Increasing the Family Awareness of the Integrated Delivery System (IDS) for Patients with Ventilator-Dependence
鄭瑞貞(Jui-Chen Cheng)；高秀娥(Hsiu-O Kao)；陳瑞儀(Jui-Yi Chen)；黃筱芳(Hsiao-Fang Huang)；鄭之勛(Jih-Shuin Jerng)；古世基(Shih-Chi Ku)；林佳穎(Chia-Ying Lin)；張寶綾(Bao-Lin Chang)
呼吸器依賴病人 ； 認知 ； 共享決策 ； mechanical ventilation-dependent patients ； cognition ； shared decision-making
|Volume or Term/Year and Month of Publication||
23卷4期（2019 / 07 / 25）
434 - 445
The purpose of this program was to increase the knowledge of the integrated delivery system (IDS)-based care for ventilator-dependence patients. As the families often face difficulty and psychological burden in the decision making for the disposition of the patients, our investigation showed that the family members had poor knowledge of IDS-based care with only 41.4% showing accurate understanding. This lack of understanding might affect the choice for continued care. Possible reasons include lack of proper educational tools, the high variety and complexity of weaning process, the unclear goal for individual patients, infrequent family visits to the patient, and multiple choices for patient disposition. The improvement team members gathered and discussed, then developed and implemented a series of strategies, including standardization of weaning process, a demonstrating panel with a personalized timetable of weaning and rehabilitation, a brief video to introduce the IDS and continued care, poster display regarding the IDS-based care and protocoled weaning. After the implementation of the above strategies, the understanding improved to 91.9%. We, therefore, suggest that our implementation of these strategies provides valuable insights and worth spreading and generalization.