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The experiences of healthcare professionals, patients, and families of the process of referral and admission to intensive care : a systematic literature review

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Rees, Sophie, Griffiths, Frances, Bassford, Christopher, Brooke, Mike, Fritz, Zoë , Huang, Huayi, Rees, Karen, Turner, Jake and Slowther, Anne (2020) The experiences of healthcare professionals, patients, and families of the process of referral and admission to intensive care : a systematic literature review. Journal of the Intensive Care Society, 21 (1). pp. 79-86. doi:10.1177/1751143719832185 ISSN 1751-1437.

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Official URL: https://doi.org/10.1177/1751143719832185

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Abstract

Treatment in an intensive care unit (ICU) can be life - saving but it can be distressing and not every patient can benefit. Decisions to admit a patient to ICU are complex. We wished to explore how the decision to refer or admit is experienced by those involved, and undertook a systematic review of the literature to answer the research question: What are the experiences of healthcare professionals, patients and families, of the process of referral and admission to an ICU? Twelve relevant studies were identified, and a thematic analysis was conducted. Most studies involved health care professionals, with only two considering patients’ or families’ experiences. Four themes were identified which influenced experiences of ICU referral and review: the professional environment; communication; the allocation of limited resources; and acknowledging uncertainty. Patients’ and families’ experiences have been under - researched in this area.

Item Type: Journal Article
Subjects: R Medicine > RA Public aspects of medicine
Divisions: Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Clinical Trials Unit
Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School
Library of Congress Subject Headings (LCSH): Intensive care units -- Admission and discharge -- Decision making
Journal or Publication Title: Journal of the Intensive Care Society
Publisher: Sage Publications Ltd.
ISSN: 1751-1437
Official Date: 1 February 2020
Dates:
DateEvent
1 February 2020Published
11 March 2019Available
10 December 2018Accepted
Volume: 21
Number: 1
Page Range: pp. 79-86
DOI: 10.1177/1751143719832185
Status: Peer Reviewed
Publication Status: Published
Reuse Statement (publisher, data, author rights): Posted ahead of print. Rees, Sophie, Griffiths, Frances, Bassford, Christopher, Brooke, Mike, Fritz, Zoë , Huang, Huayi, Rees, Karen, Turner, Jake and Slowther, Anne (2018) The experiences of healthcare professionals, patients, and families of the process of referral and admission to intensive care : a systematic literature review. Journal of the Intensive Care Society.Author(s). Copyright © 2018 The Authors. Reprinted by permission of SAGE Publications. DOI: [DOI]
Access rights to Published version: Restricted or Subscription Access
Date of first compliant deposit: 13 December 2018
Date of first compliant Open Access: 13 December 2018
RIOXX Funder/Project Grant:
Project/Grant IDRIOXX Funder NameFunder ID
13/10/14[NIHR] National Institute for Health Researchhttp://dx.doi.org/10.13039/501100000272
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