{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T01:29:25Z","timestamp":1789003765491,"version":"build-2803163510"},"reference-count":28,"publisher":"Canadian Society of Respiratory Therapists","license":[{"start":{"date-parts":[[2023,10,31]],"date-time":"2023-10-31T00:00:00Z","timestamp":1698710400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:sec id=\"rationale\">\n                    <jats:title>Rationale<\/jats:title>\n                    <jats:p>Ventilator Assisted Individuals (VAIs) frequently remain in intensive care units (ICUs) for a prolonged period once clinically stable due to a lack of transition options. These VAIs occupy ICU beds and resources that patients with more acute needs could better utilize. Moreover, VAIs experience improved outcomes and quality of life in long-term and community-based environments.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"objective\">\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To better understand the perspectives of healthcare providers (HCPs) working in an Ontario ICU regarding barriers and facilitators to referral and transition of VAIs from the ICU to a long-term setting.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"methods\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted semi-structured interviews with ten healthcare providers involved in VAI transitions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"main-results\">\n                    <jats:title>Main Results<\/jats:title>\n                    <jats:p>Perceived barriers included long wait times for long-term care settings, insufficient bed availability at discharge locations, medical complexity of patients, long waitlists, and a lack of transparency of waitlists. Facilitators included strong partnerships and trusting relationships between referring and discharge locations, a centralized referral system, and utilization of community partnerships across care sectors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"conclusions\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Insufficient resourcing of long-term care is a key barrier to transitioning VAIs from ICU to long-term settings; strong partnerships across care sectors are a facilitator. System-level approaches, such as a single-streamlined referral system, are needed to address key barriers to timely transition.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.29390\/001c.89103","type":"journal-article","created":{"date-parts":[[2023,10,31]],"date-time":"2023-10-31T17:25:11Z","timestamp":1698773111000},"source":"Crossref","is-referenced-by-count":2,"title":["Exploring factors affecting the timely transition of ventilator assisted individuals in Ontario from acute to long-term care: Perspectives of healthcare professionals"],"prefix":"10.29390","volume":"59","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4178-2905","authenticated-orcid":false,"given":"Anne-Marie","family":"Selzler","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/037y13578","id-type":"ROR","asserted-by":"publisher"}],"name":"West Park Healthcare Centre"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4541-3939","authenticated-orcid":false,"given":"Leanna","family":"Lee","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/037y13578","id-type":"ROR","asserted-by":"publisher"}],"name":"West Park Healthcare Centre"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6080-5052","authenticated-orcid":false,"given":"Dina","family":"Brooks","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/037y13578","id-type":"ROR","asserted-by":"publisher"}],"name":"West Park Healthcare Centre"},{"id":[{"id":"https:\/\/ror.org\/02fa3aq29","id-type":"ROR","asserted-by":"publisher"}],"name":"McMaster University"},{"id":[{"id":"https:\/\/ror.org\/03dbr7087","id-type":"ROR","asserted-by":"publisher"}],"name":"University of Toronto","department":["Departments of Medicine & Physical Therapy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raj","family":"Kohli","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/037y13578","id-type":"ROR","asserted-by":"publisher"}],"name":"West Park Healthcare Centre"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1700-3972","authenticated-orcid":false,"given":"Louise","family":"Rose","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/0220mzb33","id-type":"ROR","asserted-by":"publisher"}],"name":"King's College London","department":["Florence Nightingale Faculty of Nursing"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4236-043X","authenticated-orcid":false,"given":"Roger","family":"Goldstein","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/037y13578","id-type":"ROR","asserted-by":"publisher"}],"name":"West Park Healthcare Centre"},{"id":[{"id":"https:\/\/ror.org\/03dbr7087","id-type":"ROR","asserted-by":"publisher"}],"name":"University of Toronto","department":["Departments of Medicine & Physical Therapy"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"11956","published-online":{"date-parts":[[2023,10,31]]},"reference":[{"issue":"1","key":"ref1","doi-asserted-by":"publisher","first-page":"25","DOI":"10.1016\/j.jcrc.2014.07.023","article-title":"Prolonged mechanical ventilation in Canadian intensive care units: a national survey","volume":"30","author":"Louise Rose","year":"2015","journal-title":"Journal of Critical Care","ISSN":"https:\/\/id.crossref.org\/issn\/0883-9441","issn-type":"print"},{"issue":"6","key":"ref2","doi-asserted-by":"publisher","first-page":"373","DOI":"10.1155\/2012\/452898","article-title":"Family caregiver perspectives on caring for ventilator-assisted individuals at home","volume":"19","author":"Rachael Evans","year":"2012","journal-title":"Canadian Respiratory Journal","ISSN":"https:\/\/id.crossref.org\/issn\/1198-2241","issn-type":"print"},{"issue":"4","key":"ref3","doi-asserted-by":"publisher","first-page":"692","DOI":"10.1177\/2047487312447846","article-title":"Factors influencing referral to cardiac rehabilitation and secondary prevention programs: a systematic review","volume":"20","author":"Alexander M Clark","year":"2013","journal-title":"European Journal of Preventive Cardiology","ISSN":"https:\/\/id.crossref.org\/issn\/2047-4873","issn-type":"print"},{"issue":"4","key":"ref4","doi-asserted-by":"crossref","first-page":"334","DOI":"10.1002\/1098-240X(200008)23:4<334::AID-NUR9>3.0.CO;2-G","article-title":"Whatever happened to qualitative description?","volume":"23","author":"M. 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