title: Staff satisfaction between 2 models of care for the chronically critically ill.
abstract: BACKGROUND
  Chronically critically ill (CCI) patients are a growing population in intensive care units (ICUs), and evidence suggests that this patient group is perceived as demanding by healthcare professionals. However, information is scarce regarding organizational factors that affect staff satisfaction during the care of CCI patients.
  
  
  OBJECTIVE
  The purpose of this study was to evaluate staff satisfaction between 2 models of care for the CCI. In the first model, a patient-centered program of care in a traditional ICU was evaluated. In the second model, care of patients hospitalized in a multidisciplinary ICU ward dedicated to the CCI was further evaluated. Indicators of staff satisfaction with respect to the care of the CCI were also identified.
  
  
  METHODS
  A before and after study was used to evaluate the 2 models of care. After implementation of the first model in 2006, an initial evaluation was performed using a questionnaire given to ICU health-care personnel. In 2009, after implementing the second model (a separate ward for the CCI), a second evaluation took place.
  
  
  RESULTS
  A total of 147 participants answered the questionnaire in both phases. Participants described CCI as a burden, and grouping these patients into 1 ward only increased this perception. Overall, the staff was more satisfied with the first model of care. In this model, the indicators of increased satisfaction were perceived access to professional development and the availability of information.
  
  
  CONCLUSIONS
  Results from this study provide information about health-care professionals' perceived burden of care when treating CCI patients. Strategies promoting professional development have a potential to increase staff satisfaction when it comes to the care of this patient group.
authors.affiliation: Geneva University Hospitals, 1205 Geneva, Switzerland. marie-jose.roulin@hcuge.ch
authors.forename: Marie-José
authors.initials: MJ
authors.lastname: Roulin
authors.forename: Marie-France
authors.initials: MF
authors.lastname: Boul'ch
authors.forename: Paolo
authors.initials: P
authors.lastname: Merlani
mesh_terms: D001291:Attitude of Health Personnel; D002908:Chronic Disease; D003422:Critical Care / Q000379:methods*; D016638:Critical Illness; D006785:Hospitals, University / Q000458:organization & administration; D006801:Humans; D007362:Intensive Care Units / Q000458:organization & administration*; D007588:Job Satisfaction; D010346:Patient Care Management / Q000458:organization & administration*; D010348:Patient Care Team / Q000458:organization & administration; D010564:Personnel, Hospital / Q000523:psychology*