Overcoming Patient-Centered Outcomes Research Barriers During and After Critical Illness Hospitalization.

Background: Recruiting patients/family for research related to intensive care unit (ICU) care can be challenging. Objectives: To engage diverse stakeholders (patients with recent ICU discharge, their families/caregivers, ICU clinicians, and health services researchers) to identify barriers to resear...

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Publicado en:American Journal of Critical Care Vol. 35; no. 3; pp. 199 - 205
Autores principales: Kleinpell, Ruth, LaNoue, Marianna, Lacey, Susan, Hwang, David Y., Sevin, Carla M., Boehm, Leanne M., Andrews, Adair
Formato: CEU research tables/charts Journal Article
Publicado: American Association of Critical-Care Nurses May2026
Acceso en línea:Ver este registro en EBSCOhost
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      dt: May2026
      vid: 35
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      pub: American Association of Critical-Care Nurses
      place: Alisa Veijo, California
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        atl: Overcoming Patient-Centered Outcomes Research Barriers During and After Critical Illness Hospitalization.
      aug:
        au:
          Kleinpell, Ruth
          LaNoue, Marianna
          Lacey, Susan
          Hwang, David Y.
          Sevin, Carla M.
          Boehm, Leanne M.
          Andrews, Adair
        affil: professor and vice-dean, Vanderbilt University School of Nursing, Nashville, Tennessee
      sug:
        subj:
          Critical Illness Therapy
          Hospitalization
          Patient Centered Care
          Outcome Assessment
          Research Subjects Psychosocial Factors
          Family Psychosocial Factors
          Stakeholder Participation Psychosocial Factors
          Caregivers Psychosocial Factors
          Intensive Care Units
          Patient Discharge
          Education, Continuing (Credit)
          Human
          United States
          Comparative Studies
          Descriptive Statistics
          Concept Mapping
          Videoconferencing
          Patient Selection
          Patient Participation
          Length of Stay
          Fear
          Health Personnel
          Research Personnel
          Misinformation
          Research, Medical
      ab: Background: Recruiting patients/family for research related to intensive care unit (ICU) care can be challenging. Objectives: To engage diverse stakeholders (patients with recent ICU discharge, their families/caregivers, ICU clinicians, and health services researchers) to identify barriers to research engagement among recently discharged patients and their family members/caregivers and to highlight strategies to address the barriers. Methods: Four sessions of group concept mapping, a participatory research and engagement approach, were used with 16 former patients and their family members/caregivers and 23 professionals (clinicians and researchers) to elicit barriers to ICU research participation. Strategies to address the barriers were outlined and categorized according to themes identified in the literature, with input from a patient and family advisory board. Results: Ninety-eight unique barriers were identified and organized into 7 clusters: negative experiences surrounding ICU stay, difficult research logistics, patient and family characteristics, ICU setting limitations, post–critical illness issues, research fears, and (mis)perceptions about research. Strategies to overcome those barriers were identified and outlined in an open access, web-based toolkit to help ICU clinicians and researchers engage people in research. Conclusions: Ensuring that patients and families have sufficient information about research participation, promoting a research-supportive culture, addressing uncertainty about research participation, and providing clinical staff with access to research training can help engage ICU patients and family members in critical care research.
      pubtype: Academic Journal
      doctype:
        CEU
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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