Engaging Patients and Families to Improve Care for Mechanically Ventilated Patients

让患者和家属参与改善机械通气患者的护理

• 批准号: 9144357
• 负责人: SEAN M BERENHOLTZ
• 金额: $ 24.02万
• 依托单位: JOHNS HOPKINS UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2015
• 资助国家: 美国
• 起止时间: 2015-09-15 至 2018-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9144357
• 关键词: Engaging; Patients; Families; Improve; Care

 DESCRIPTION (provided by applicant): My long-term goal is to apply rigorous patient-centered outcomes research methodologies to improve the quality and safety of patient care in the intensive care unit and perioperative setting. I have served as principal or co-investigator on more than a dozen funded awards to develop, implement and evaluate comparative effectiveness research focused on improving quality and safety of patient care. Despite this extensive experience, none of my research has had significant patient or family involvement. The proposed career enhancement program will allow me to gain the additional skills and experience required to conduct high quality patient-centered outcomes research and provide a foundation for a successful career as an independent patient-centered outcomes researcher. My career enhancement plan includes: 1) formal coursework in patient-centered outcomes research, 2) conferences and seminars focused on patient-centered outcomes research, 3) participation in PCORI funded research projects, and 4) structured mentoring by a senior investigator and a well-qualified advisory committee for the conduct of research that is responsive to and involves patients and families throughout the research process. The objective of the proposed research is to partner with patients and families to improve care for mechanically ventilated patients by improving provider communication with patients and families regarding the use of mechanical ventilation, potential complications and strategies to reduce them, and empowering families to take an active role in related care. The specific aims are to: 1) Engage a council of patient and family partners to identify current knowledge and key experiences of mechanical ventilation, complications they value, key content to communicate, and individual- centered approaches to communication. 2) Partner with the patient and family council to develop a "patient and family-centered ventilator toolkit" to improve communication of providers regarding mechanical ventilation, and to empower families to take an active role in the care of a mechanically ventilated patient. The new toolkit will be broadly disseminated to providers, patients and families in ICUs through an extensive professional network and provide a framework that may likely be applied in other areas of preventable harm. The proposed research is novel in the critical care field and fills a gap in efforts to improve care and reduce complications associated with mechanical ventilation. Successful completion of the proposed research will advance patient-centered outcomes research by generating new knowledge in the area of critical care, partnering with patients and families to increase adherence with evidence-based recommendations and improve care for mechanically ventilated patients, and engaging patients and families in ICU care.

 描述（由适用提供）：我的长期目标是应用严格的以患者为中心的结果研究方法，以提高重症监护病房和周期性环境中患者护理的质量和安全性。我曾在 十多个资助的奖项，用于开发，实施和评估比较有效性研究，重点是提高患者护理的质量和安全性。尽管经验丰富，但我的研究都没有大量的患者或家庭参与。拟议的职业增强计划将使我能够获得以患者为中心的高质量结果研究所需的其他技能和经验，并为成功成为以患者为中心的独立成果研究者的职业为基础。我的职业增强计划包括：1）以患者为中心的结果研究的正式课程，2）专注于以患者为中心的结果研究的会议和下水道，3）参与PCORI资助的研究项目，以及4）由高级研究员和合格的研究委员会对研究和涉及患者和家庭的研究咨询委员会的结构化指导。拟议的研究的目的是与患者和家庭合作，通过改善提供者和家庭在使用机械通风，潜在的并发症和减少他们的策略方面的沟通来改善机械通风患者的护理，并赋予家人在相关护理中发挥积极作用。具体目的是：1）与患者和家庭合作伙伴的理事会互动，以确定当前的知识和机械通气的关键经验，它们重视的并发症，关键的沟通内容以及以个人为中心的交流方法。 2）与患者和家庭理事会合作，开发“患者和家庭为中心的呼吸机工具包”，以改善提供者在机械通气方面的沟通，并赋予家庭在机械通风患者的护理中发挥积极作用。新工具包将通过广泛的专业网络大致传播给ICU中的提供者，患者和家庭，并提供可能在其他可预防危害的领域中应用的框架。拟议的研究在重症监护领域是新颖的，填补了改善护理和减少与机械通气相关的并发症的努力的空白。成功完成拟议的研究将通过在重症监护领域产生新知识，与患者和家庭合作，通过基于证据的建议提高依从性并改善机械通风患者的护理，并使患者和家庭从事ICU护理方面的护理。