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Recovering after Critical Illness: The ICU Environment, Patient Experience, and Post ICU Outcomes

A special issue of International Journal of Environmental Research and Public Health (ISSN 1660-4601). This special issue belongs to the section "Nursing".

Deadline for manuscript submissions: closed (22 May 2023) | Viewed by 3470

Special Issue Editor


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Guest Editor
1. Department of Mental Health, Caboolture Hospital, Caboolture QLD 4510, Australia 2. School of Clinical Sciences, Queensland University of Technology, Brisbane QLD 4000, Australia
3. Critical Care Research Group, Prince Charles Hospital, Brisbane QLD 4032, Australia
Interests: early career research; mental health; clinical decision-making; measuring risk; recovery following severe illness/injury

Special Issue Information

Dear Colleagues,

Progressive clinical research and technological innovation in intensive care have allowed more people to survive critical illness than ever before, with up to 90% of patients now surviving to discharge (Zimmerman et al. 2013). As more people survive, it has become increasingly clear that recovery post ICU is often complex and partial. Longitudinal studies have shown high rates of physical, cognitive, and psychiatric morbidity, collectively known as post-intensive care syndrome (PICS), which can affect both the patient and their loved ones (Needham et al. 2012). The personal, economic, and societal impact of PICS is immense (Griffiths et al. 2013), and the challenges posed by post-intensive care recovery are stimulating interest across disciplines internationally (Rawal et al. 2017).

The aim of this Special Issue is to address recent calls for a nuanced and multidisciplinary approach to this complex problem. This requires an exploration of the physical, social, and economic environments in which patients with critical illness are being treated both in hospital, as well as following discharge. Papers addressing these topics are invited for this Special Issue, especially those combining a high academic standard with a practical focus on improving the recovery trajectory of patients who have survived a critical illness.

We look forward to your contribution.

Dr. Dylan F. Flaws
Guest Editor

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. International Journal of Environmental Research and Public Health is an international peer-reviewed open access monthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2500 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • post-intensive care syndrome
  • intensive care
  • critical care
  • critical illness
  • mental illness
  • holistic care
  • multidisciplinary care
  • patient/family-centered care
  • recovery-focused environment
  • transition of care

Published Papers (1 paper)

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Research

12 pages, 345 KiB  
Article
Patients’ and Relatives’ Experiences of Delirium in the Intensive Care Unit—A Qualitative Study
by Sandra Lange, Wioletta Mędrzycka-Dąbrowska, Adriano Friganović, Dorota Religa and Sabina Krupa
Int. J. Environ. Res. Public Health 2022, 19(18), 11601; https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph191811601 - 15 Sep 2022
Cited by 3 | Viewed by 2968
Abstract
(1) Introduction: Delirium is a cognitive disorder that affects up to 80% of ICU patients and has many negative consequences. The occurrence of delirium in an ICU patient also negatively affects the relatives caring for these patients. The aim of this study was [...] Read more.
(1) Introduction: Delirium is a cognitive disorder that affects up to 80% of ICU patients and has many negative consequences. The occurrence of delirium in an ICU patient also negatively affects the relatives caring for these patients. The aim of this study was to explore patients’ and their families’ experiences of delirium during their ICU stay. (2) Method: The study used a qualitative design based on phenomenology as a research method. A semi-structured interview method was used to achieve the aim. The responses of patients and their families were recorded and transcribed, and the data were coded and analyzed. (3) Results: Eight interviews were conducted with past ICU patients who developed delirium during hospitalization and their family members. The mean age of the participants was 71 years. Of the eight patients, 2 (25%) were female and 6 (75%) were male. The relationships of the 8 carers with the patients were wife (in 4 cases), daughter (in 2 cases), and son (in 2 cases). The average length of time a patient stayed in the ICU was 24 days. The following themes were extracted from the interviews: education, feelings before the delirium, pain, thirst, the day after, talking to the family/patient, and return home. (4) Conclusions: Post-delirium patients and their families feel that more emphasis should be placed on information about delirium. Most patients feel embarrassed and ashamed about events during a delirium episode. Patients fear the reaction of their families when delirium occurs. Patients’ families are not concerned about their relatives returning home and believe that the home environment will allow them to forget the delirium events more quickly during hospitalization. Full article
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