The process of giving information to families of critically ill patients: a field of tension

Zaforteza, Concha; Gastaldo, Denise; Pedro, Joan; Sánchez-Cuenca, Pilar; Lastra, Pedro

doi:10.1016/j.ijnurstu.2004.05.014

Cited by 37 publications

(28 citation statements)

References 24 publications

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“…In reality, this patient's condition was steadily declining, and the ICP reading was insignificant to the prognosis [31]. Nurses who feel inadequately prepared to give information to family members may give them meaningless information, such as “he/she has had a good night,” [41, page 140]. Family members, in a study of their experience in an ICU, reported that the nurses were often vague, reporting everyday details but not information about prognosis [30].…”

Section: Resultsmentioning

confidence: 99%

“…Further, these findings provide evidence that the role of nurses in informing families is important and valued by nurses and by family members. However, one study included prospective observations [41], and no study followed the participants longitudinally over a period of hospitalization to determine if the information needs changed. A prospective longitudinal study would provide data about changing needs of families and how nurses respond to these needs.…”

Section: Resultsmentioning

confidence: 99%

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Nursing Roles and Strategies in End-of-Life Decision Making in Acute Care: A Systematic Review of the Literature

Adams

Bailey

Anderson

et al. 2011

Nursing Research and Practice

115

133

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The objective of this paper is to analyze the literature concerning nurses' roles and strategies in EOL decision making in acute care environments, synthesize the findings, and identify implications for future research. We conducted searches in CINAHL and PubMed, using a broad range of terms. The 44 articles retained for review had quantitative and qualitative designs and represented ten countries. These articles were entered into a matrix to facilitate examining patterns, themes, and relationships across studies. Three nursing roles emerged from the synthesis of the literature: information broker, supporter, and advocate, each with a set of strategies nurses use to enact the roles. Empirical evidence linking these nursing roles and strategies to patients and family members outcomes is lacking. Understanding how these strategies and activities are effective in helping patients and families make EOL decisions is an area for future research.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Nursing Roles and Strategies in End-of-Life Decision Making in Acute Care: A Systematic Review of the Literature

Adams

Bailey

Anderson

et al. 2011

Nursing Research and Practice

115

133

View full text Add to dashboard Cite

show abstract

“…Barriers to facilitating information or communication were a lack of time to communicate with families (Soderstrom et al , ; Stayt, ; Bloomer et al , ), lack of access to a location for private conversations to take place (Soderstrom et al , ; Gutierrez, ; Bloomer et al , ), the desire to avoid creating conflict with the treating physicians (Zaforteza et al , ; Edwards et al , ; Slatore et al , ) and nurses' disagreement with a physician's treatment plan (Engstrom and Soderberg, ; Liaschenko et al , ; Popejoy et al , ).…”

Section: Nurses' Non‐supportive Behavioursmentioning

confidence: 99%

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

Adams

Mannix

Harrington

2015

Nursing in Critical Care

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“…Consequently, surrogates in the ICU are approached to supply medical histories, make therapy decisions and provide direction, and act as a link to a patient's life before illness. 21,22 Also, surrogates are called on to make a host of crucial decisions, such as choosing among medical treatments, G enomics refers to the interactive relationship of genes within the genome and with the environment. [1][2][3] In the intensive care unit (ICU), circumstances arise in which patients are unable to give informed consent for genomics research.…”

Section: Surrogate Challengesmentioning

confidence: 99%

Surrogate Consent for Genomics Research in Intensive Care

Shelton

Fish

Cobb

et al. 2009

American Journal of Critical Care

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Surrogate decision makers may be poorly prepared to give informed consent for genomics research for their loved ones in intensive care. A review of the challenges and strategies associated with obtaining surrogates' consent for genomics research in intensive care patients revealed that few wellcontrolled studies have been done on this topic. Yet, a major theme in the literature is the role of health care professionals in guiding surrogates through the informed consent process rather than simply witnessing a signature. Informed consent requires explicit strategies to approach potential surrogates effectively, educate them, and ensure that informed consent has been attained. (American Journal of Critical Care. 2009;18:418-427) Notice to CE enrollees:A closed-book, multiple-choice examination following this article tests your under standing of the following objectives:1. Understand the challenges associated with obtaining surrogates' consent for genomics research. 2. Describe strategies for obtaining surrogates' consent for genomics research. 3. Recognize the importance of evaluating surrogates' understanding of essential information before concluding the consent process.

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The process of giving information to families of critically ill patients: a field of tension

Cited by 37 publications

References 24 publications

Nursing Roles and Strategies in End-of-Life Decision Making in Acute Care: A Systematic Review of the Literature

Nursing Roles and Strategies in End-of-Life Decision Making in Acute Care: A Systematic Review of the Literature

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

Surrogate Consent for Genomics Research in Intensive Care

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