Measuring Communication in the Surgical ICU: Better Communication Equals Better Care

Williams, Mallory; Hevelone, Nathanael D.; Alban, Rodrigo F.; Hardy, J; Oxman, David; Garcia, E.; Thorsen, Cristina; Frendl, György; Rogers, Selwyn O.

doi:10.1016/j.jamcollsurg.2009.09.025

Cited by 54 publications

(37 citation statements)

References 19 publications

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“…[27][28][29][30] Any factor that weakens communication between an ICU nurse and the oncall physician during this period can adversely affect patients' safety and outcome. 1,4,7 Our study, the first evaluation of the perceptions and practices of ICU nurses and physicians about the communication they have with each other at night, in the context of pain, agitation, and delirium, raises a number of concerns. Although nurses and physicians communicate frequently with each other at night about patients' pain, agitation, and delirium, the quality of this communication is often perceived as low.…”

Section: Discussionmentioning

confidence: 99%

“…because no survey instrument could be found that focuses on communication between ICU caregivers at night that could be adapted for use in the study, existing literature [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20][23][24][25] on communication in the ICU, particularly articles related to pain, agitation, and delirium, was reviewed to inform the development of a new survey instrument. The review revealed the following constructs: A ccurate and efficient interdisciplinary communication is a key requisite for highquality care in the intensive care unit (ICU).…”

Section: Survey Instrumentmentioning

confidence: 99%

“…1,5,[8][9][10][11][12][13][14][15][16][17][18][19] despite the unique challenges of providing high-quality care to critically ill patients at night (see Table), nurses' and physicians' communication with each other in the ICU at night and their perceptions of their communication with the other have not been evaluated. Each physician is responsible for more patients than during other shifts and is less familiar with each patient.…”

Section: Survey Instrumentmentioning

confidence: 99%

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Perceptions of Nurses and Physicians of Their Communication at Night About Intensive Care Patients' Pain, Agitation, and Delirium

Al-Qadheeb¹,

Hoffmeister²,

Roberts³

et al. 2013

American Journal of Critical Care

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Background Ineffective daytime nurse-physician communication in intensive care adversely affects patients' outcomes. Nurses' and physicians' communications and perceptions of this communication at night are unknown. Objectives To determine perceptions of nurses and physicians of their communication with each other at night in the intensive care unit about patients' pain, agitation, and delirium and to develop a qualitative survey instrument to investigate this topic. Methods A validated survey was distributed to nighttime nurses and physicians in 2 medical intensive care units. Results Most nurses (30/45; 67%) and physicians (56/75; 75%) responded. Nurses (35%) and physicians (31%) thought that a similar proportion of communications was related to pain, agitation, and delirium. Most nurses (70%) and physicians (80%) agreed that nurses used good judgment when paging physicians at night because of patients' pain, agitation, and delirium, but physicians (72%) were more likely than nurses (48%) to think that these pages did not portray the situation accurately (P = .004). For many text pages, physicians attributed a heightened level of urgency more often than did the nurses who sent the texts. Nurses often thought that physicians did not appreciate the urgency (33%) or complexity (33%) of the situations the nurses communicated via pages. More physicians (41%) than nurses (14%) agreed that nurses exceeded medication orders for pain, agitation, and delirium before contacting a physician (P = .008). Conclusions Perceptual differences between physicians and nurses about nurse-physician communications at night regarding pain, agitation, and delirium were numerous and should be studied further. (American Journal of Critical Care. 2013;22:e49-e61) Pharmacology in Critical Careby AACN on May 9, 2018 http://ajcc.aacnjournals.org/ Downloaded from because of the fluctuation in pain, agitation, and delirium in critically ill patients, the increased focus on maintaining patients in a light (rather than deep) level of sedation and current recommendations that pain, level of sedation, and delirium be evaluated on a 24/7 basis, the number of issues related to pain, agitation, and delirium that ICU nurses working at night may have to address with the on-call physician most likely has never been greater. [20][21][22] because of these considerations, evaluating communication between ICU nurses and on-call ICU physicians at night about patients' pain, agitation, and delirium provides a good focus for estimating the overall quality of ICU nurse-physician communication at night.Although qualitative research methods are ideal for characterizing the rich, contextual, and likely complex themes that affect communication between nurses and physicians at night, because of the current lack of data on nurse-physician communications at night, we thought that the first step should be a quantitative survey that could serve as the foundation for future qualitative and interventional investigations. [23][24][25] We therefore sought to determine ...

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Section: Discussionmentioning

confidence: 99%

Section: Survey Instrumentmentioning

confidence: 99%

Section: Survey Instrumentmentioning

confidence: 99%

See 1 more Smart Citation

Perceptions of Nurses and Physicians of Their Communication at Night About Intensive Care Patients' Pain, Agitation, and Delirium

Al-Qadheeb¹,

Hoffmeister²,

Roberts³

et al. 2013

American Journal of Critical Care

View full text Add to dashboard Cite

show abstract

“…25 Intraprofessional communication content was guided by a literature review. [26][27][28][29][30][31][32][33][34] Educational experiences used to teach core content were chosen based on those supported in the education literature and included didactic lectures, small group discussions, self-reflection, role play, and simulated and real-life experiences.…”

Section: Methods Phase 1: Faculty Working Group and Needs Assessmentmentioning

confidence: 99%

Development of a Comprehensive Communication Skills Curriculum for Pediatrics Residents

Peterson

Boland

Bryant

et al. 2016

Journal of Graduate Medical Education

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“…Improvements in the area of communication are an important factor in the process of providing healthcare services. Th e communication improvements aspect is in a signifi cant degree dependent on the leadership style (4). If a manager cannot satisfactorily to address his job needs, the resulting stress and confl ict will make him dissatisfi ed, ultimately leading to diffi culties in making decisions and concentrating, loss of motivation, lack of enthusiasm and similar.…”

mentioning

confidence: 99%

Impact of management on employees communication in medical and hospital centers in Sarajevo

Kusum

Wongwanich

2013

JHSCI

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Introduction: A person’s response and functioning under condition of stress and confl ict is fundamentally different from its usual behavior. Aim: To point out what type of attitude toward the management of healthcare institutions is worth developing as well as to determine which psychological dimensions of employed the best refl ect the efficacy of the management.Methods: The study included a sample of 52 subjects employed at the Clinical center at University of Sarajevo and 64 subjects employed in Healthcare clinic in Sarajevo Canton. Survey method and a method of a theoretical analysis were used in the data collection and processing.Results: The study concluded that there is no statistically significant gender difference in attitude about the value of talent development at managerial level as a factor in development of attitude toward communicationin healthcare. We find t-value of 2,213 for the Clinical center at University of Sarajevo and 2,210 for Healthcare clinic in Sarajevo Canton.Conclusion: No statistically significant results have been found for any of the factors considered in the study with respect to the gender differences.

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Measuring Communication in the Surgical ICU: Better Communication Equals Better Care

Cited by 54 publications

References 19 publications

Perceptions of Nurses and Physicians of Their Communication at Night About Intensive Care Patients' Pain, Agitation, and Delirium

Perceptions of Nurses and Physicians of Their Communication at Night About Intensive Care Patients' Pain, Agitation, and Delirium

Development of a Comprehensive Communication Skills Curriculum for Pediatrics Residents

Impact of management on employees communication in medical and hospital centers in Sarajevo

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