Nurse Follow-Up Care for Post-ICU Recovery

Age: 18+

Sex: Any

Trial Phase: Academic

Sponsor: University of Michigan

No Placebo Group All trial participants will receive the active study treatment (no placebo)

Compensation: Varies

Number of Visits: 1

30 Participants Needed

Trial Summary

What is the purpose of this trial?

The objective of this study is to learn more about the impact of a longitudinal encounter between critical care nurses and former intensive care unit patients. This study will enroll 10 patients that had been admitted in an ICU to meet with a former nurse that had taken care of them in the ICU. The study will enroll 20 nurses that had taken care of these patients in the ICU. The study will randomize 10 nurses to be in the encounter group and 10 nurses to be assigned to the control group. Only nurses assigned to the encounter group will meet with the patients at their post-ICU clinic.

Will I have to stop taking my current medications?

The trial information does not specify whether you need to stop taking your current medications.

What data supports the effectiveness of the treatment Nurse Follow-Up Care for Post-ICU Recovery?

Research shows that structured nurse-led follow-up care can help improve psychological recovery for patients after they leave intensive care. This type of care often includes regular check-ins and support, which can help patients feel better mentally and emotionally after a tough time in the ICU. ^{1 2 3 4 5}

Is nurse-led follow-up care after ICU discharge safe for patients?

The studies reviewed do not report any safety concerns related to nurse-led follow-up care after ICU discharge, suggesting it is generally safe for patients. ^{1 2 5 6 7}

How is nurse follow-up care for post-ICU recovery different from other treatments?

Nurse follow-up care for post-ICU recovery is unique because it involves structured, nurse-led visits that focus on both the physical and psychological recovery of patients after they leave intensive care. This approach is different from usual care as it provides personalized support and monitoring, which can help improve outcomes for patients recovering from critical illness. ^{1 2 5 8 9}

Research Team

Jakob McSparron, MD

Principal Investigator

University of Michigan

Eligibility Criteria

This trial is for patients who were previously in an ICU and are suitable for follow-up, as well as the nurses who cared for them. Nurses must be registered and have worked in an ICU. The study excludes anyone not meeting these criteria.

Inclusion Criteria

Registered nurse in an intensive care unit and took care of the enrolled patient

I was in the ICU and am now eligible for follow-up care.

I was in the ICU and am now eligible for follow-up care.

Timeline

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Encounter

Nurses in the encounter group meet with former ICU patients at the post-ICU clinic

1 day

1 visit (in-person)

Follow-up

Participants are monitored for changes in nurse fulfillment and burnout after the encounter

2-4 weeks

Treatment Details

Interventions

• Nurse control group
• Nurse Encounter Group

Trial Overview The study aims to understand the effects of post-ICU meetings between patients and their former ICU nurses. It involves 10 patients and 20 nurses, with half of the nurses randomly chosen to meet with former patients at a clinic.

Participant Groups

Group I: Nurse Encounter Group Experimental Treatment 1 Intervention

Nurses that are assigned to this group will be asked to take surveys before and immediately following the post-ICU clinic encounter with a patient that they had cared for in the ICU during a follow-up care visit with the former ICU - patient.

Group II: Nurse Control Group Experimental Treatment 1 Intervention

Nurses assigned to this group will only complete surveys and will not see a former patient in a post-ICU visit.

Who Is Running the Clinical Trial?

University of Michigan

Lead Sponsor

Trials

1,891

Recruited

6,458,000+

References

1. Netherlands pubmed.ncbi.nlm.nih.gov

Psychological recovery after intensive care: Outcomes of a long-term quasi-experimental study of structured nurse-led follow-up. [2018]

2. England pubmed.ncbi.nlm.nih.gov

Integrative review of nurse-led follow-up after discharge from the ICU. [2018]

3. United States pubmed.ncbi.nlm.nih.gov

Issues of survivorship are rarely addressed during intensive care unit stays. Baseline results from a statewide quality improvement collaborative. [2021]

4. United States pubmed.ncbi.nlm.nih.gov

Redesigning the ICU nursing discharge process: a quality improvement study. [2022]

5. England pubmed.ncbi.nlm.nih.gov

Critical care nurses' experiences of follow-up visits to an ICU. [2018]

6. England pubmed.ncbi.nlm.nih.gov

Follow-up visit in an ICU: receiving a sense of coherence. [2019]

7. Netherlands pubmed.ncbi.nlm.nih.gov

Re-visiting the ICU Experiences of follow-up visits to an ICU after discharge: a qualitative study. [2022]

8. Netherlands pubmed.ncbi.nlm.nih.gov

Ward visits- one essential step in intensive care follow-up. An interview study with critical care nurses' and ward nurses'. [2019]

9. Netherlands pubmed.ncbi.nlm.nih.gov

The creation of meaning - Intensive care nurses' experiences of conducting nurse-led follow-up on intensive care units. [2019]