicating higher levels of clinician stress. |
| Time of ICU procedure to 48 hours afterwards |
| Procedural Complication Rate | Complications associated with procedures, including infections associated with central lines | Through 7 days after the ICU procedure |
| Trainee Satisfaction with Procedure Education | Satisfaction with the education experience among trainees performing procedures, as assessed within 24 hours by a Likert scale from 1-5 with 5 indicating increased satisfaction with education experience and 1 indicating dissatisfaction with education experience. | Time of ICU procedure to 24 hours afterwards |
| Patient & Family Member Anxiety & Depression | Anxiety and depression for patients & family members, assessed at 3 months after the ICU procedure by the Hospital Anxiety and Depression Scale (HADS), measured from 0 to 42 with higher scores indicating more likelihood of anxiety or depression. | 3 months after ICU procedure |
| Patient & Family Member PTSD | PTSD for patients & family members, assessed at 3 months after the ICU procedure by the Impact of Event Scale Revised (IES-R), measured from 4 to 88 with a score over 33 indicating likely presence of PTSD. | 3 months after ICU procedure |