Nurses' communication with families in the intensive care unit – a literature review

Adams, Anne; Mannix, Trudi; Harrington, Ann

doi:10.1111/nicc.12141

Cited by 97 publications

(113 citation statements)

References 62 publications

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“…On the importance of this issue, Adams et al, argue that for the patients' families, the effective communication of the treatment team is a better and more effective way of understanding the existing situation and reducing the psychological burden of care provided by them; thus, one of their study's themes is improving nurses' communication skills (31).…”

Section: Discussionmentioning

confidence: 99%

The Role of Heath Team in Coping Process of Family Caregivers with Patients Under Hemodialysis: A Qualitative Study

Salehitali

Ahmadi

Zarea

et al. 2017

Jundishapur J Chronic Dis Care

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Background: The high dependence of hemodialysis patients on home caregivers is a great source of care burden for them; therefore, accountability with appropriate communication as well as appropriate behavior and attention to needs of caregiver by health care team is a serious impact on care burden. Methods: A content analysis approach was used for data collection and analysis. The participants included16 family caregivers selected through purposive sampling from 4 medical education centers affiliated with Ahvaz Jundishapur University of Medical Sciences, Iran. Semi-structured interviews were held to collect data. Results: Data analysis led to the emergence of 3 themes including "responsive treatment team" "negative influences of the treatment team," and "collaborative care," which were all incorporated into the main theme of "an effective treatment team". Conclusions: The treatment team can play an effective role in improving the caregivers' well-being by appropriate treatment, accountability, and responsiveness to the needs of patients and their caregivers; meanwhile, it provides a better position for better care, however, it will reduce the care burden.

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Section: Discussionmentioning

confidence: 99%

The Role of Heath Team in Coping Process of Family Caregivers with Patients Under Hemodialysis: A Qualitative Study

Salehitali

Ahmadi

Zarea

et al. 2017

Jundishapur J Chronic Dis Care

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“…[15][16][17][18][19]21,24 Our findings indicate that IMPACT-ICU prepared nurses As a result of the training received through the IMPACT-ICU program, a nurse in one of our ICUs facilitated a family meeting that allowed a patient to make a decision to go home instead of continuing therapy in the ICU. The patient did not know his true prognosis.…”

Section: Discussionmentioning

confidence: 89%

“…15,16,19,21 Despite the success of palliative nursing education programs, 22,23 we found at our centers and in the literature that ICU nurses perceived a number of barriers to their involvement in palliative care, including lack of clarity about their role and inadequate communication training. 17,18,24 To address these deficits, we developed, implemented, and evaluated a system-wide initiative called Integrating Multidisciplinary Palliative Care into the ICU (IMPACT-ICU), based on pilot work at one of our centers. 25 IMPACT-ICU aims to train and support bedside nurses to lead primary palliative care by identifying patients' palliative care needs and integrating the perspectives of their colleagues from other disciplines into a plan that addresses those needs.…”

mentioning

confidence: 99%

Palliative Care Professional Development for Critical Care Nurses: A Multicenter Program

Anderson¹,

Puntillo²,

Cimino³

et al. 2017

Am J Crit Care

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Background Integrating palliative care into intensive care units (ICUs) requires involvement of bedside nurses, who report inadequate education in palliative care. Objective To implement and evaluate a palliative care professional development program for ICU bedside nurses. Methods From May 2013 to January 2015, palliative care advanced practice nurses and nurse educators in 5 academic medical centers completed a 3-day train-the-trainer program followed by 2 years of mentoring to implement the initiative. The program consisted of 8-hour communication workshops for bedside nurses and structured rounds in ICUs, where nurse leaders coached bedside nurses in identifying and addressing palliative care needs. Primary outcomes were nurses' ratings of their palliative care communication skills in surveys, and nurses' identification of palliative care needs during coaching rounds. Results Each center held at least 6 workshops, training 428 bedside nurses. Nurses rated their skill level higher after the workshop for 15 tasks (eg, responding to family distress, ensuring families understand information in family meetings, all P < .01 vs preworkshop). Coaching rounds in each ICU took a mean of 3 hours per month. For 82% of 1110 patients discussed in rounds, bedside nurses identified palliative care needs and created plans to address them. Conclusions Communication skills training workshops increased nurses' ratings of their palliative care communication skills. Coaching rounds supported nurses in identifying and addressing palliative care needs. (American Journal of Critical Care. 2017; 26:361-371) by AACN on May 12, 2018 http://ajcc.aacnjournals.org/ Downloaded from P alliative care is a specialty and focus of care that aims to improve quality of care for patients who have serious and complex illnesses and their families. [1][2][3] Patients in intensive care units (ICUs) and their families have palliative care needs, including emotional support, management of pain and symptoms, and clinician-family communication to ensure that patients receive treatments that are consistent with their goals. [3][4][5][6][7][8][9][10][11][12][13] AJCC AMERICAN JOURNAL OF CRITICAL CARE, September 2017, Volume 26, No. 5 www.ajcconline.orgIn the ICU, palliative care is provided along with life-sustaining therapies and may be delivered by the ICU team (primary palliative care), a palliative care consult service (specialty palliative care), or both. 2,3,14 A number of barriers to integrating palliative care into the ICU have been identified, including inadequate training of clinicians and misperceptions that such treatment is the same as hospice, comfortfocused care, or end-of-life care. 3 Families, physicians, and nurses identify involvement of bedside nurses as a key factor in the quality of ICU palliative care. [15][16][17][18][19][20] Nurses' training and constancy at the bedside position them to identify palliative care needs, coordinate communication among families and an array of clinicians, and support and educate families. 15,16,19...

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“…The second part of the questionnaire consisted of items related to seven factors or conditions with a potential impact on providing EOL care according to the results of previous studies: (a) frequency of care for dying patients (Fridh, ); (b) length of patient's stay in the ICU (Aslakson et al., ); (c) staffing conditions (Penoyer, ); (d) time options for providing dying care (Liaschenko et al., ); (e) RNs’ personal attitudes towards death (Braun, Gordon, & Uziely, ); (fa & b) communication with patients and the families of patients (Liaschenko et al., ; Adams, Mannix, & Harringzon, ) and (ga, b, & c) education in palliative care (Espinosa et al., ). The items investigated opinions of RNs concerning the factors using Likert scales ranging from 1 ( always/strongly agree/extremely sufficient ) to 5 ( exceptionally/strongly disagree/not at all sufficient ).…”

Section: Methodsmentioning

confidence: 99%

Dying Care Interventions in the Intensive Care Unit

Kisvetrová

Školoudík

Joanovič

et al. 2016

J of Nursing Scholarship

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Nurses' communication with families in the intensive care unit – a literature review

Cited by 97 publications

References 62 publications

The Role of Heath Team in Coping Process of Family Caregivers with Patients Under Hemodialysis: A Qualitative Study

The Role of Heath Team in Coping Process of Family Caregivers with Patients Under Hemodialysis: A Qualitative Study

Palliative Care Professional Development for Critical Care Nurses: A Multicenter Program

Dying Care Interventions in the Intensive Care Unit

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