ICU family communication and health care professionals: A qualitative analysis of perspectives

Schubart, Jane R.; Wojnar, Margaret; Dillard, James Price; Meczkowski, Eric; Kanaskie, Mary Louise; Blackall, George F.; Sperry, Nancy; Lloyd, Tom

doi:10.1016/j.iccn.2015.02.003

Cited by 23 publications

(22 citation statements)

References 21 publications

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“…Whereas, weak communication leads to misunderstanding the given information and leads to high stress level. Likewise, 50% of patient in ICU complaining from inadequate communication with nurses [29]. The aim of this study was to assess critical care nursing knowledge, practice level, and barriers in breaking bad news process to enhance their role in this process.…”

Section: Discussionmentioning

confidence: 99%

Critical Care Nurses' Involvement, Feeling, Perception and Barrier for Practice Breaking Bad News in Jordan

M.Alkhawaldeh¹,

M.Abufeddeh²,

Izzeldeen³

2018

AJNR

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Background. Breaking bad news (BBN) is one of the most difficult tasks faced by healthcare providers. In addition, breaking bad news is stressful for both; healthcare providers and patient. Nurses can play an important role in the process of BBN. Whereas, effective communication by critical care nurses improves patients' understanding of their health status and decreases their stress level. Furthermore, effective BBN process requires effective communication skills. Aims. To assess critical care nurses' knowledge level regarding breaking bad news process, assess their involvement in the process of BBN, andto determine the barrier of practicing breaking bad news process as perceived by critical care nurses to identify the factors that affect nurses' practice of breaking bad news in the critical care units. Methods. Descriptive cross-sectional design, using self-reported questionnaires. Results. The study showed that most critical care nurses in Jordan are highly involved in BBN process 77% (n=157), Also, nurses are highly perceived themselves as an active part in BBN process 76% (n=155). The major barrier in providing BBN was relatives requesting that a patient is not told bad news 75% (n=152). Conclusion. Current study revealed that Jordanian critical care nurses took different roles in the process of breaking bad news and they are highly involved in BBN news, creating a base of knowledge regarding BBN among critical care nurses in Jordan. Thus, the study recommends the policymakers to empower nurses role in this process through design an educational program regarding practice BBN and clarify nurses' role in this process.

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Section: Discussionmentioning

confidence: 99%

Critical Care Nurses' Involvement, Feeling, Perception and Barrier for Practice Breaking Bad News in Jordan

M.Alkhawaldeh¹,

M.Abufeddeh²,

Izzeldeen³

2018

AJNR

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“…In addition, members of racial/ethnic minority groups often have insufficient access to quality healthcare and are less likely to seek health services (Myers 2009; Scheppers et al 2006). Potential barriers to treatment seeking include ineffective communication between patients and providers and cultural insensitivity (Erves et al 2016; Scheppers et al 2006; Schubart et al 2015). Thus, it is essential to develop and disseminate innovative and culturally sensitive strategies for promoting health and well-being in underserved populations.…”

Section: Introductionmentioning

confidence: 99%

Perceptions of Mindfulness in a Low-Income, Primarily African American Treatment-Seeking Sample

et al. 2017

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Individuals with low socioeconomic status (SES) and members of racial/ethnic minority groups often experience profound disparities in mental health and physical well-being. Mindfulness-based interventions show promise for improving mood and health behaviors in higher-SES and non-Latino White populations. However, research is needed to explore what types of adaptations, if any, are needed to best support underserved populations. This study used qualitative methods to gain information about a) perceptions of mindfulness, b) experiences with meditation, c) barriers to practicing mindfulness, and d) recommendations for tailoring mindfulness-based interventions in a low-income, primarily African American treatment-seeking sample. Eight focus groups were conducted with 32 adults (16 men and 16 women) currently receiving services at a community mental health center. Most participants (91%) were African American. Focus group data were transcribed and analyzed using NVivo 10. A team of coders reviewed the transcripts to identify salient themes. Relevant themes included beliefs that mindfulness practice might improve mental health (e.g., managing stress and anger more effectively) and physical health (e.g., improving sleep and chronic pain, promoting healthier behaviors). Participants also discussed ways in which mindfulness might be consistent with, and even enhance, their religious and spiritual practices. Results could be helpful in tailoring mindfulness-based treatments to optimize feasibility and effectiveness for low-SES adults receiving mental health services.

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“…Good communication by means of correct delivery will make a better family response and reduce anxiety in the patient's condition (Schubart et al, 2015). The patient's family wants as much information as possible about the condition and treatment process that is given to the patient, whereas in the intensive care the access to information is not very good due to the needs of the patients who require very strict monitoring (Azoulay, Chaize and Kentish-Barnes, 2014).…”

Section: Discussionmentioning

confidence: 99%

A Literature Review: Stress Management in The Family of Intensive Care Patients

Liputo

Pu²,

Sila³

et al. 2019

INJEC

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Introduction: Intensive care unit is a unit with a complex case and a stressor strainer. When patients enter intensive care families have a variety of stressors such as rapid decision making and costs are not small. The role of nurse as educator is very important in reducing family anxiety with patients treated in intesive units. Mothers of intensive care babies feel a great deal of anxiety over their child's condition, so there needs to be a good system support for the healing of her and her baby. Various ways nurses do in reducing stress experienced by the patient's family such as good communication between nurses and families of patients with intensive care. This review aims to get a picture of stress management that can be done on the family of intensive care patients. Methods: A literature review was conducted in the fields of ebscho, sience direct, elseiver, sage journals, scopus, and proquest, limited the range of the last 10 years from 2007-2017. The final sample included 18 articles. Results: The literature found that the causes of family stressors include rapid decision-making, fear of family emergency conditions, maintenance costs and length of care. Good communication and good information and skill support can decrease the stress experienced by intensive care patients' families. Conclussions: Intensive care is a unit with high complexity, unstable conditions and sophisticated technology. Conditions that require rigorous monitoring not only cause stressors for the patient, but become a stressor for the patient's family.

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ICU family communication and health care professionals: A qualitative analysis of perspectives

Cited by 23 publications

References 21 publications

Critical Care Nurses' Involvement, Feeling, Perception and Barrier for Practice Breaking Bad News in Jordan

Critical Care Nurses' Involvement, Feeling, Perception and Barrier for Practice Breaking Bad News in Jordan

Perceptions of Mindfulness in a Low-Income, Primarily African American Treatment-Seeking Sample

A Literature Review: Stress Management in The Family of Intensive Care Patients

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