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Surviving Intensive Care pp 297–304Cite as

L.O.V.E. and Quality of Life within the ICU: How can it improve Patient Outcome?

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Part of the book series: Update in Intensive Care Medicine ((UICMSOFT,volume 39))

Abstract

Many factors potentially able to influence outcomes in critically ill patients have been described and widely explored. These include, besides therapeutic issues and quality of care [1], the underlying condition of the patient, the acute severity of illness, as well as organizational and managerial issues in the intensive care unit (ICU) [2–4]. Each of these areas is discussed in this book. However, quality of life of the ICU team, or of the patient or relatives during or after their ICU stay, which are heavily influenced by the quality of the relationship between the team and the patients/relatives, and could theoretically influence patient outcomes or be responsible for severe psychological sequelae, have been poorly studied. For simplification, we will regroup all those managerial, sociologie, and behavioral issues in the ICU under the term L.O.V.E. (Leadership, Ownership, Values and Expectations). L.O.V.E. will of course be influenced by many factors related to human polymorphism, occurrence of acute and painful events, before or during the ICU stay, but mostly by the managerial and governance profile within the unit, which determine the respect that people (both patient, relatives and health care workers) ‘feel’ during the part of their life that they spend in the ICU. Although very scarce in the hospital setting in general, a few data are available in the ICU [4–10]. More extensive data are available from the industrial world.

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References

  1. Clemmer TP, Spuhler VJ, Oniki TA, et al (1999) Results of a collaborative quality improvement program on outcomes and costs in a tertiary critical care unit Crit Care Med 271768–1774

    Article  PubMed  CAS  Google Scholar 

  2. Pronovost PJ, Jenckess MW, Dorman T, et al (1999) Organizational characteristics of intensive care units related outcomes of abdominal aortic surgery JAMA 141310–1317

    Article  Google Scholar 

  3. Reis Miranda D, Ryan DW, Schanfeh WB, Fidler V (1997) Organizational and Management of Intensive Care: a Prospective Study in 12 European Countries Springer, Heidelberg

    Google Scholar 

  4. Zimmerman IE, Shortell SM, Rousseau DM, et al (1994) Improving intensive care units: Observations based on organizational case studies in nine intensive care units Crit Care Med 101443–1451

    Google Scholar 

  5. Cooke RA, Szumal JL (1993) Measuring normative beliefs and shared behavioral expectations in organizations: The reliability and validity of the Organizational Culture Inventory Psychol Rep 721299–1330

    Article  Google Scholar 

  6. Xenikou A, Furnham A (1996) A correlational and factor analytic study of four questionnaire measures of organizational culture Hum Rel 49349–371

    Article  Google Scholar 

  7. Cooke RA, Rousseau DM (1988) Behavioral norms and expectations: A quantitative approach to the assessment of organizational culture Group and Organization Studies 13245–273

    Article  Google Scholar 

  8. Rousseau DM (1990) Normative beliefs in fund-raisins organizations: Linking culture to organizational performance and individual responses Group and Organization Studies 15448–460

    Article  Google Scholar 

  9. Klein AS, Masi RJ, Wiedner CK (1995) Organizational culture, distribution and amount of control and perceptions of quality Group and Organization Studies 20122–148

    Article  Google Scholar 

  10. Bennett D, Bion J (1999) ABC of intensive organization of intensive care Br Med J 3181468–1470

    Article  CAS  Google Scholar 

  11. Devidhizar R (1989) Retention technique # 1. Developing managerial warmth Dimens Crit Care Nurs 828–37

    Article  Google Scholar 

  12. Rushton CH (2001) Caregiver suffering is a dimension of end-of-life care Am Nurse 339–23

    PubMed  CAS  Google Scholar 

  13. Rushton CH, Scanlon C (1995) When values conflict with obligations: safeguards for nurses Pediatr Nurs 21260–261

    PubMed  CAS  Google Scholar 

  14. Al-Ma’aitah R, Cameron S, Horsburgh ME, Armstrong-Stassen M (1999) Predictors of job satisfaction, turnover, and burnout in female Jordanian nurses Can J Nurs Res 3115–30

    CAS  Google Scholar 

  15. Boyle DK, Bott MJ, Hansen HE, et al (1999) Managers’ leadership and critical care nurses’ intent to stay Am J Crit Care 8361–371

    PubMed  CAS  Google Scholar 

  16. Sohl-Kreiger R, Lagaard MW, Scherrer J (1996) Nursing case management: relationships as a strategy to improve care Clin Nurse Spec 10107–113

    Article  PubMed  CAS  Google Scholar 

  17. Demerouti E, Bakker AB, Nachreiner F, et al (2000) A model of burnout and life satisfaction J Adv Nurs 32454–464

    Article  PubMed  CAS  Google Scholar 

  18. Caine RM (1989) Families in crisis: making the critical difference Focus Crit Care 16184–189

    PubMed  CAS  Google Scholar 

  19. Azoulay E, Pochard F, Chevret S, et al (2001) Meeting the needs of intensive care unit patient families Am J Respir Crit Care Med 163135–139

    PubMed  CAS  Google Scholar 

  20. Pochard F, Azoulay E, Chevret S, et al (2001) Symptoms of anxiety and depression in family members of intensive care unit patients: ethical hypothesis regarding decision-making capacity Crit Care Med 291893–1897

    Article  PubMed  CAS  Google Scholar 

  21. Fins JJ, Solomon MZ (2001) Communication in intensive care settings: the challenge of fuel disputes Crit Care Med 29N10–N15

    Article  PubMed  CAS  Google Scholar 

  22. Lilly CM, De Meo DL, Sonna LA, et al (2000) An intensive communication intervention for the critically ill Am J Med 109469–475

    Article  PubMed  CAS  Google Scholar 

  23. Fetters MD, Churchill L, Danis M (2001) Conflict resolution at the end of life Crit Care Med 29921–925

    Article  PubMed  CAS  Google Scholar 

  24. Wright S, Bowkett J, Bray K (1996) The communication gap in the ICU — a possible solution Nurs Crit Care 1241–244

    PubMed  CAS  Google Scholar 

  25. Severinsson EI, Kamaker D (1999) Clinical nursing supervision in the workplace — effects on moral stress and job satisfaction J Nurs Manag 781–90

    Article  PubMed  CAS  Google Scholar 

  26. Cavanagh SJ (1988) The conflict management style of intensive care nurses Intensive Care Nurs 4118–123

    Article  PubMed  CAS  Google Scholar 

  27. Shortell SM, Zimmerman IE, Rousseau DM, et al (1994) The performance of intensive care units: Does good management make a difference? Med Care 32508–525

    Article  PubMed  CAS  Google Scholar 

  28. Mitchell PH, Shannon SE, Cain KC Hegyvary ST (1996) Critical care outcomes: linking structures, processes and organizational and clinical outcomes Am J Crit Care 5353–363

    PubMed  CAS  Google Scholar 

  29. Volk MC, Lucas MD (1991) Relationship of management style and anticipated turnover Dimens Crit Care Nurs 1035–40

    Article  PubMed  CAS  Google Scholar 

  30. Thijs LG (1997) Continuous quality improvement in the ICU: general guidelines. Task force of the European Society of Intensive Care Medicine Intensive Care Med 23929–930

    Article  Google Scholar 

  31. Mularski RA, Bascom P, Osborne M (2001) Educational agendas for interdisciplinary end of life curricula Crit Care Med 29 (Suppl)N16–N23

    Article  PubMed  CAS  Google Scholar 

  32. Puntillo KA, Benner P, Drought T, et al (2001) End-of-life issues in intensive care units: a national random survey of nurses’ knowledge and beliefs Am J Crit Care 10216–229

    PubMed  CAS  Google Scholar 

  33. Levy MM, Carlet J (2001) Compassionate end-of-life care in the intensive care unit Crit Care Med 29 (Suppl): N1

    Article  Google Scholar 

  34. Whitis G (1994) Visiting hospitahzed patients J Adv Nurs 1985–88

    Article  PubMed  CAS  Google Scholar 

  35. Roland P, Russell J, Richards KC, Sullivan SC (2001) Visitation in critical care: processes and outcomes of a performance improvement initiative J Nurs Care Qual 1518–26

    Article  PubMed  CAS  Google Scholar 

  36. Bijttebier P, Vanoust S, Delva D, Ferdinande P, Erans E (2001) Needs of relatives of critical care patients: perceptions of relatives, physicians and nurses Intensive Care Med 27160–165

    Article  PubMed  CAS  Google Scholar 

  37. Prost SG, Puchalski CM, Larson DB (2000) Physicians and patient spirituality: professional boundaries, competency, and ethics Ann Intern Med 132578–583

    Google Scholar 

  38. Patrick DL, Danis M (1989) Patients’ and families’ preferences for medical intensive care JAMA 13242–243

    Article  Google Scholar 

  39. Danis M, Patrick DL, Southerland LI, Green ML (1988) Patients’ and families’ preferences for medical intensive care JAMA 260797–802

    Article  PubMed  CAS  Google Scholar 

  40. Danis M, Jarr SL, Southerland LI, Nocella RS, Patrick DL (1987) A comparison of patient, family, and nurse evaluations of the usefulness of intensive care Crit Care Med 15138–143

    Article  PubMed  CAS  Google Scholar 

  41. Brilli RJ, Spevetz A, Branson RD, et al (2001) Critical care delivery in the intensive care unit: defining clinical roles and the best practice model Crit Care Med 292007–2019

    Article  PubMed  CAS  Google Scholar 

  42. Adams A, Bond S (2000) Hospital nurses’ job satisfaction, individual and organizational characteristics J Adv Nurs 32536–543

    Article  PubMed  CAS  Google Scholar 

  43. Shortell SM, Rousseau DM, Gillies RR, et al (1991) Organizational assessment in intensive care units (ICUs): construct, development, reliability, and validity of the ICU Nurse-Physician Questionnaire Med Care 29709–723

    Article  PubMed  CAS  Google Scholar 

  44. Sirio CA, Rotondi AJ (1999) The value of collaboration: quality improvement in critical care units Crit Care Med 272034–2035

    Article  PubMed  CAS  Google Scholar 

  45. Baggs GJ, Schmitt MH, Faan RN, et al (1999) Association between nurse-physician collaboration and patient outcomes in three intensive care units Crit Care Med 271991–1998

    Article  PubMed  CAS  Google Scholar 

  46. Bushneil MS, Dean JM (1993) Managing the intensive care unit: physician-nurse collaboration Crit Care Med 21S389–S390

    Article  Google Scholar 

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Authors and Affiliations

  1. Dept of Intensive Care, Fondation-Hôpital Saint-Joseph, 75674, Paris Cedex 14, France

    J. Carlet (Staff Intensivist) & M. Garrouste-Orgeas (Staff Intensivist)

  2. Dept of Intensive Care, Hôpital St Antoine, 184 Rue du Faubourg, 75012, Paris, France

    B. Guidet (Staff Intensivist)

Authors
  1. J. Carlet
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  2. M. Garrouste-Orgeas
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  3. B. Guidet
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Editor information

Editors and Affiliations

  1. Department of Critical Care Medicine, University of Pittsburgh, 3550 Terrace Street, Pittsburgh, PA, 15261, USA

    Derek C. Angus MD, MPH, FCCM, FCCP (Associate Professor and Vice Chair for Research) (Associate Professor and Vice Chair for Research)

  2. Anaesthesiology and Emergency Department, Fondation Hôpital St Joseph, 185 rue Raymond Losserand, 75674, Paris Cedex 14, France

    Jean Carlet MD (Head of the Intensive Care Unit Coordinator of the Intensive Care) (Head of the Intensive Care Unit Coordinator of the Intensive Care)

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© 2003 Springer-Verlag Berlin Heidelberg

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Carlet, J., Garrouste-Orgeas, M., Guidet, B. (2003). L.O.V.E. and Quality of Life within the ICU: How can it improve Patient Outcome?. In: Angus, D.C., Carlet, J. (eds) Surviving Intensive Care. Update in Intensive Care Medicine, vol 39. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-55733-0_23

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  • DOI: https://doi.org/10.1007/978-3-642-55733-0_23

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-44149-6

  • Online ISBN: 978-3-642-55733-0

  • eBook Packages: Springer Book Archive

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