Impact of a communication strategy on family satisfaction in the intensive care unit

Pagnamenta, Alberto; Bruno, Roberta; Gemperli, Armin; Chiesa, A; Previsdomini, Marco; Corti, Fabio; Merlani, Paolo; Cottini, Silvia R; Llamas, Michael; Rothen, Hans Ulrich

doi:10.1111/aas.12692

Cited by 17 publications

(18 citation statements)

References 32 publications

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“…Madsen et al 5 also cite a study of Dubois et al 8 as providing data supporting their position. It should be noted that the authors also reported that 40% of the patients in the deep block group still had incidents with inadequate surgical conditions The lesson that we take away from this latter observation is that deep neuromuscular block is not a cure-all.…”

Section: Definitions a Fundamental Disagreementmentioning

confidence: 90%

“…It should be noted that the authors also reported that 40% of the patients in the deep block group still had incidents with inadequate surgical conditions The lesson that we take away from this latter observation is that deep neuromuscular block is not a cure-all. Madsen et al 5 also cite a study of Dubois et al 8 as providing data supporting their position. We discuss the limitations of this study in greater detail in our earlier review 9 but briefly, in the shallow or moderate block group of the Dubois study, the initial dose of rocuronium was only 0.45 mg/kg and the average duration of surgery in this group was 74 AE 23 min.…”

Section: Definitions a Fundamental Disagreementmentioning

confidence: 90%

“…Madsen et al 5 define moderate NMB as a trainof-four-count (TOFC) of 1-3 or an initial bolus of relaxant of 1-2 times its ED 95 followed by spontaneous recovery. We do not accept the latter half of this definition and we believe that this disagreement plays a large part in why we do not concur with many of the 'Pro-' position paper conclusions.…”

Section: Definitions a Fundamental Disagreementmentioning

confidence: 99%

See 2 more Smart Citations

Is deep neuromuscular block beneficial in laparoscopic surgery? No, probably not

Kopman¹,

Naguib

2016

Acta Anaesthesiol Scand

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Section: Definitions a Fundamental Disagreementmentioning

confidence: 90%

Section: Definitions a Fundamental Disagreementmentioning

confidence: 90%

Section: Definitions a Fundamental Disagreementmentioning

confidence: 99%

See 1 more Smart Citation

Is deep neuromuscular block beneficial in laparoscopic surgery? No, probably not

Kopman¹,

Naguib

2016

Acta Anaesthesiol Scand

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“…The FS-ICU has been translated into several languages, including Swiss Italian. In this study, we used the Swiss Italian version (Pagnamenta et al, 2016) after making minor changes to the wording of items to tailor the questionnaire to the Italian setting. Translation and back-translation method was used to ensure the fidelity of the Italian translation.…”

Section: Methodsmentioning

confidence: 99%

Clinicians’ moral distress and family satisfaction in the intensive care unit

et al. 2018

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This study explored the relationship between clinicians' moral distress and family satisfaction with care in five intensive care units in Italy. A total of 122 clinicians (45 physicians and 77 nurses) and 59 family members completed the Italian Moral Distress Scale-Revised and the Family Satisfaction in the ICU questionnaire, respectively. Clinicians' moral distress inversely correlated with family satisfaction related to the inclusion in the decision-making process. Specifically, physicians' moral distress inversely correlated with satisfaction regarding the respect shown toward the patient. Nurses' moral distress inversely correlated with satisfaction regarding breathlessness and agitation management, provision of emotional support, understanding of information, and inclusion in the decision-making process.

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“…While responsiveness remains a major domain of health system performance [ 32 ], the use of complaints to enhance the responsiveness might provide timely action for quality improvement. Despite difficulties remaining in the implementation of strategies to improve family satisfaction [ 33 ], we believe the analysis of healthcare complaints, including those to the ICUs, is of high value in quality improvement.…”

Section: Discussionmentioning

confidence: 99%

Comparison of complaints to the intensive care units and those to the general wards: an analysis using the Healthcare Complaint Analysis Tool in an academic medical center in Taiwan

Jerng

Huang

et al. 2018

Crit Care

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BackgroundThe management of complaints in the setting of intensive care may provide opportunities to understand patient and family experiences and needs. However, there are limited reports on the structured application of complaint analysis tools and comparisons between healthcare complaints in the critical care setting and other settings.MethodsFrom the complaint management database of a university-affiliated medical center in Taiwan, we retrospectively identified the records of healthcare complaints to the intensive care units (ICUs) from 2008 to 2016. Complaints to the general wards in the same period were randomly selected from the database with twice the number of that of the ICU complaints. We coded, typed, and compared the complaints from the two settings according to the Healthcare Complaint Analysis Tool.ResultsWe identified 343 complaints to the ICUs and randomly selected 686 complaints to the general wards during the 9-year study period. Most (94.7%) of the complaints to the ICUs came from the family members, whereas more complaints to the general wards came from the patients (44.2%). A total of 1529 problems (441 from ICU and 818 from general wards) were identified. Compared with the general ward complaints, in the ICU there were more complaints with multiple problems (25.1% vs. 16.9%, p = 0.002), complaints were referred more frequently to the nurses (28.1% vs. 17.5%, p < 0.001), and they focused more commonly on the care on the ICU/ward (60.5% vs. 54.2%, p = 0.029). The proportions of the three domains (clinical, management, and relationship) of complaints were similar between the ICU and general ward complaints (p = 0.121). However, in the management domain, the problems from ICU complaints focused more on the environment than on the institutional processes (90.9% vs. 74.5%, p < 0.001), whereas in the relationship domain, the problems focused more on communication (17.9% vs. 8.0%) and less on listening (34.6% vs. 46.5%) (p = 0.002) than the general ward complaints.ConclusionsA structured typing and systematic analysis of the healthcare complaints to the ICUs may provide valuable insights into the improvement of care quality, especially to the perceptions of the ICU environment and communications of the patients and their families.Electronic supplementary materialThe online version of this article (10.1186/s13054-018-2271-y) contains supplementary material, which is available to authorized users.

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Impact of a communication strategy on family satisfaction in the intensive care unit

Cited by 17 publications

References 32 publications

Is deep neuromuscular block beneficial in laparoscopic surgery? No, probably not

Is deep neuromuscular block beneficial in laparoscopic surgery? No, probably not

Clinicians’ moral distress and family satisfaction in the intensive care unit

Comparison of complaints to the intensive care units and those to the general wards: an analysis using the Healthcare Complaint Analysis Tool in an academic medical center in Taiwan

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