TABLE 2.
Consensus-Building Workshop Results
| Item | % Voting Item Critical | Include/Exclude From Tool | |
|---|---|---|---|
| Patients and Family | Staff | ||
| A: Appropriate and timely discharge planning (discuss and arrange safe transitions in care location) | 3 (60) | 12 (80) | Include |
| D: Conduct interprofessional team meetings to discuss patient- and family-centered care plan | 4 (80) | 14 (93) | |
| O: Provide activities to promote cognitive stimulation based on patient preferences | 3 (60) | 9 (60) | |
| P: Provide regular proactive family meetings to set goals, devise a care plan, and share information | 3 (60) | 13 (87) | |
| B: Assess endocrine function and treat endocrine dysfunction such as hyperglycemia and hypothyroidism | 0 (0) | 0 (0) | Exclude |
| C: Assess/prevent ocular disorders arising from incomplete eyelid closure | 1 (20) | 0 (0) | |
| E: De-escalate (including change to oral instead of IV drugs) or stop ICU pharmacotherapy and restart previous comorbidity pharmacotherapy | 1 (20) | 5 (33) | |
| F: Enable access to activities (radio, television, iPad) and personal possessions (including clothes) to prevent boredom, loneliness, and restore normality | 2 (40) | 8 (53)a | |
| G: Enable continuity of care using shared interprofessional goals agreed with family and patient where possible | 2 (40) | 14 (93)a | |
| H: Ensure access to outside space where possible | 1 (20) | 4 (27) | |
| I: Family participation in care and occupation tasks | 1 (20) | 1 (7) | |
| J: Family presence or participation in rounds and planning meetings | 2 (40) | 1 (7) | |
| K: Include the patient (when able) and family in the development of the weaning plan | 0 (0) | 1 (7) | |
| L: minimizing visiting restrictions | 1 (20) | 2 (13) | |
| M: Preparing patient for more independence where possible, for example, encouraging self-care activities, and reducing observations (may require referral to occupational therapy) | 2 (40) | 9 (60)a | |
| N: Provide access to social support such as a social worker or signposting to sources of support and advice agencies (patient and family) | 2 (40) | 3 (20) | |
| Q: Use a structured tool (i.e., weaning protocol or individualized weaning plan) to plan and guide weaning developed by the ICU team | 1 (20) | 6 (40) | |
| R: Use a patient diary to aid communication with and provide psychologic support for patient and family | 3 (60%)a | 6 (40) | |
a
An item rated critical by > 50% of one group but not the other.