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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...

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Autores principales: Selzler, *Anne-Marie, Lee, Leanna, Brooks, Dina, Kohli, Raj, Rose, Louise, Goldstein, Roger
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Canadian Society of Respiratory Therapists 2023
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.
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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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