Interprofessional Interventions to Improve Serious Illness Communication in the Intensive Care Unit: A Scoping Review.
Olivia A BernalBenjamin RobertsDavid S WuPublished in: The American journal of hospice & palliative care (2022)
Serious illness communication is fundamental to the provision of quality care for patients in the intensive care unit (ICU). Evidence suggests that including interprofessional team members in such communication is beneficial. This scoping review--conducted in accordance with Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines-maps existing evidence regarding interprofessional interventions to improve serious illness communication in the ICU. The review yielded 14 studies for inclusion, which were organized by 3 thematic categories of strategies implemented: training curriculum, scheduled meetings, and liaison role. Most used a combination of intervention strategies. Outcome measures varied across the studies but could be broadly categorized as patient/family-focused, provider-focused, or systems-focused. Great heterogeneity between studies exists. More research is needed.
Keyphrases
- meta analyses
- quality improvement
- patient safety
- systematic review
- palliative care
- intensive care unit
- case control
- randomized controlled trial
- end stage renal disease
- physical activity
- healthcare
- newly diagnosed
- chronic kidney disease
- ejection fraction
- primary care
- prognostic factors
- nursing students
- case report
- emergency department
- single cell
- pain management
- affordable care act
- patient reported outcomes
- electronic health record
- extracorporeal membrane oxygenation
- medical students
- patient reported