Communication in the ICU during the COVID-19 pandemic

Barreras-Espinoza, Jorge Arturo; Leyva-Moraga, Francisco Alberto; Leyva-Moraga, Eduardo; Leyva-Moraga, Fernando; Soualhi, Ahmed; Juanz-González, Abelardo; Urquijo, Martyn; Burgos-Claudio, Mónica I; Ocejo-Gallegos, Jesús Antonio; Ibarra-Celaya, Jesús Martín; Sloper, Will; Castillo-Ortega, Graciano

doi:10.1097/eja.0000000000001578

Cited by 9 publications

(8 citation statements)

References 7 publications

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“…PPE makes both verbal and nonverbal communication challenging and makes all individuals more difficult to identify. 39,40 Formal introductions, role assignments, closed loop communication, and direct eye contact became fundamental in real time and consequently warranted more attention during simulation. We commonly advise, ''The more you treat this like an actual clinical encounter, the more you'll benefit.''…”

Section: Covid-19-specific Barriers and Opportunitiesmentioning

confidence: 99%

Recommendations for Optimizing Virtual Simulation: A Trial and Error Process From the COVID-19 Pandemic

Levine

Singh

Restivo

et al. 2022

Journal of Graduate Medical Education

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Section: Covid-19-specific Barriers and Opportunitiesmentioning

confidence: 99%

Recommendations for Optimizing Virtual Simulation: A Trial and Error Process From the COVID-19 Pandemic

Levine

Singh

Restivo

et al. 2022

Journal of Graduate Medical Education

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“…family education in AAC) in the adult ICU (Freeman‐Sanderson et al, 2020 ; Ontario PH, 2021 ). As the pandemic presents a significant change in the global healthcare landscape, exploratory research is needed to understand barriers to and facilitators for communication among nurses, patients, family and other ICU professional stakeholders to inform practice recommendations (Akgun et al, 2020 ; Barreras‐Espinoza et al, 2021 ; Freeman‐Sanderson et al, 2020 ; Richards et al, 2021 ; Rose et al, 2021 ).…”

Section: Introductionmentioning

confidence: 99%

Barriers to and facilitators for supporting patient communication in the adult ICU during the COVID‐19 pandemic: A qualitative study

Istanboulian

Rose

Yunusova

et al. 2022

Journal of Advanced Nursing

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Aim To explore barriers to and facilitators for supporting communication with and for patients treated with invasive mechanical ventilation in the intensive care unit during the COVID‐19 pandemic. Design A qualitative descriptive study reported according to the Consolidated Criteria for Reporting Qualitative Research. Methods Adult intensive care unit patients treated with an advanced airway for mechanical ventilation, their family members and healthcare providers (nurses, intensivists and allied health) were recruited for interviews between January and April 2021. Interviews were audio‐recorded, transcribed verbatim and analysed using content analysis methods. Reported communication barriers and facilitators were mapped to the theoretical framework of acceptability to identify potentially modifiable clinical and institutional practices. Results We recruited 29 participants (20 healthcare providers, four patients and five family member). Provider communication barriers included isolation procedures, lack of personal protective equipment and inadequate communication tools/training, which reduced perceived communication frequency and effectiveness. Patients and families reported infrequent proactive provision of communication tools, which contributed to a crisis of unmet needs. Reported facilitators included adequate access to personal protective equipment to mitigate the risk of patient proximity and communication tools/training to improve communication effectiveness. Authentic unit leadership helped to assuage pandemic work stressors and encourage humanistic care. Our analysis indicates low acceptability of existing communication practices during the COVID‐19 pandemic and the importance of leadership to reduce the burden of communication through provision of key necessary resources. Conclusion COVID‐19 conditions have precipitated a communication crisis in the ICU. The results of this study have practice and policy implications and will be used to co‐design a communication intervention for use during and beyond the COVID‐19 pandemic. Impact The study contributes a better understanding of resources necessary to support patient communication. Results apply beyond the pandemic to routine use of infection prevention and control precautions in the intensive care unit.

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“…The application of face masks [ 2 ] and other personal protective equipment (PPE) [ 3 ], social distancing, work isolation and redeployment of staff can change the dynamics of team communication. Non-verbal communication methods such as hand signals [ 4 ] and the use of identification adjuncts to improve staff identification [ 5 ] have emerged as methods to address these challenges. In addition, the effect of these disruptions can be mitigated by the application of hands-free communication devices as well as the introduction of team roles and name labels.…”

Section: Introductionmentioning

confidence: 99%

New strategies to improve communication in the intensive care unit during the COVID-19 pandemic

Chua

2022

Crit Care

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Communication in the ICU during the COVID-19 pandemic

Abstract: Ventilation 1012 Effect of positive end-expiratory pressure during anaesthesia induction on non-hypoxic apnoea time in infants. A randomised controlled trial Eun-

Cited by 9 publications

References 7 publications

Recommendations for Optimizing Virtual Simulation: A Trial and Error Process From the COVID-19 Pandemic

Recommendations for Optimizing Virtual Simulation: A Trial and Error Process From the COVID-19 Pandemic

Barriers to and facilitators for supporting patient communication in the adult ICU during the COVID‐19 pandemic: A qualitative study

New strategies to improve communication in the intensive care unit during the COVID-19 pandemic

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