Promoting Personhood in the ICU: Patient and Family Experience with The Footprints Project
CCCF ePoster library. Hoad N. Nov 7, 2018; 233389; 18
Ms. Neala Hoad
Ms. Neala Hoad
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Abstract
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Introduction: 

Initiated by 2 bedside nurses to enhance humanity in the critical care encounter, the 2-component Footprints Project was developed to share a patient’s story with the medical team during their critical illness. The first step captures personal information about ICU patients by asking the family and patient (if able) to complete a paper-based form including questions focused on physical and psychosocial aspects of the patient. The second step involves the bedside nurse selecting and transcribing some of this information onto the dedicated Footprints Whiteboard in each patient’s room. 

 

Objectives: 

The overall goals of this study were to assess the uptake, sustainability and influence of the Footprints Project using quantitative and qualitative methods.  The specific aim of this qualitative component of the study was to understand patient and family perceptions about the influence of Footprints on their ICU experience.

 

Methods:

This mixed-methods study was conducted in the 22 bed tertiary-care, university affiliated, medical-surgical ICU at St Joseph’s Healthcare Hamilton.  We interviewed 5 patients who survived ICU, after their discharge to the ward.  We also interviewed family members of 10 different patients (5 family members whose loved one died in ICU and 5 family members whose loved one survived critical illness).  Interview transcripts were analyzed in triplicate using conventional content analysis.

 

Results:

The 4 main themes identified were: humanizing the patient, motivating the patient, broadening perspectives, and developing deeper connections with the clinical team. Patients and families shared that the Footprints Project promoted holistic care that emphasized a patient’s life beyond their critical illness and had motivational effects on their recovery. Information learned through the project potentially challenged clinician assumptions about the patient while helping to establish trust and strengthen the relationship with their clinicians.

 

Conclusion:

In a setting in which patients are often unable to communicate, the Footprints Project offered patients and families a voice which enhanced connection and communication with the clinical team. Family members who completed Footprint Forms and patients who were witness to having their personal information transcribed onto their own Whiteboards experienced a strong sense of humanized, person-centered care in the ICU. 

 

 


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