Patients admitted to the General ICU.
Conditions
Interventions
Intervention 1: Control group: The control group receives usual care. Intervention 2: Intervention group: In the experimental group, measures based on the 7 components mentioned in the HU-CI model wil
2- Reminder messages: Reminder messages will be sent to nurses twice a week by the research team through a group formed in one of the messengers (given the greater frequency of use of a software among
Greetings will be done at the beginning of the shift with the aim of strengthening and uniting the team and creating a positive tone throughout the day. The goal is to create a regular flow of support
3- Integrate greetings into the team: Starting each shift with a simple but effective greeting can have a big impact on the morale of the team and its members. The goal is to create a more friendly an
4- HELLO Box: A box that allows employees to leave messages of gratitude and appreciation for their colleagues. The goal is to motivate and motivate team members by recognizing and appreciating the da
5- Leadership Role Modeling: Nursing and medical leaders will set a positive behavioral model for others by using positive communication behavior and
Sponsors
Tehran University of Medical Sciences
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: Inclusion criteria for patients: Age over 18 years. Inclusion criteria for patients: Patients admitted to the ICU for more than 24 hours. Inclusion criteria for patients: Absence of delirium at the time of study entry. Patient must be conscious (GCS greater than 13) and aware of time and place. Inclusion criteria for patients: The patient must be fluent in Persian and able to communicate. Inclusion criteria for patients: Patients must be literate. Inclusion criteria for patients: No previous history of ICU admission. Inclusion criteria for patients: No underlying cognitive disorders in the patient (dementia, Alzheimer's, etc.) Inclusion criteria for family: Age over 18 years Inclusion criteria for family: Must be the primary family member in patient care. Inclusion criteria for the family: Be fluent in Persian. Inclusion criteria for the family: Must be literate. Inclusion criteria for the family: The family must not have another patient hospitalized at the same time. Inclusion criteria for nurses: All nurses working in the General ICU of Mahdi Clinic, Imam Khomeini Hospital Complex
Exclusion criteria
Exclusion criteria: Exclusion criteria for patients: Unwillingness to continue cooperation Exclusion criteria for patients: Occurrence of any unexpected conditions such as changes in the level of consciousness that eliminate the patient's ability to complete the questionnaire. Exclusion criteria for patients: Death of the patient Exclusion criteria for patients: The patient is discharged suddenly or with personal consent. Exclusion criteria for patients: The patient's hospitalization in the general ICU exceeds one week. Exclusion criteria for family: Unwillingness to continue cooperation Exclusion criteria for family: If any of the patient's exclusion criteria occur, the patient's family will also be excluded from the study. Exclusion criteria for nurses: Unwillingness to continue cooperation
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Delirium of patients. Timepoint: The patient is checked twice a day from the time he or she enters the study until he or she is discharged or transferred to another ward. Method of measurement: Confusion Assessment Method for the Intensive Care Unit (CAM- ICU). | — |
Secondary
| Measure | Time frame |
|---|---|
| Family satisfaction. Timepoint: After discharge or transfer of the patient to another ward. Method of measurement: Family Satisfaction in the Intensive Care Units (FS-ICU-24).;Human dignity of patients. Timepoint: After discharge or transfer of the patient to another ward. Method of measurement: Patient Dignity Inventory (PDI). | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactParvaneh Asgari
Tehran University of Medical Sciences
Outcome results
None listed