Kristen E. Pecanac

Nurse Contributions to Daily Rounds

Kristen E. Pecanac, Mariah Larson, Kristin Merss, Michael Jaeb et autres

BACKGROUND: Models of rounding are different across institutions and nurses do not always participate or feel involved during daily rounds. OBJECTIVE: The purpose of this analysis was to examine nurses' contributions during family-centered rounds in a children's hospital. METHODS: This study is …

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Clinician communication and patient shame during chronic condition management visits

Michael A. Jaeb, Lisa C. Bratzke, Kristen E. Pecanac

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Post-intensive Care Unit (ICU) Symptom Experiences in ICU Survivors: A Scoping Review

Yoonsoo Eo, Rachel Hawn, Jennifer M. Stevens, Kristen E. Pecanac et autres

ObjectivesA growing number of intensive care unit (ICU) survivors experience persistent physical, cognitive, or mental health symptoms or impairments post-ICU discharge, collectively known as post-intensive care syndrome (PICS). Characterizing post-ICU symptom experiences is essential for understanding PICS from a patient-centered perspective and …

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Discussing Patient Values, Goals, and Preferences During Surrogate Decision Making

Kristen E. Pecanac, Blair P. Golden, Isabelle J. Weber

Clinicians are called to elicit patient values, goals, and preferences, particularly during surrogate decision making, when surrogates (often relatives or friends) make decisions on the patient's behalf. It is currently unknown which clinician questions work best to initiate a discussion with surrogates …

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Reply to Arnold et al.: More than words? Defining best practices in assessing surrogate understanding

Kristen E. Pecanac, Blair P. Golden

Kristen E Pecanac, PhD, RN, Blair P Golden, MD, MS; Reply to Arnold et al.: More Than Words?: Defining Best Practices in Assessing Surrogate Understanding,

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Support Community Formation on a Mobile App for People Living With HIV and Substance Use Disorder: A Computer-Mediated Discourse Analysis

Adati Tarfa, Kristen E. Pecanac, Olayinka O. Shiyanbola, Cameron Liebert et autres

Background: People living with HIV and substance use disorders (SUDs) have complex health care needs requiring adaptive and effective support systems. While mobile health apps can foster virtual communities grounded in shared lived experiences, little is known about the dynamics within these …

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Shared Decision-Making. A Primer for Clinicians

Glyn Elwyn, Pål Gulbrandsen, Hannah Leavitt, Eman Abukmail et autres

IMPORTANCE: Shared decision-making is a widely promoted approach, yet clinicians, typically supportive in principle, find it difficult to implement because of concerns and barriers they commonly encounter in practice. OBJECTIVE: To generate a primer that describes shared decision-making from the perspective of …

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“Everything looks reassuring.”: Managing uncertainty during the emergency department discharge process

Sheryl Krause, Linsey M. Steege, Kristen E. Pecanac

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Differences in Assessing Surrogate Understanding of the Patient’s Clinical Situation

Kristen E. Pecanac, Blair P. Golden

Abstract Background One of the key communication skills in shared decision-making is assessing a surrogate’s understanding of a patient’s clinical situation, which can help facilitate surrogate comprehension and encourage surrogates to share their perspectives. There is uncertainty around best practices for assessing …

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Co-occurring Subjective Post-Intensive Care Unit Syndrome (PICS) Symptoms: A Scoping Review

Yoonsoo Eo, R. Hawn, Jarrad Stevens, Kristen E. Pecanac et autres

Abstract Rationale: A growing number of intensive care unit (ICU) survivors experience distressing physical, cognitive, or mental symptoms or impairments post-ICU discharge, collectively known as post-intensive care syndrome (PICS). The surge in ICU admissions during the COVID-19 pandemic has brought greater attention …

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Clinician use of ‘worry’ statements during surrogate decision making in the hospital

Kristen E. Pecanac, Blair P. Golden

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070 Shared decision making: a definition for clinicians

Glyn Elwyn, Pål Gulbrandsen, Hannah Leavitt, Eman Abukmail et autres

Introduction Shared decision-making has been adopted at policy levels yet its definition and implementation are debated in clinical practice. We aimed to generate a definition that views shared decision-making from the perspective of clinicians, and the work they need to accomplish it, …

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