title: A survey of psychology practice in critical-care settings.
abstract: The aims of this survey study were to (a) examine the frequency of health-service psychology involvement in intensive and critical-care settings; (b) characterize the distinguishing features of these providers; and (c) examine unique or distinguishing features of the hospital setting in which these providers are offering services.
  
  
  
  χ2 analyses were conducted for group comparisons of health-service psychologists: (a) providing services in critical care versus those with no or limited critical care activity and (b) involved in both critical care and rehabilitation versus those only involved in critical care.
  
  
  
  A total of 175 surveys met inclusion criteria and were included in the analyses. Psychologists who worked in critical-care settings at least monthly were more likely to be at a Level-1, χ2(1, N = 157) = 9.654, p = .002, or pediatric, χ2(1, N = 158) = 7.081, p = .008, trauma center. Psychologists involved with critical care were more likely to provide services on general medical-surgical units, χ2(1, N = 167) = 45.679, p = .000. A higher proportion of rehabilitation-oriented providers provided intensive care, critical care, and neurointensive care services relative to nonrehabilitation providers.
  
  
  
  The findings indicate that health-service psychologists are involved in critical-care settings and in various roles. A more broad-based survey of hospitals across the United States would be required to identify how frequently health-service psychologists are consulted and what specific services are most effective, valued, or desired in critical-care settings. (PsycINFO Database Record
authors.affiliation: Departments of Psychology, Hurley Medical Center.
authors.forename: Kirk
authors.initials: K
authors.lastname: Stucky
authors.affiliation: Department of Rehabilitation Medicine, University of Washington School of Medicine.
authors.forename: Jennifer E
authors.initials: JE
authors.lastname: Jutte
authors.affiliation: Division of Trauma, Critical Care and Acute Care Surgery, Baylor University Medical Center.
authors.forename: Ann Marie
authors.initials: AM
authors.lastname: Warren
authors.affiliation: ICU Recovery Center, Division of Allergy, Pulmonary, and Critical Care Medicine, Vanderbilt University Medical Center.
authors.forename: James C
authors.initials: JC
authors.lastname: Jackson
authors.affiliation: Department of Physical Medicine and Rehabilitation, University of Michigan Health System.
authors.forename: Nancy
authors.initials: N
authors.lastname: Merbitz
mesh_terms: D000328:Adult; D002321:Career Choice; D016638:Critical Illness / Q000523:psychology / Q000534:rehabilitation; D003695:Delivery of Health Care; D005260:Female; D019538:Health Care Surveys; D006801:Humans; D007362:Intensive Care Units; D033183:Interdisciplinary Communication; D000070516:Intersectoral Collaboration; D008297:Male; D008875:Middle Aged; D010348:Patient Care Team; D010819:Physician's Role; D011586:Psychology, Clinical; D013038:Specialization; D000078329:Workforce