Poster Presentations: Tuesday, October 25, 2011 |

Impact of Videos in the Intensive Care Unit: A Novel Approach to Communication FREE TO VIEW

Brian Barnett, MD; Marcia Henderson, MD; Angela Hochhalter, PhD; Christopher Spradley, MD
Chest. 2011;140(4_MeetingAbstracts):333A. doi:10.1378/chest.1119235
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PURPOSE: Families play an important role in supporting intensive care unit (ICU) patient care, but they also experience stressors. Supporting families by empowering them to play an active role in the patient’s care may improve outcomes for family members and patients. The purpose of this project is to develop and compare the effects of videos for medical ICU (MICU) visitors.

METHODS: Three types of video content will be compared in a quasi experimental cohort treatment reversal study design in which visitors view one of three types of video content assigned to the month that the patient is admitted to the MICU. Content to be compared includes general orientation to the MICU (visitor orientation), ways to engage in the care of patients (visitor engagement), and general health education (usual care). Outcomes include visitor satisfaction with MICU care, visitor mental health symptoms, and patient care outcomes.

RESULTS: Visitors (N=30) and staff members (N=23) completed anonymous surveys about perceived needs of family/friends of ICU patients. Problems with communication were identified as issues by both groups. Draft versions of videos were developed and reviewed by visitors (N=17) and staff members (N=26), and professionally produced version developed based on that feedback. Initial data utilizing a Likert scale of 1-5 demonstrates: ease of understanding (4.7), helpfulness of video (4.7), usefulness of video (4.6), ability of video to answer questions (4.4), helping communicating with staff (4.6), helping visitors get involved in an ICU patient’s care (4.2) and helping visitors feel less stress in an ICU patient’s care (4.4). Video segments deemed most helpful were descriptions of roles of different staff in the ICU, the hierarchy of house-staff, and identification of an in-room question list for the care team.

CONCLUSIONS: The study provides initial evidence for the impact of videos for reducing negative consequences of stressors experienced by close family/friends supporting ICU patients.

CLINICAL IMPLICATIONS: This study provides evidence for the use of novel media to improve the experience of patients and their families in the ICU setting.

DISCLOSURE: The following authors have nothing to disclose: Brian Barnett, Marcia Henderson, Angela Hochhalter, Christopher Spradley

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