Exploring factors affecting the timely transition of ventilator assisted individuals in Ontario from acute to long-term care: Perspectives of healthcare professionals
# Rationale Ventilator Assisted Individuals (VAIs) frequently remain in intensive care units (ICUs) for a prolonged period once clinically stable due to a lack of transition options. These VAIs occupy ICU beds and resources that patients with more acute needs could better utilize. Moreover, VAIs ex...
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| Format: | Article |
| Language: | English |
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Canadian Society of Respiratory Therapists
2023-10-01
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| Series: | Canadian Journal of Respiratory Therapy |
| Online Access: | https://doi.org/10.29390/001c.89103 |
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| _version_ | 1823857468320514048 |
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| author | Anne-Marie Selzler Leanna Lee Dina Brooks Raj Kohli Louise Rose Roger Goldstein |
| author_facet | Anne-Marie Selzler Leanna Lee Dina Brooks Raj Kohli Louise Rose Roger Goldstein |
| author_sort | Anne-Marie Selzler |
| collection | DOAJ |
| description | # Rationale
Ventilator Assisted Individuals (VAIs) frequently remain in intensive care units (ICUs) for a prolonged period once clinically stable due to a lack of transition options. These VAIs occupy ICU beds and resources that patients with more acute needs could better utilize. Moreover, VAIs experience improved outcomes and quality of life in long-term and community-based environments.
# Objective
To better understand the perspectives of healthcare providers (HCPs) working in an Ontario ICU regarding barriers and facilitators to referral and transition of VAIs from the ICU to a long-term setting.
# Methods
We conducted semi-structured interviews with ten healthcare providers involved in VAI transitions.
# Main Results
Perceived barriers included long wait times for long-term care settings, insufficient bed availability at discharge locations, medical complexity of patients, long waitlists, and a lack of transparency of waitlists. Facilitators included strong partnerships and trusting relationships between referring and discharge locations, a centralized referral system, and utilization of community partnerships across care sectors.
# Conclusions
Insufficient resourcing of long-term care is a key barrier to transitioning VAIs from ICU to long-term settings; strong partnerships across care sectors are a facilitator. System-level approaches, such as a single-streamlined referral system, are needed to address key barriers to timely transition. |
| format | Article |
| id | doaj-art-09e56b84b00a4367a10a1968d12ca3c7 |
| institution | Kabale University |
| issn | 2368-6820 |
| language | English |
| publishDate | 2023-10-01 |
| publisher | Canadian Society of Respiratory Therapists |
| record_format | Article |
| series | Canadian Journal of Respiratory Therapy |
| spelling | doaj-art-09e56b84b00a4367a10a1968d12ca3c72025-02-11T20:30:51ZengCanadian Society of Respiratory TherapistsCanadian Journal of Respiratory Therapy2368-68202023-10-0159Exploring factors affecting the timely transition of ventilator assisted individuals in Ontario from acute to long-term care: Perspectives of healthcare professionalsAnne-Marie SelzlerLeanna LeeDina BrooksRaj KohliLouise RoseRoger Goldstein# Rationale Ventilator Assisted Individuals (VAIs) frequently remain in intensive care units (ICUs) for a prolonged period once clinically stable due to a lack of transition options. These VAIs occupy ICU beds and resources that patients with more acute needs could better utilize. Moreover, VAIs experience improved outcomes and quality of life in long-term and community-based environments. # Objective To better understand the perspectives of healthcare providers (HCPs) working in an Ontario ICU regarding barriers and facilitators to referral and transition of VAIs from the ICU to a long-term setting. # Methods We conducted semi-structured interviews with ten healthcare providers involved in VAI transitions. # Main Results Perceived barriers included long wait times for long-term care settings, insufficient bed availability at discharge locations, medical complexity of patients, long waitlists, and a lack of transparency of waitlists. Facilitators included strong partnerships and trusting relationships between referring and discharge locations, a centralized referral system, and utilization of community partnerships across care sectors. # Conclusions Insufficient resourcing of long-term care is a key barrier to transitioning VAIs from ICU to long-term settings; strong partnerships across care sectors are a facilitator. System-level approaches, such as a single-streamlined referral system, are needed to address key barriers to timely transition.https://doi.org/10.29390/001c.89103 |
| spellingShingle | Anne-Marie Selzler Leanna Lee Dina Brooks Raj Kohli Louise Rose Roger Goldstein Exploring factors affecting the timely transition of ventilator assisted individuals in Ontario from acute to long-term care: Perspectives of healthcare professionals Canadian Journal of Respiratory Therapy |
| title | Exploring factors affecting the timely transition of ventilator assisted individuals in Ontario from acute to long-term care: Perspectives of healthcare professionals |
| title_full | Exploring factors affecting the timely transition of ventilator assisted individuals in Ontario from acute to long-term care: Perspectives of healthcare professionals |
| title_fullStr | Exploring factors affecting the timely transition of ventilator assisted individuals in Ontario from acute to long-term care: Perspectives of healthcare professionals |
| title_full_unstemmed | Exploring factors affecting the timely transition of ventilator assisted individuals in Ontario from acute to long-term care: Perspectives of healthcare professionals |
| title_short | Exploring factors affecting the timely transition of ventilator assisted individuals in Ontario from acute to long-term care: Perspectives of healthcare professionals |
| title_sort | exploring factors affecting the timely transition of ventilator assisted individuals in ontario from acute to long term care perspectives of healthcare professionals |
| url | https://doi.org/10.29390/001c.89103 |
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