Evidence map›Paper›PMID 27097049›Full record

ArticleAnnals of the American Thoracic Society2016

A Novel Picture Guide to Improve Spiritual Care and Reduce Anxiety in Mechanically Ventilated Adults in the Intensive Care Unit.

Joel N Berning, Armeen D Poor, Sarah M Buckley, Komal R Patel, David J Lederer, Nathan E Goldstein, Daniel Brodie, Matthew R Baldwin

Open access · greenAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Annals of the American Thoracic Society, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 2 pooled it
6.4field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 2 syntheses or guidelines pooled it, 62 citations in OpenAlex.

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  15. Spiritual care in the intensive care unit.Anaesthesiology intensive therapy · 2021
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 1 country.

Joel N Berning1 NewYork-Presbyterian Hospital, Pastoral Care and Education Department, New York, New York.
Armeen D Poor2 Division of Pulmonary, Allergy, and Critical Care, Columbia University, College of Physicians and Surgeons, New York, New York.
Sarah M Buckley2 Division of Pulmonary, Allergy, and Critical Care, Columbia University, College of Physicians and Surgeons, New York, New York.
Komal R Patel2 Division of Pulmonary, Allergy, and Critical Care, Columbia University, College of Physicians and Surgeons, New York, New York.
David J Lederer2 Division of Pulmonary, Allergy, and Critical Care, Columbia University, College of Physicians and Surgeons, New York, New York.
Nathan E Goldstein4 Department of Geriatrics and Palliative Medicine, Icahn School of Medicine at Mount Sinai, New York, New York; and.
Daniel Brodie2 Division of Pulmonary, Allergy, and Critical Care, Columbia University, College of Physicians and Surgeons, New York, New York.
Matthew R Baldwin2 Division of Pulmonary, Allergy, and Critical Care, Columbia University, College of Physicians and Surgeons, New York, New York.
Pulmonary and Allergy Associates · USJames J. Peters VA Medical Center · USNewYork–Presbyterian Hospital · US

Funding

Clinical and Translational Science AwardUL1TR000040 · NCATS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI GINSBERG, HENRY N · 2012 to 2015
$26.2M
Clinical and Translational Science AwardKL2TR000081 · NCATS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI GINSBERG, HENRY N · 2012 to 2015
$3.3M
Frailty, Palliative Care Needs, and Outcomes in Older Survivors of Critical IllneK23AG045560 · NIA · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI BALDWIN, MATTHEW R · 2014 to 2018
$750k
NCATS NIH HHS KL2 TR000081NCATS NIH HHS UL1 TR000040NIA NIH HHS K23 AG045560NIA NIH HHS L30 AG040838
6 · The paper itself

Abstract

rationaleHospital chaplains provide spiritual care that helps patients facing serious illness cope with their symptoms and prognosis, yet because mechanically ventilated patients cannot speak, spiritual care of these patients has been limited.

objectivesTo determine the feasibility and measure the effects of chaplain-led picture-guided spiritual care for mechanically ventilated adults in the intensive care unit (ICU).

methodsWe conducted a quasi-experimental study at a tertiary care hospital between March 2014 and July 2015. Fifty mechanically ventilated adults in medical or surgical ICUs without delirium or dementia received spiritual care by a hospital chaplain using an illustrated communication card to assess their spiritual affiliations, emotions, and needs and were followed until hospital discharge. Feasibility was assessed as the proportion of participants able to identify spiritual affiliations, emotions, and needs using the card. Among the first 25 participants, we performed semistructured interviews with 8 ICU survivors to identify how spiritual care helped them. For the subsequent 25 participants, we measured anxiety (on 100-mm visual analog scales [VAS]) immediately before and after the first chaplain visit, and we performed semistructured interviews with 18 ICU survivors with added measurements of pain and stress (on ±100-mm VAS). MEASUREMENTS AND MAIN

resultsThe mean (SD) age was 59 (±16) years, median mechanical ventilation days was 19.5 (interquartile range, 7-29 d), and 15 (30%) died in-hospital. Using the card, 50 (100%) identified a spiritual affiliation, 47 (94%) identified one or more emotions, 45 (90%) rated their spiritual pain, and 36 (72%) selected a chaplain intervention. Anxiety after the first visit decreased 31% (mean score change, -20; 95% confidence interval, -33 to -7). Among 28 ICU survivors, 26 (93%) remembered the intervention and underwent semistructured interviews, of whom 81% felt more capable of dealing with their hospitalization and 0% felt worse. The 18 ICU survivors who underwent additional VAS testing during semistructured follow-up interviews reported a 49-point reduction in stress (95% confidence interval, -72 to -24) and no significant change in physical pain that they attributed to picture-guided spiritual care.

conclusionsChaplain-led picture-guided spiritual care is feasible among mechanically ventilated adults and shows potential for reducing anxiety during and stress after an ICU admission.

Indexed as

Medical IllustrationRespiration, ArtificialAdultAgedAnxietyClergyCritical IllnessFemaleHumansIntensive Care UnitsInterviews as TopicMaleMiddle AgedNew YorkPain MeasurementProspective Studiesanxietycritical caremechanical ventilatorspalliative carespiritual therapies

Identifiers

PMID27097049
PMCPMC5021077
OpenAlexW2336441396

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.