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Table 2 Examples of comments, arranged by theme

From: Psychiatry’s role in the prevention of post-intensive care mental health impairment: stakeholder survey

Psychology (N = 19)

  “It would be great to have psychology involved to potentially provide CBT and longitudinal care” – CC

  “Assist in grief management”—PT

  “Only concern is that psychiatry may lead to over medication of patients. Would appreciate greater level of nonpharmacologic interventions” –BN

Resource Limitations (N = 6)

  “Not enough psych resources”—CC

  [On barriers] “Resource allocation of such highly trained subspecialists in the critical care environment” – CC

  “Availability”—PP

Education (N = 8)

  “Assisting with bedside staff education on managing patients in psychological distress”— BN

  “If Psychiatry can help educate the ICU staff, then ICU can better communicate with family” –PP

  “Provide education to staff to improve our communications…”—OT

Burnout (N = 7)

  “Decrease the burden on nurses dealing with depressed patients, especially the transplant or ECMO (pre-transplant) population that spends so much time in our ICU”—BN

  “Addressing nursing moral distress in our ICU, it does not seem to be a singular issue but an issue with many nurses no one is talking or doing anything about” –BN

  “Please bring a stronger psych presence to the ICU. At least for nurse burnout if for no other reason”—BN

Conflict and Expertise (N = 14)

  “One more 'cook in the kitchen' will lead to more different 'voices' the family hears”—CC

  “Conflicting opinions/goals, potential for delivery of mixed messages, potential splitting of provider teams depending on circumstances” —PP

  “Psychiatrist are not trained nor comfortable in ICU” –CC

  “Psychiatry does not understand ICU issues”—CC

Role Confusion (N = 9)

  “Role confusion with nursing”—BN

  “I would see their role as an adjunct not as a replacement to the critical care team’s presence in co-managing agitation/delirium etc..” CC

  “These are all activities which OT has completed in the past and is within our scope of practice”—OT

  “While I’m sure they could do many or all of these things, there are other members of the medical team and family support who could perform such tasks as well”—Pharmacist

Other (N = 11)

  “We have multi-disciplinary rounds every Monday—Friday at 815. Maybe you could attend them on certain days to potentially get an idea if there are at risk patients on the unit”—BN

  “The MICU team should be more mindful of what they say in the presence of the patient as the pt can hear”—BN

  “I do think psych should be more involved in the ICU, but I do think that there are some cases where people will lose sight of the importance of prioritization”—BN

  1. CC Critical care physician or advance practice provider, OT Occupational therapist, PT Physical therapist, BN Bedside nurse, PP Psychiatry physician or advance practice provider