Clinical Research Directory

Inclusion Criteria: * Patient inclusion criteria: * Individuals 18 years old or older. * Individuals admitted to the medical intensive care unit (MICU) at Cedars-Sinai Medical Center. * Individuals with acute respiratory failure, defined as \>24 hours of invasive mechanical ventilation. * Individuals who received invasive mechanical ventilation within 24 hours of admission to the MICU. * Individuals expected to need invasive mechanical ventilation for \>72 hours total, as determined by the patient's intensivist physician (fellow or attending). * Primary surrogate decision maker inclusion criteria: o Individuals 18 years old or older. * Individual who self-identifies as the most responsible for making decisions for the enrolled patient (can be either family member or close friend). * Proficiency in English language. * ICU support counselor inclusion criteria: * Individuals 18 years old or older. * Individuals who work as hospital chaplains in the MICU. * Physician (intensivist) inclusion criteria: * Individuals 18 years old or older. * Individuals who work as critical care physicians in the MICU (fellow or attending). * Nurse inclusion criteria: * Individuals 18 years old or older. * Individuals who work as bedside nurses in the MICU. * Social worker inclusion criteria: * Individuals 18 years old or older. * Individuals work as social workers in the MICU. Exclusion Criteria: * Patient exclusion criteria: o Any records flagged "break the glass" or "research opt out." o Individuals expected to die within 24 hours of potential enrollment, as determined by the patient's intensivist physician (fellow or attending). o Individuals on comfort care protocol or with clear preference for comfort care, as determined by the patient's intensivist physician (fellow or attending). * Individuals who are chronically dependent on a ventilator prior to admission. * Individuals with acute on chronic neuromuscular disease-related respiratory failure (e.g., Guillain Barre, Muscular Dystrophy, Myasthenia Gravis, etc.). * Individuals imminently awaiting organ transplant, as determined by the patient's intensivist physician (fellow or attending). * Individuals with decisional capacity, as determined by the patient's intensivist physician (fellow or attending). * Individuals who are unrepresented (i.e., patient has no surrogate decision maker). * Individuals whose potential enrolled family member (primary surrogate decision maker) is not proficient in English. * Individuals whose attending physician is the PI on this study at the time of potential enrollment. * Individuals who are cared for by intensivist physicians (fellow and attending) who do not agree to participate in the study. * Individuals who have a pre-existing relationship with a hospital chaplain who does not agree to participate in the study, as determined by that chaplain. * Primary surrogate decision maker exclusion criteria: o Not proficient in English language. (Rationale: materials and intervention are not adapted in other languages.) * ICU support counselor exclusion criteria: o None * Physician (intensivist) exclusion criteria: o None * Nurse exclusion criteria: o None * Social worker exclusion criteria: * None