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Exploring factors affecting the timely transition of ventilator assisted individuals in Ontario from acute to long-term care: Perspectives of healthcare professionals
RATIONALE: Ventilator Assisted Individuals (VAIs) frequently remain in intensive care units (ICUs) for a prolonged period once clinically stable due to a lack of transition options. These VAIs occupy ICU beds and resources that patients with more acute needs could better utilize. Moreover, VAIs expe...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Canadian Society of Respiratory Therapists
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10622171/ https://www.ncbi.nlm.nih.gov/pubmed/37927454 http://dx.doi.org/10.29390/001c.89103 |
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author | Selzler, *Anne-Marie Lee, Leanna Brooks, Dina Kohli, Raj Rose, Louise Goldstein, Roger |
author_facet | Selzler, *Anne-Marie Lee, Leanna Brooks, Dina Kohli, Raj Rose, Louise Goldstein, Roger |
author_sort | Selzler, *Anne-Marie |
collection | PubMed |
description | RATIONALE: Ventilator Assisted Individuals (VAIs) frequently remain in intensive care units (ICUs) for a prolonged period once clinically stable due to a lack of transition options. These VAIs occupy ICU beds and resources that patients with more acute needs could better utilize. Moreover, VAIs experience improved outcomes and quality of life in long-term and community-based environments. OBJECTIVE: To better understand the perspectives of healthcare providers (HCPs) working in an Ontario ICU regarding barriers and facilitators to referral and transition of VAIs from the ICU to a long-term setting. METHODS: We conducted semi-structured interviews with ten healthcare providers involved in VAI transitions. MAIN RESULTS: Perceived barriers included long wait times for long-term care settings, insufficient bed availability at discharge locations, medical complexity of patients, long waitlists, and a lack of transparency of waitlists. Facilitators included strong partnerships and trusting relationships between referring and discharge locations, a centralized referral system, and utilization of community partnerships across care sectors. CONCLUSIONS: Insufficient resourcing of long-term care is a key barrier to transitioning VAIs from ICU to long-term settings; strong partnerships across care sectors are a facilitator. System-level approaches, such as a single-streamlined referral system, are needed to address key barriers to timely transition. |
format | Online Article Text |
id | pubmed-10622171 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Canadian Society of Respiratory Therapists |
record_format | MEDLINE/PubMed |
spelling | pubmed-106221712023-11-03 Exploring factors affecting the timely transition of ventilator assisted individuals in Ontario from acute to long-term care: Perspectives of healthcare professionals Selzler, *Anne-Marie Lee, Leanna Brooks, Dina Kohli, Raj Rose, Louise Goldstein, Roger Can J Respir Ther Research Article RATIONALE: Ventilator Assisted Individuals (VAIs) frequently remain in intensive care units (ICUs) for a prolonged period once clinically stable due to a lack of transition options. These VAIs occupy ICU beds and resources that patients with more acute needs could better utilize. Moreover, VAIs experience improved outcomes and quality of life in long-term and community-based environments. OBJECTIVE: To better understand the perspectives of healthcare providers (HCPs) working in an Ontario ICU regarding barriers and facilitators to referral and transition of VAIs from the ICU to a long-term setting. METHODS: We conducted semi-structured interviews with ten healthcare providers involved in VAI transitions. MAIN RESULTS: Perceived barriers included long wait times for long-term care settings, insufficient bed availability at discharge locations, medical complexity of patients, long waitlists, and a lack of transparency of waitlists. Facilitators included strong partnerships and trusting relationships between referring and discharge locations, a centralized referral system, and utilization of community partnerships across care sectors. CONCLUSIONS: Insufficient resourcing of long-term care is a key barrier to transitioning VAIs from ICU to long-term settings; strong partnerships across care sectors are a facilitator. System-level approaches, such as a single-streamlined referral system, are needed to address key barriers to timely transition. Canadian Society of Respiratory Therapists 2023-10-31 /pmc/articles/PMC10622171/ /pubmed/37927454 http://dx.doi.org/10.29390/001c.89103 Text en https://creativecommons.org/licenses/by-nc/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial License (4.0) (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Research Article Selzler, *Anne-Marie Lee, Leanna Brooks, Dina Kohli, Raj Rose, Louise Goldstein, Roger Exploring factors affecting the timely transition of ventilator assisted individuals in Ontario from acute to long-term care: Perspectives of healthcare professionals |
title | Exploring factors affecting the timely transition of ventilator assisted individuals in Ontario from acute to long-term care: Perspectives of healthcare professionals |
title_full | Exploring factors affecting the timely transition of ventilator assisted individuals in Ontario from acute to long-term care: Perspectives of healthcare professionals |
title_fullStr | Exploring factors affecting the timely transition of ventilator assisted individuals in Ontario from acute to long-term care: Perspectives of healthcare professionals |
title_full_unstemmed | Exploring factors affecting the timely transition of ventilator assisted individuals in Ontario from acute to long-term care: Perspectives of healthcare professionals |
title_short | Exploring factors affecting the timely transition of ventilator assisted individuals in Ontario from acute to long-term care: Perspectives of healthcare professionals |
title_sort | exploring factors affecting the timely transition of ventilator assisted individuals in ontario from acute to long-term care: perspectives of healthcare professionals |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10622171/ https://www.ncbi.nlm.nih.gov/pubmed/37927454 http://dx.doi.org/10.29390/001c.89103 |
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