An International Study Exploring the Experience of Survivors of Critical Illness as Volunteers Within ICU Recovery Services.
An International Study Exploring the Experience of Survivors of Critical Illness as Volunteers Within ICU Recovery Services.
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DOI：
10.1097/cce.0000000000000273
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发表时间：
2020-11-01
影响因子：
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通讯作者：
Boehm, Leanne M
中科院分区：
文献类型：
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作者：
Robinson, Carly;Hibbert, Elizabeth;Boehm, Leanne M
许多临床医生已经对ICU后的患者实施了随访和后续护理。其中一些护理得到了同行志愿者的支持和促进。明确探讨ICU康复服务中的志愿者角色或志愿者担任这些角色的经验的当代工作有限。我们试图探索危重疾病幸存者作为志愿者参与ICU康复服务的经历，并了解他们承担这些角色的动机。设计：使用深度半结构化访谈进行定性探索。研究设计采用了归纳的内容分析过程。我们还记录了志愿者在参与研究的每个地点所扮演的角色。设置：从三大洲的七个地点抽取患者和照顾者。患者和受试者：采取同伴志愿角色的患者和照顾者。干预：无。测量和主要结果：12名患者和照顾者同行志愿者被访谈。确定了四个关键主题。这些主题涉及ICU康复服务中志愿者的经历及其承担这些角色的动机：1)自信和接受，2)发展同伴支持，3)社会角色和使命感，4)回馈。绝大多数参与者对志愿者在重症监护环境中的作用持肯定态度。结论：同伴志愿者在ICU康复服务和更广泛的康复期间扮演着不同的角色。这些角色似乎对担任这些角色的人有直接好处。需要未来的研究来发展这些角色，并充分了解对服务的潜在影响，包括对其他患者的影响。
Many clinicians have implemented follow-up and aftercare to support patients following ICU. Some of this care is supported and facilitated by peer volunteers. There is limited contemporary work that has explicitly explored volunteer roles within ICU recovery services or the experience of volunteers undertaking these roles. We sought to explore the experience of survivors of critical illness, as volunteers, involved in ICU recovery services and understand their motivation for undertaking these roles.DESIGN: Qualitative exploration using in-depth semistructured interviews. The study design used an inductive content analysis process. We also documented the roles that were adopted by volunteers in each site involved in the study.SETTING: Patients and caregivers were sampled from seven sites across three continents.PATIENTS AND SUBJECTS: Patients and caregivers who had adopted peer-volunteering roles were undertaken.INTERVENTIONS: None.MEASUREMENTS AND MAIN RESULTS: Twelve patient and caregiver peer volunteers were interviewed. Four key themes were identified. These themes related to the experience of volunteers within ICU recovery services and their motivation for undertaking these roles: 1) self-belief and acceptance, 2) developing peer support, 3) social roles and a sense of purpose, and 4) giving back. Overwhelmingly, participants were positive about the role of the volunteer in the critical care setting.CONCLUSIONS: Peer volunteers undertake a variety of roles in ICU recovery services and during recovery more generally. These roles appear to be of direct benefit to those in these roles. Future research is needed to develop these roles and fully understand the potential impact on the service, including the impact on other patients.