Survey on Barriers to Critical Care and Palliative Care Integration
CCCF ePoster library. Kyeremanteng K. Oct 2, 2017; 198151; 36
Kwadwo Kyeremanteng
Kwadwo Kyeremanteng
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Survey on Barriers to Critical Care and Palliative Care Integration

Kyeremanteng, Kwadwo 1,2,3, Beckerleg, Weiwei 1, 5, D’Egidio, Gianni 1,2,4,  Sarti, Aimee 1,2, Wan, Cynthia 5, Vanderspank-Wright, Brandi1,5, Sutherland, Stephanie 5


The Ottawa Hospital 1, Division of Intensive Care 2, Division of Palliative care 3, Division of General Internal Medicine 4, University of Ottawa 5 , Ottawa, Ontario, Canada


Up to 87% of Canadian deaths occur in hospitals - of that proportion, up to 25% of hospitals deaths occur in the special care units, such as the intensive care unit (ICU). Patients admitted to the ICU are often suffering from critical or incurable conditions that require close observations and acute medical attention. It is therefore conceivable that ICU patients and their families are likely to be the individuals under the most physical and psychological distress and would benefit most from end-of-life care (EOLC) and palliative care (PC). Recently, hospitals have started integrating palliative care in the ICU (ICU-PC), and it has shown to improve patients’ symptom management and overall quality of life. ICU-PC models have also shown to reduce patients’ stays in the ICU, which ultimately reduced the resource consumption of the ICU by over $300,000. Despite the numerous advantages, very few Canadian hospitals have adopted the use of ICU-PC.
The proposed project will be one of the first studies to explore the barriers towards integrating palliative care into a Canadian ICU and the impact of the integration. The project will also evaluate the perceived quality of the end of life care (EOLC) provided at participating institutions. Through this study, we also seek the feasibility of launching a national study to determine and create a nationally accepted ICU-PC model.
This is a mixed method survey designed to assess the needs and barriers for ICU-PC integration. Surveys will be administered to evaluate barriers against ICU-PC integration, best ways to approach the integration, perception of the quality of the EOLC provided. Through a needs assessment, we will also investigate how the EOLC can be improved.
A) Identification of potential barriers to ICU-PC integration and B) Assessment of perceived quality of EOLC
A) Healthcare professionals will be asked to identify potential barriers or hesitations that they have towards an ICU-PC integration in a survey.
B) Perceived quality of EOLC will be measured in a survey through seven domains:
1) patient- and family-centered decision making;
2) communication within the team and with patients and families;
3) continuity of care;
4) symptom management and comfort care;
5) emotional and practical support for patients and families;
6) spiritual support; and
7) emotional and organizational support for ICU staff.
This has not been elucidated at the time of submission, as the survey is just being distributed. Results will be available for presentation at the conference.

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