Communication strategies for effective family-clinician conversations in the intensive care unit: A mixed methods study
Objectives: To explore the perspectives of intensive care patients’ family members and clinicians on conveying information during family–clinician conversations.Setting: Two medical intensive care units of a German academic tertiary care hospital.Research methodology and design: This study followed...
Ausführliche Beschreibung
Gespeichert in:
| Autor*in: |
Reifarth, Eyleen [verfasserIn] Böll, Boris [verfasserIn] Kochanek, Matthias [verfasserIn] Garcia Borrega, Jorge [verfasserIn] |
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| Format: |
E-Artikel |
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| Sprache: |
Englisch |
| Erschienen: |
2023 |
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| Schlagwörter: |
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| Übergeordnetes Werk: |
Enthalten in: Intensive & critical care nursing - Edinburgh [u.a.] : Churchill Livingstone, 1992, 79 |
|---|---|
| Übergeordnetes Werk: |
volume:79 |
| DOI / URN: |
10.1016/j.iccn.2023.103497 |
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| Katalog-ID: |
ELV064301672 |
|---|
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| 245 | 1 | 0 | |a Communication strategies for effective family-clinician conversations in the intensive care unit: A mixed methods study |
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| 520 | |a Objectives: To explore the perspectives of intensive care patients’ family members and clinicians on conveying information during family–clinician conversations.Setting: Two medical intensive care units of a German academic tertiary care hospital.Research methodology and design: This study followed a mixed methods design using a digital survey on family-clinician conversations with open- and closed–ended questions, metric scales, and free–text options. Quantitative analysis was performed to determine similarities and differences. Qualitative directed content analysis was conducted to code all free–text responses into themes.Findings: The responses of 100 family members, 42 nurses, and 28 physicians were analysed (response rate: 47%). All groups preferred face-to-face communication, the ask-tell-ask method, recipient design, and explaining medical terminology. The groups further commented on empathic communication by advocating the acknowledgement of the large amount of information. Qualitative themes highlighting the importance of bedside manners and written information were unique to the family members. Closed–ended questions were identified as potential trouble sources. Two communication strategies were rated as more suitable by the family members than by the physicians: being offered to choose between a summary or a detailed report at the beginning (p =.012;r = 0.288) and receiving a summary and having all questions answered at the end of a conversation (p =.023;r = 0.240).Conclusion: The shared preferences supported existing expert recommendations, the differing preferences corroborated the importance of relational aspects of communication and additional written information. More research is needed on empathic communication aspects.Implications for clinical practice: To facilitate understanding, the clinicians may apply recipient design and the ask-tell-ask method, explain medical terminology, summarise important information, and proactively elicit questions. They may use empathic phrasing, demonstrate a respectful demeanour, and reflect on their current use of closed-ended questions and on the relational messages of their communication. | ||
| 650 | 4 | |a Communication | |
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| 650 | 4 | |a Critical care | |
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| 650 | 4 | |a Intensive Care Units | |
| 700 | 1 | |a Böll, Boris |e verfasserin |4 aut | |
| 700 | 1 | |a Kochanek, Matthias |e verfasserin |4 aut | |
| 700 | 1 | |a Garcia Borrega, Jorge |e verfasserin |4 aut | |
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10.1016/j.iccn.2023.103497 doi (DE-627)ELV064301672 (ELSEVIER)S0964-3397(23)00114-3 DE-627 ger DE-627 rda eng 610 VZ 44.69 bkl 44.63 bkl Reifarth, Eyleen verfasserin (orcid)0000-0002-5109-0144 aut Communication strategies for effective family-clinician conversations in the intensive care unit: A mixed methods study 2023 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objectives: To explore the perspectives of intensive care patients’ family members and clinicians on conveying information during family–clinician conversations.Setting: Two medical intensive care units of a German academic tertiary care hospital.Research methodology and design: This study followed a mixed methods design using a digital survey on family-clinician conversations with open- and closed–ended questions, metric scales, and free–text options. Quantitative analysis was performed to determine similarities and differences. Qualitative directed content analysis was conducted to code all free–text responses into themes.Findings: The responses of 100 family members, 42 nurses, and 28 physicians were analysed (response rate: 47%). All groups preferred face-to-face communication, the ask-tell-ask method, recipient design, and explaining medical terminology. The groups further commented on empathic communication by advocating the acknowledgement of the large amount of information. Qualitative themes highlighting the importance of bedside manners and written information were unique to the family members. Closed–ended questions were identified as potential trouble sources. Two communication strategies were rated as more suitable by the family members than by the physicians: being offered to choose between a summary or a detailed report at the beginning (p =.012;r = 0.288) and receiving a summary and having all questions answered at the end of a conversation (p =.023;r = 0.240).Conclusion: The shared preferences supported existing expert recommendations, the differing preferences corroborated the importance of relational aspects of communication and additional written information. More research is needed on empathic communication aspects.Implications for clinical practice: To facilitate understanding, the clinicians may apply recipient design and the ask-tell-ask method, explain medical terminology, summarise important information, and proactively elicit questions. They may use empathic phrasing, demonstrate a respectful demeanour, and reflect on their current use of closed-ended questions and on the relational messages of their communication. Communication Comprehension Critical care Critical Care Nursing Family Members Intensive Care Units Böll, Boris verfasserin aut Kochanek, Matthias verfasserin aut Garcia Borrega, Jorge verfasserin aut Enthalten in Intensive & critical care nursing Edinburgh [u.a.] : Churchill Livingstone, 1992 79 Online-Ressource (DE-627)33008058X (DE-600)2049072-0 (DE-576)271360763 1532-4036 nnns volume:79 GBV_USEFLAG_U GBV_ELV SYSFLAG_U SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2007 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2106 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2470 GBV_ILN_2507 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4242 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.69 Intensivmedizin VZ 44.63 Krankenpflege VZ AR 79 |
| spelling |
10.1016/j.iccn.2023.103497 doi (DE-627)ELV064301672 (ELSEVIER)S0964-3397(23)00114-3 DE-627 ger DE-627 rda eng 610 VZ 44.69 bkl 44.63 bkl Reifarth, Eyleen verfasserin (orcid)0000-0002-5109-0144 aut Communication strategies for effective family-clinician conversations in the intensive care unit: A mixed methods study 2023 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objectives: To explore the perspectives of intensive care patients’ family members and clinicians on conveying information during family–clinician conversations.Setting: Two medical intensive care units of a German academic tertiary care hospital.Research methodology and design: This study followed a mixed methods design using a digital survey on family-clinician conversations with open- and closed–ended questions, metric scales, and free–text options. Quantitative analysis was performed to determine similarities and differences. Qualitative directed content analysis was conducted to code all free–text responses into themes.Findings: The responses of 100 family members, 42 nurses, and 28 physicians were analysed (response rate: 47%). All groups preferred face-to-face communication, the ask-tell-ask method, recipient design, and explaining medical terminology. The groups further commented on empathic communication by advocating the acknowledgement of the large amount of information. Qualitative themes highlighting the importance of bedside manners and written information were unique to the family members. Closed–ended questions were identified as potential trouble sources. Two communication strategies were rated as more suitable by the family members than by the physicians: being offered to choose between a summary or a detailed report at the beginning (p =.012;r = 0.288) and receiving a summary and having all questions answered at the end of a conversation (p =.023;r = 0.240).Conclusion: The shared preferences supported existing expert recommendations, the differing preferences corroborated the importance of relational aspects of communication and additional written information. More research is needed on empathic communication aspects.Implications for clinical practice: To facilitate understanding, the clinicians may apply recipient design and the ask-tell-ask method, explain medical terminology, summarise important information, and proactively elicit questions. They may use empathic phrasing, demonstrate a respectful demeanour, and reflect on their current use of closed-ended questions and on the relational messages of their communication. Communication Comprehension Critical care Critical Care Nursing Family Members Intensive Care Units Böll, Boris verfasserin aut Kochanek, Matthias verfasserin aut Garcia Borrega, Jorge verfasserin aut Enthalten in Intensive & critical care nursing Edinburgh [u.a.] : Churchill Livingstone, 1992 79 Online-Ressource (DE-627)33008058X (DE-600)2049072-0 (DE-576)271360763 1532-4036 nnns volume:79 GBV_USEFLAG_U GBV_ELV SYSFLAG_U SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2007 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2106 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2470 GBV_ILN_2507 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4242 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.69 Intensivmedizin VZ 44.63 Krankenpflege VZ AR 79 |
| allfields_unstemmed |
10.1016/j.iccn.2023.103497 doi (DE-627)ELV064301672 (ELSEVIER)S0964-3397(23)00114-3 DE-627 ger DE-627 rda eng 610 VZ 44.69 bkl 44.63 bkl Reifarth, Eyleen verfasserin (orcid)0000-0002-5109-0144 aut Communication strategies for effective family-clinician conversations in the intensive care unit: A mixed methods study 2023 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objectives: To explore the perspectives of intensive care patients’ family members and clinicians on conveying information during family–clinician conversations.Setting: Two medical intensive care units of a German academic tertiary care hospital.Research methodology and design: This study followed a mixed methods design using a digital survey on family-clinician conversations with open- and closed–ended questions, metric scales, and free–text options. Quantitative analysis was performed to determine similarities and differences. Qualitative directed content analysis was conducted to code all free–text responses into themes.Findings: The responses of 100 family members, 42 nurses, and 28 physicians were analysed (response rate: 47%). All groups preferred face-to-face communication, the ask-tell-ask method, recipient design, and explaining medical terminology. The groups further commented on empathic communication by advocating the acknowledgement of the large amount of information. Qualitative themes highlighting the importance of bedside manners and written information were unique to the family members. Closed–ended questions were identified as potential trouble sources. Two communication strategies were rated as more suitable by the family members than by the physicians: being offered to choose between a summary or a detailed report at the beginning (p =.012;r = 0.288) and receiving a summary and having all questions answered at the end of a conversation (p =.023;r = 0.240).Conclusion: The shared preferences supported existing expert recommendations, the differing preferences corroborated the importance of relational aspects of communication and additional written information. More research is needed on empathic communication aspects.Implications for clinical practice: To facilitate understanding, the clinicians may apply recipient design and the ask-tell-ask method, explain medical terminology, summarise important information, and proactively elicit questions. They may use empathic phrasing, demonstrate a respectful demeanour, and reflect on their current use of closed-ended questions and on the relational messages of their communication. Communication Comprehension Critical care Critical Care Nursing Family Members Intensive Care Units Böll, Boris verfasserin aut Kochanek, Matthias verfasserin aut Garcia Borrega, Jorge verfasserin aut Enthalten in Intensive & critical care nursing Edinburgh [u.a.] : Churchill Livingstone, 1992 79 Online-Ressource (DE-627)33008058X (DE-600)2049072-0 (DE-576)271360763 1532-4036 nnns volume:79 GBV_USEFLAG_U GBV_ELV SYSFLAG_U SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2007 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2106 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2470 GBV_ILN_2507 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4242 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.69 Intensivmedizin VZ 44.63 Krankenpflege VZ AR 79 |
| allfieldsGer |
10.1016/j.iccn.2023.103497 doi (DE-627)ELV064301672 (ELSEVIER)S0964-3397(23)00114-3 DE-627 ger DE-627 rda eng 610 VZ 44.69 bkl 44.63 bkl Reifarth, Eyleen verfasserin (orcid)0000-0002-5109-0144 aut Communication strategies for effective family-clinician conversations in the intensive care unit: A mixed methods study 2023 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objectives: To explore the perspectives of intensive care patients’ family members and clinicians on conveying information during family–clinician conversations.Setting: Two medical intensive care units of a German academic tertiary care hospital.Research methodology and design: This study followed a mixed methods design using a digital survey on family-clinician conversations with open- and closed–ended questions, metric scales, and free–text options. Quantitative analysis was performed to determine similarities and differences. Qualitative directed content analysis was conducted to code all free–text responses into themes.Findings: The responses of 100 family members, 42 nurses, and 28 physicians were analysed (response rate: 47%). All groups preferred face-to-face communication, the ask-tell-ask method, recipient design, and explaining medical terminology. The groups further commented on empathic communication by advocating the acknowledgement of the large amount of information. Qualitative themes highlighting the importance of bedside manners and written information were unique to the family members. Closed–ended questions were identified as potential trouble sources. Two communication strategies were rated as more suitable by the family members than by the physicians: being offered to choose between a summary or a detailed report at the beginning (p =.012;r = 0.288) and receiving a summary and having all questions answered at the end of a conversation (p =.023;r = 0.240).Conclusion: The shared preferences supported existing expert recommendations, the differing preferences corroborated the importance of relational aspects of communication and additional written information. More research is needed on empathic communication aspects.Implications for clinical practice: To facilitate understanding, the clinicians may apply recipient design and the ask-tell-ask method, explain medical terminology, summarise important information, and proactively elicit questions. They may use empathic phrasing, demonstrate a respectful demeanour, and reflect on their current use of closed-ended questions and on the relational messages of their communication. Communication Comprehension Critical care Critical Care Nursing Family Members Intensive Care Units Böll, Boris verfasserin aut Kochanek, Matthias verfasserin aut Garcia Borrega, Jorge verfasserin aut Enthalten in Intensive & critical care nursing Edinburgh [u.a.] : Churchill Livingstone, 1992 79 Online-Ressource (DE-627)33008058X (DE-600)2049072-0 (DE-576)271360763 1532-4036 nnns volume:79 GBV_USEFLAG_U GBV_ELV SYSFLAG_U SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2007 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2106 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2470 GBV_ILN_2507 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4242 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.69 Intensivmedizin VZ 44.63 Krankenpflege VZ AR 79 |
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10.1016/j.iccn.2023.103497 doi (DE-627)ELV064301672 (ELSEVIER)S0964-3397(23)00114-3 DE-627 ger DE-627 rda eng 610 VZ 44.69 bkl 44.63 bkl Reifarth, Eyleen verfasserin (orcid)0000-0002-5109-0144 aut Communication strategies for effective family-clinician conversations in the intensive care unit: A mixed methods study 2023 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objectives: To explore the perspectives of intensive care patients’ family members and clinicians on conveying information during family–clinician conversations.Setting: Two medical intensive care units of a German academic tertiary care hospital.Research methodology and design: This study followed a mixed methods design using a digital survey on family-clinician conversations with open- and closed–ended questions, metric scales, and free–text options. Quantitative analysis was performed to determine similarities and differences. Qualitative directed content analysis was conducted to code all free–text responses into themes.Findings: The responses of 100 family members, 42 nurses, and 28 physicians were analysed (response rate: 47%). All groups preferred face-to-face communication, the ask-tell-ask method, recipient design, and explaining medical terminology. The groups further commented on empathic communication by advocating the acknowledgement of the large amount of information. Qualitative themes highlighting the importance of bedside manners and written information were unique to the family members. Closed–ended questions were identified as potential trouble sources. Two communication strategies were rated as more suitable by the family members than by the physicians: being offered to choose between a summary or a detailed report at the beginning (p =.012;r = 0.288) and receiving a summary and having all questions answered at the end of a conversation (p =.023;r = 0.240).Conclusion: The shared preferences supported existing expert recommendations, the differing preferences corroborated the importance of relational aspects of communication and additional written information. More research is needed on empathic communication aspects.Implications for clinical practice: To facilitate understanding, the clinicians may apply recipient design and the ask-tell-ask method, explain medical terminology, summarise important information, and proactively elicit questions. They may use empathic phrasing, demonstrate a respectful demeanour, and reflect on their current use of closed-ended questions and on the relational messages of their communication. Communication Comprehension Critical care Critical Care Nursing Family Members Intensive Care Units Böll, Boris verfasserin aut Kochanek, Matthias verfasserin aut Garcia Borrega, Jorge verfasserin aut Enthalten in Intensive & critical care nursing Edinburgh [u.a.] : Churchill Livingstone, 1992 79 Online-Ressource (DE-627)33008058X (DE-600)2049072-0 (DE-576)271360763 1532-4036 nnns volume:79 GBV_USEFLAG_U GBV_ELV SYSFLAG_U SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2007 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2106 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2470 GBV_ILN_2507 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4242 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.69 Intensivmedizin VZ 44.63 Krankenpflege VZ AR 79 |
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Reifarth, Eyleen @@aut@@ Böll, Boris @@aut@@ Kochanek, Matthias @@aut@@ Garcia Borrega, Jorge @@aut@@ |
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communication strategies for effective family-clinician conversations in the intensive care unit: a mixed methods study |
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Communication strategies for effective family-clinician conversations in the intensive care unit: A mixed methods study |
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Objectives: To explore the perspectives of intensive care patients’ family members and clinicians on conveying information during family–clinician conversations.Setting: Two medical intensive care units of a German academic tertiary care hospital.Research methodology and design: This study followed a mixed methods design using a digital survey on family-clinician conversations with open- and closed–ended questions, metric scales, and free–text options. Quantitative analysis was performed to determine similarities and differences. Qualitative directed content analysis was conducted to code all free–text responses into themes.Findings: The responses of 100 family members, 42 nurses, and 28 physicians were analysed (response rate: 47%). All groups preferred face-to-face communication, the ask-tell-ask method, recipient design, and explaining medical terminology. The groups further commented on empathic communication by advocating the acknowledgement of the large amount of information. Qualitative themes highlighting the importance of bedside manners and written information were unique to the family members. Closed–ended questions were identified as potential trouble sources. Two communication strategies were rated as more suitable by the family members than by the physicians: being offered to choose between a summary or a detailed report at the beginning (p =.012;r = 0.288) and receiving a summary and having all questions answered at the end of a conversation (p =.023;r = 0.240).Conclusion: The shared preferences supported existing expert recommendations, the differing preferences corroborated the importance of relational aspects of communication and additional written information. More research is needed on empathic communication aspects.Implications for clinical practice: To facilitate understanding, the clinicians may apply recipient design and the ask-tell-ask method, explain medical terminology, summarise important information, and proactively elicit questions. They may use empathic phrasing, demonstrate a respectful demeanour, and reflect on their current use of closed-ended questions and on the relational messages of their communication. |
| abstractGer |
Objectives: To explore the perspectives of intensive care patients’ family members and clinicians on conveying information during family–clinician conversations.Setting: Two medical intensive care units of a German academic tertiary care hospital.Research methodology and design: This study followed a mixed methods design using a digital survey on family-clinician conversations with open- and closed–ended questions, metric scales, and free–text options. Quantitative analysis was performed to determine similarities and differences. Qualitative directed content analysis was conducted to code all free–text responses into themes.Findings: The responses of 100 family members, 42 nurses, and 28 physicians were analysed (response rate: 47%). All groups preferred face-to-face communication, the ask-tell-ask method, recipient design, and explaining medical terminology. The groups further commented on empathic communication by advocating the acknowledgement of the large amount of information. Qualitative themes highlighting the importance of bedside manners and written information were unique to the family members. Closed–ended questions were identified as potential trouble sources. Two communication strategies were rated as more suitable by the family members than by the physicians: being offered to choose between a summary or a detailed report at the beginning (p =.012;r = 0.288) and receiving a summary and having all questions answered at the end of a conversation (p =.023;r = 0.240).Conclusion: The shared preferences supported existing expert recommendations, the differing preferences corroborated the importance of relational aspects of communication and additional written information. More research is needed on empathic communication aspects.Implications for clinical practice: To facilitate understanding, the clinicians may apply recipient design and the ask-tell-ask method, explain medical terminology, summarise important information, and proactively elicit questions. They may use empathic phrasing, demonstrate a respectful demeanour, and reflect on their current use of closed-ended questions and on the relational messages of their communication. |
| abstract_unstemmed |
Objectives: To explore the perspectives of intensive care patients’ family members and clinicians on conveying information during family–clinician conversations.Setting: Two medical intensive care units of a German academic tertiary care hospital.Research methodology and design: This study followed a mixed methods design using a digital survey on family-clinician conversations with open- and closed–ended questions, metric scales, and free–text options. Quantitative analysis was performed to determine similarities and differences. Qualitative directed content analysis was conducted to code all free–text responses into themes.Findings: The responses of 100 family members, 42 nurses, and 28 physicians were analysed (response rate: 47%). All groups preferred face-to-face communication, the ask-tell-ask method, recipient design, and explaining medical terminology. The groups further commented on empathic communication by advocating the acknowledgement of the large amount of information. Qualitative themes highlighting the importance of bedside manners and written information were unique to the family members. Closed–ended questions were identified as potential trouble sources. Two communication strategies were rated as more suitable by the family members than by the physicians: being offered to choose between a summary or a detailed report at the beginning (p =.012;r = 0.288) and receiving a summary and having all questions answered at the end of a conversation (p =.023;r = 0.240).Conclusion: The shared preferences supported existing expert recommendations, the differing preferences corroborated the importance of relational aspects of communication and additional written information. More research is needed on empathic communication aspects.Implications for clinical practice: To facilitate understanding, the clinicians may apply recipient design and the ask-tell-ask method, explain medical terminology, summarise important information, and proactively elicit questions. They may use empathic phrasing, demonstrate a respectful demeanour, and reflect on their current use of closed-ended questions and on the relational messages of their communication. |
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| score |
7.402793 |