What challenges of family-clinician conversations in the intensive care unit can teach us: A cross-sectional survey study

IF 4.9 2区医学 Q1 NURSING

Intensive and Critical Care Nursing Pub Date : 2025-03-14 DOI:10.1016/j.iccn.2025.104011

Eyleen Reifarth, Jan-Hendrik Naendrup, Boris Böll, Matthias Kochanek, Jorge Garcia Borrega

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引用次数: 0

Abstract

Objectives

To explore the perspectives of intensive care unit personnel and patients’ family members on challenges of family-clinician conversations and corresponding learning needs.

Research Methodology/Design

Cross-sectional survey study.

Setting

Two medical intensive care units of a German academic tertiary care hospital.

Main Outcome Measures

Data were collected using an investigator-designed online survey with open- and closed-ended questions. Descriptive statistics were conducted to determine frequencies, free-text responses were analysed using directed qualitative content analysis.

Findings

The responses of 94 family members, 42 nurses, and 28 physicians were analysed (response rate: 45%). Regarding the clinicians’ perspective, three main themes of challenges were deduced: ICU setting, Staff-related challenges, and Family-related challenges. Conversely, the majority of participating family members reported challenges both cognitive and affective in nature, e.g., remembering provided information or discussing the patient’s prognosis. Most clinicians stated their need for a corresponding communication skills training to successfully navigate those challenges in clinical practice, particularly regarding conveying complex information, handling strong emotions, and managing family-clinician conflicts.

Conclusion

The identified communication challenges underline the issues of family-clinician conversations that require improvement, making it possible to determine corresponding strategies to attain the desired outcome. Further research is needed to elicit best-practices of communication skills trainings for family-clinician conversations and its implementation in critical care settings.

Implications for clinical practice

These findings invite clinicians to engage in self-reflection to identify individually perceived communication challenges and learning needs. Faculty and healthcare institutions may further use these findings to conceptualise tailored communication skills trainings to contribute to the advancement in nursing and medical education.

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来源期刊

Intensive and Critical Care Nursing NURSING-

CiteScore

6.30

自引率

15.10%

发文量

144

审稿时长

57 days

期刊介绍： The aims of Intensive and Critical Care Nursing are to promote excellence of care of critically ill patients by specialist nurses and their professional colleagues; to provide an international and interdisciplinary forum for the publication, dissemination and exchange of research findings, experience and ideas; to develop and enhance the knowledge, skills, attitudes and creative thinking essential to good critical care nursing practice. The journal publishes reviews, updates and feature articles in addition to original papers and significant preliminary communications. Articles may deal with any part of practice including relevant clinical, research, educational, psychological and technological aspects.