The relationship between person-centred care and the intensive care unit experience of critically ill patients: A multicentre cross-sectional survey |
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| Affiliation: | 1. College of Nursing, Dong-A University, 32, Daesingongwon-ro, Seo-gu, Busan, 49201, Republic of Korea;2. Department of Nursing, Youngsan University, 288, Junam-ro, Yangsan-si, Gyeongsangnam-do, Republic of Korea;3. Department of Intensive Care Medicine & Neurology, Dong-A University Hospital, Dong-A University College of Medicine, 26, Daesingongwon-ro, Seo-gu, Busan, 49201, Republic of Korea;4. Medical Intensive Care Unit, Inje University Busan Paik Hospital, 75, Bokji-ro, Busanjin-gu, Busan, Republic of Korea;1. Department of Nursing, Physiotherapy and Occupational Therapy, Faculty of Health Sciences, University of Castilla-La Mancha, Talavera de la Reina, Spain;2. Technological Innovation Applied to Health Research Group (ITAS), Faculty of Health Sciences, University of Castilla La Mancha, Talavera de la Reina, Spain;3. Advanced Clinical Simulation Centre, Faculty of Medicine, University of Valladolid, Valladolid, Spain;4. Emergency Department, Hospital Universitario Rio Hortega, Valladolid, Spain;5. University School of Nursing, University of Vigo, Pontevedra, Spain;6. Faculty of Nursing, University of Santiago de Compostela, Santiago de Compostela, Spain;7. CLINURSID Research Group, University of Santiago de Compostela, Santiago de Compostela, Spain;8. Advanced life support. Gerencia de Emergencias Sanitarias. Gerencia Regional de Salud de Castilla y León (SACYL), Valladolid, Spain;1. Member of the Australasian College for Emergency Medicine, Australia;2. Alice Springs Hospital, Gap Road, Alice Springs, Northern Territory, Australia;3. Honorary Academic Fellow, Baker Research Institute, Alice Springs, Northern Territory, Australia;4. Australian and New Zealand Intensive Care Research Centre (ANZIC-RC), Monash University, Melbourne, Australia;5. School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia;6. Centre for Integrated Critical Care, The University of Melbourne, Australia;7. Clinical Lecturer, School of Medicine, Flinders University, Australia;8. Clinical Lecturer, School of Public Health and Preventive Medicine, Monash University, Australia;1. Intensive Care Liaison Nurse Practitioner, Western Health Furlong Road, St Albans, VIC 3021 Australia;2. School of Nursing and Midwifery, Centre for Quality and Patient Safety Research in the Institute for Health Transformation, Deakin University, 1 Gheringhap St, Geelong, VIC 3220, Australia;3. The Centre for Quality and Patient Safety Research in the Institute of Health Transformation – Western Health Partnership, Western Health, Furlong Road, St Albans, VIC 3021 Australia;4. Faculty of Health and Medical Sciences, University of Copenhagen, Blegdamsvej 3B, 2200 Copenhagen, Denmark;5. Faculty of Health Sciences, University of Southern Denmark and Steno Diabetes Center, Campusvej 55, DK-5230 Odense M, Denmark;1. Alliance for Vascular Access Teaching and Research Group, Menzies Health Institute, Griffith University, Queensland, Australia;2. Nursing and Midwifery Research Centre, Royal Brisbane and Women''s Hospital, Queensland, Australia;3. School of Nursing and Midwifery, Griffith University, Queensland, Australia;4. School of Nursing, Midwifery and Social Work, University of Queensland, Queensland, Australia;1. Department of Intensive Care and Burn Center, University Hospital of Liège, Liège, Belgium;2. Public Health Department, Biostatistics, University of Liège, Sart-Tilman, Liège, Belgium;3. Department of Sport Sciences and Rehabilitation, University of Liège, Sart-Tilman, Liège, Belgium;1. Skin Wounds and Trauma Research Centre, RCSI University of Medicine and Health Sciences, Dublin, Ireland;2. School of Nursing and Midwifery, RCSI University of Medicine and Health Sciences, Dublin, Ireland;3. Fakeeh College of Health Sciences, Jeddah, Saudi Arabia;4. Faculty of Science, Medicine and Health, University of Wollongong, Australia;5. School of Nursing and Midwifery, Griffith University, Queensland, Australia;6. Nursing and Midwifery Education and Research Unit, Gold Coast University Hospital, Southport, Queensland, Australia;7. Division of Surgery, Princess Alexandra Hospital, Brisbane, Australia;8. Faculty of Medicine, Nursing and Health Sciences, Monash University, Australia;9. Department of Public Health, Faculty of Medicine and Health Sciences, Ghent University, Belgium;10. Lida Institute, Shanghai, China;11. University of Wales, Cardiff, UK;12. Library, RCSI University of Medicine and Health Sciences, Dublin, Ireland;13. National Health and Medical Research Council Centre of Research Excellence in Wiser Wound Care, Menzies Health Institute Queensland, Queensland, Australia |
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| Abstract: | BackgroundPerson-centred care has the potential to improve the patient experience in the intensive care unit (ICU). However, the relationship between person-centred care perceived by critically ill patients and their ICU experience has yet to be determined.ObjectivesThe aim of this study was to investigate the relationship between person-centred care and the ICU experience of critically ill patients.MethodsThis study was a multicentre, cross-sectional survey involving 19 ICUs of four university hospitals in Busan, Korea. The survey was conducted from June 2019 to July 2020, and 787 patients who had been admitted to the ICU for more than 24 hours participated. We measured person-centred care using the Person-Centered Critical Care Nursing perceived by Patient Questionnaire. Participants' ICU experience was measured by the Korean version of the Intensive Care Experience Questionnaire that consists of four subscales. We analysed the relationship between person-centred care and each area of the ICU experience using multivariate linear regression.ResultsPerson-centred care was associated with ‘awareness of surroundings’ (β = 0.29, p < .001), ‘frightening experiences’ (β = ?0.31, p < .001), and ‘satisfaction with care’ (β = 0.54, p < .001). However, there was no significant association between person-centred care and ‘recall of experience’.ConclusionsWe observed that person-centred care was positively related to most of the ICU experiences of critically ill patients except for recall of experience. Further studies on developing person-centred nursing interventions are needed. |
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| Keywords: | Critical care Intensive care unit Patient experience Patient-reported outcome Person-centred care |
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