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Support for relatives in the intensive care unit: lessons from a cross-sectional multicentre cohort study during the COVID-19 pandemic

BACKGROUND: Support for relatives is highly important in the intensive care unit (ICU). During the first COVID-19 wave  support for relatives had to be changed considerably. The alternative support could have decreased the quality and sense of support. We aimed to evaluate how support for relatives...

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Autores principales: Renckens, Sophie C., Pasman, H. Roeline, Klop, Hanna T., du Perron, Chantal, van Zuylen, Lia, Steegers, Monique A. H., ten Tusscher, Birkitt L., Abbink, Floor C. H., de Ruijter, Wouter, Vloet, Lilian C. M., Koster, Stephanie C. E., Onwuteaka-Philipsen, Bregje D.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10353201/
https://www.ncbi.nlm.nih.gov/pubmed/37464434
http://dx.doi.org/10.1186/s12913-023-09756-2
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author Renckens, Sophie C.
Pasman, H. Roeline
Klop, Hanna T.
du Perron, Chantal
van Zuylen, Lia
Steegers, Monique A. H.
ten Tusscher, Birkitt L.
Abbink, Floor C. H.
de Ruijter, Wouter
Vloet, Lilian C. M.
Koster, Stephanie C. E.
Onwuteaka-Philipsen, Bregje D.
author_facet Renckens, Sophie C.
Pasman, H. Roeline
Klop, Hanna T.
du Perron, Chantal
van Zuylen, Lia
Steegers, Monique A. H.
ten Tusscher, Birkitt L.
Abbink, Floor C. H.
de Ruijter, Wouter
Vloet, Lilian C. M.
Koster, Stephanie C. E.
Onwuteaka-Philipsen, Bregje D.
author_sort Renckens, Sophie C.
collection PubMed
description BACKGROUND: Support for relatives is highly important in the intensive care unit (ICU). During the first COVID-19 wave  support for relatives had to be changed considerably. The alternative support could have decreased the quality and sense of support. We aimed to evaluate how support for relatives in Dutch ICUs was organised during the first COVID-19 wave and how this was experienced by these relatives in comparison to relatives from pre-COVID-19 and the second wave. Additionally, we aimed to investigate which elements of support are associated with positive experiences. METHODS: We performed a cross-sectional multicentre cohort study in six Dutch ICUs in the Netherlands. Written questionnaires were distributed among relatives of ICU patients from pre-COVID-19, the first wave and the second wave. The questionnaire included questions on demographics, the organisation of support, and the experiences and satisfaction of relatives with the support. RESULTS: A total of 329 relatives completed the questionnaire (52% partner, 72% woman and 63% ICU stay of 11 days or longer). Support for relatives of ICU patients during the first COVID-19 wave differed significantly from pre-COVID-19 and the second wave. Differences were found in all categories of elements of support: who, when, how and what. Overall, relatives from the three time periods were very positive about the support. The only difference in satisfaction between the three time periods, was the higher proportion of relatives indicating that healthcare professionals had enough time for them during the first wave. Elements of support which were associated with many positive experiences and satisfaction were: fixed timeslot, receiving information (e.g. leaflets) on ≥ 2 topics, discussing > 5 topics with healthcare professionals, and being offered emotional support. CONCLUSIONS: Although, support for relatives in the ICU changed considerably during the COVID-19 pandemic, relatives were still positive about this support. The altered support gave insight into avenues for improvement for future comparable situations as well as for normal daily ICU practice: e.g. daily contact at a fixed timeslot, offering video calling between patients and relatives, and offering emotional support. ICUs should consider which elements need improvement in their practice. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12913-023-09756-2.
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spelling pubmed-103532012023-07-19 Support for relatives in the intensive care unit: lessons from a cross-sectional multicentre cohort study during the COVID-19 pandemic Renckens, Sophie C. Pasman, H. Roeline Klop, Hanna T. du Perron, Chantal van Zuylen, Lia Steegers, Monique A. H. ten Tusscher, Birkitt L. Abbink, Floor C. H. de Ruijter, Wouter Vloet, Lilian C. M. Koster, Stephanie C. E. Onwuteaka-Philipsen, Bregje D. BMC Health Serv Res Research BACKGROUND: Support for relatives is highly important in the intensive care unit (ICU). During the first COVID-19 wave  support for relatives had to be changed considerably. The alternative support could have decreased the quality and sense of support. We aimed to evaluate how support for relatives in Dutch ICUs was organised during the first COVID-19 wave and how this was experienced by these relatives in comparison to relatives from pre-COVID-19 and the second wave. Additionally, we aimed to investigate which elements of support are associated with positive experiences. METHODS: We performed a cross-sectional multicentre cohort study in six Dutch ICUs in the Netherlands. Written questionnaires were distributed among relatives of ICU patients from pre-COVID-19, the first wave and the second wave. The questionnaire included questions on demographics, the organisation of support, and the experiences and satisfaction of relatives with the support. RESULTS: A total of 329 relatives completed the questionnaire (52% partner, 72% woman and 63% ICU stay of 11 days or longer). Support for relatives of ICU patients during the first COVID-19 wave differed significantly from pre-COVID-19 and the second wave. Differences were found in all categories of elements of support: who, when, how and what. Overall, relatives from the three time periods were very positive about the support. The only difference in satisfaction between the three time periods, was the higher proportion of relatives indicating that healthcare professionals had enough time for them during the first wave. Elements of support which were associated with many positive experiences and satisfaction were: fixed timeslot, receiving information (e.g. leaflets) on ≥ 2 topics, discussing > 5 topics with healthcare professionals, and being offered emotional support. CONCLUSIONS: Although, support for relatives in the ICU changed considerably during the COVID-19 pandemic, relatives were still positive about this support. The altered support gave insight into avenues for improvement for future comparable situations as well as for normal daily ICU practice: e.g. daily contact at a fixed timeslot, offering video calling between patients and relatives, and offering emotional support. ICUs should consider which elements need improvement in their practice. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12913-023-09756-2. BioMed Central 2023-07-18 /pmc/articles/PMC10353201/ /pubmed/37464434 http://dx.doi.org/10.1186/s12913-023-09756-2 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Renckens, Sophie C.
Pasman, H. Roeline
Klop, Hanna T.
du Perron, Chantal
van Zuylen, Lia
Steegers, Monique A. H.
ten Tusscher, Birkitt L.
Abbink, Floor C. H.
de Ruijter, Wouter
Vloet, Lilian C. M.
Koster, Stephanie C. E.
Onwuteaka-Philipsen, Bregje D.
Support for relatives in the intensive care unit: lessons from a cross-sectional multicentre cohort study during the COVID-19 pandemic
title Support for relatives in the intensive care unit: lessons from a cross-sectional multicentre cohort study during the COVID-19 pandemic
title_full Support for relatives in the intensive care unit: lessons from a cross-sectional multicentre cohort study during the COVID-19 pandemic
title_fullStr Support for relatives in the intensive care unit: lessons from a cross-sectional multicentre cohort study during the COVID-19 pandemic
title_full_unstemmed Support for relatives in the intensive care unit: lessons from a cross-sectional multicentre cohort study during the COVID-19 pandemic
title_short Support for relatives in the intensive care unit: lessons from a cross-sectional multicentre cohort study during the COVID-19 pandemic
title_sort support for relatives in the intensive care unit: lessons from a cross-sectional multicentre cohort study during the covid-19 pandemic
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10353201/
https://www.ncbi.nlm.nih.gov/pubmed/37464434
http://dx.doi.org/10.1186/s12913-023-09756-2
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