Patient-psychologist telemedicine interactions in an intensive care unit recovery clinic: Qualitative secondary analysis.
Ali A Hussain, Abigail C Jones, Megan M Hosey and 8 others
PMID 39577128WHAT IT FOUND
Some ICU survivors minimized mental health symptoms.
In telemedicine visits with a pharmacist, physician, and psychologist, the psychologist used rapport, brief mental health screening, and coping strategies and education.
Key findings
01Patient accounts grouped into negative thoughts, minimization of mental health impact, and coping methods.
02Psychologist responses grouped into rapport building and validation, psychological assessments, and psychological interventions.
03Caregivers sometimes perceived the mental health impact of ICU hospitalization as more significant than the patients did.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The sample was small and not diverse, so the themes may not apply to other patients. It was done at one academic medical center, and people without technology access or English proficiency were excluded. The whole healthcare team was present during the psychologist's visit portion, which may have reduced disclosure of mental health concerns. The study could not describe how psychological needs changed from 3 weeks to 12 weeks. Qualitative interpretation is subjective, and the psychologist who delivered care also helped interpret findings.
Declared interests
The authors reported no conflicts of interest.
The easy way to misread this
Do not conclude that the telemedicine visits with a pharmacist, physician, and psychologist improve mental health or recovery. This secondary analysis describes what 17 participants and clinicians said during 31 visits; it did not test whether the clinic changed outcomes.