Borja de León Oliva, José Ángel Rodríguez Gómez, Natalia Rodríguez Novo
{"title":"重症监护病房护士与患者家属之间沟通的困难：一项范围审查。","authors":"Borja de León Oliva, José Ángel Rodríguez Gómez, Natalia Rodríguez Novo","doi":"10.1111/nicc.70148","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Effective communication between nurses and family members in intensive care units (ICU) is fundamental for a suitable nurse-family relationship. Despite this, there are certain difficulties that affect communication, which cause negative emotions in family members.</p><p><strong>Aim: </strong>The aim of this study was to identify the main communication problems that intensive care nurses face with relatives of critically ill patients admitted to the ICU and to determine the role that the nurse plays in communication with family members.</p><p><strong>Study design: </strong>A scoping review was conducted following the Arksey and O'Malley framework and the Joanna Briggs Institute guidelines. The review process took place between 2023 and 2024. Studies were included if they involved relatives of adult patients (> 18 years) in adult ICU settings and addressed concepts related to nurse-family communication, communication difficulties or the nurse-family relationship. Studies published between 2006 and 2022 were identified, using the EMBASE, Medline, CINAHL complete, Scopus, SCI-Expanded and SSCI databases and recovering a total of 1020 studies.</p><p><strong>Results: </strong>Twenty-seven scientific articles were included that identified communication difficulties between ICU nurses and family members. Care overload, language barrier, lack of specific training in interpersonal skills and communication, and the use of technical language are some of the most frequent difficulties.</p><p><strong>Conclusions: </strong>ICU nurses face multiple difficulties to effective family communication, yet they are essential facilitators in humanising care. Structured training and institutional protocols are crucial to improving communication quality, reducing family distress and optimising the outcomes of critical care with family members.</p><p><strong>Relevance for clinical practice: </strong>Knowledge of the communication difficulties that exist in the nurse-family relationship in the ICU can help nurses improve communication and reduce the suffering of family members during the critical care patient's stay.</p>","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":"30 5","pages":"e70148"},"PeriodicalIF":2.6000,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12344746/pdf/","citationCount":"0","resultStr":"{\"title\":\"Difficulties in Communicating Between Nurses and Relatives of Patients Admitted to Intensive Care Units: A Scoping Review.\",\"authors\":\"Borja de León Oliva, José Ángel Rodríguez Gómez, Natalia Rodríguez Novo\",\"doi\":\"10.1111/nicc.70148\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Effective communication between nurses and family members in intensive care units (ICU) is fundamental for a suitable nurse-family relationship. Despite this, there are certain difficulties that affect communication, which cause negative emotions in family members.</p><p><strong>Aim: </strong>The aim of this study was to identify the main communication problems that intensive care nurses face with relatives of critically ill patients admitted to the ICU and to determine the role that the nurse plays in communication with family members.</p><p><strong>Study design: </strong>A scoping review was conducted following the Arksey and O'Malley framework and the Joanna Briggs Institute guidelines. The review process took place between 2023 and 2024. Studies were included if they involved relatives of adult patients (> 18 years) in adult ICU settings and addressed concepts related to nurse-family communication, communication difficulties or the nurse-family relationship. Studies published between 2006 and 2022 were identified, using the EMBASE, Medline, CINAHL complete, Scopus, SCI-Expanded and SSCI databases and recovering a total of 1020 studies.</p><p><strong>Results: </strong>Twenty-seven scientific articles were included that identified communication difficulties between ICU nurses and family members. Care overload, language barrier, lack of specific training in interpersonal skills and communication, and the use of technical language are some of the most frequent difficulties.</p><p><strong>Conclusions: </strong>ICU nurses face multiple difficulties to effective family communication, yet they are essential facilitators in humanising care. Structured training and institutional protocols are crucial to improving communication quality, reducing family distress and optimising the outcomes of critical care with family members.</p><p><strong>Relevance for clinical practice: </strong>Knowledge of the communication difficulties that exist in the nurse-family relationship in the ICU can help nurses improve communication and reduce the suffering of family members during the critical care patient's stay.</p>\",\"PeriodicalId\":51264,\"journal\":{\"name\":\"Nursing in Critical Care\",\"volume\":\"30 5\",\"pages\":\"e70148\"},\"PeriodicalIF\":2.6000,\"publicationDate\":\"2025-09-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12344746/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Nursing in Critical Care\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1111/nicc.70148\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"NURSING\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Nursing in Critical Care","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1111/nicc.70148","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"NURSING","Score":null,"Total":0}
Difficulties in Communicating Between Nurses and Relatives of Patients Admitted to Intensive Care Units: A Scoping Review.
Background: Effective communication between nurses and family members in intensive care units (ICU) is fundamental for a suitable nurse-family relationship. Despite this, there are certain difficulties that affect communication, which cause negative emotions in family members.
Aim: The aim of this study was to identify the main communication problems that intensive care nurses face with relatives of critically ill patients admitted to the ICU and to determine the role that the nurse plays in communication with family members.
Study design: A scoping review was conducted following the Arksey and O'Malley framework and the Joanna Briggs Institute guidelines. The review process took place between 2023 and 2024. Studies were included if they involved relatives of adult patients (> 18 years) in adult ICU settings and addressed concepts related to nurse-family communication, communication difficulties or the nurse-family relationship. Studies published between 2006 and 2022 were identified, using the EMBASE, Medline, CINAHL complete, Scopus, SCI-Expanded and SSCI databases and recovering a total of 1020 studies.
Results: Twenty-seven scientific articles were included that identified communication difficulties between ICU nurses and family members. Care overload, language barrier, lack of specific training in interpersonal skills and communication, and the use of technical language are some of the most frequent difficulties.
Conclusions: ICU nurses face multiple difficulties to effective family communication, yet they are essential facilitators in humanising care. Structured training and institutional protocols are crucial to improving communication quality, reducing family distress and optimising the outcomes of critical care with family members.
Relevance for clinical practice: Knowledge of the communication difficulties that exist in the nurse-family relationship in the ICU can help nurses improve communication and reduce the suffering of family members during the critical care patient's stay.
期刊介绍：
Nursing in Critical Care is an international peer-reviewed journal covering any aspect of critical care nursing practice, research, education or management. Critical care nursing is defined as the whole spectrum of skills, knowledge and attitudes utilised by practitioners in any setting where adults or children, and their families, are experiencing acute and critical illness. Such settings encompass general and specialist hospitals, and the community. Nursing in Critical Care covers the diverse specialities of critical care nursing including surgery, medicine, cardiac, renal, neurosciences, haematology, obstetrics, accident and emergency, neonatal nursing and paediatrics.
Papers published in the journal normally fall into one of the following categories:
-research reports
-literature reviews
-developments in practice, education or management
-reflections on practice
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