Communication Between Registered Nurses and Family Members of Intensive Care Unit Patients

Abstract

Background Effective communication between intensive care unit patients and their families and nurses promotes relationship-centered care and improves nurses’ ability to meet patient and family needs. However, communication with these patients is challenging because of their critical illness. Families often become surrogate decision makers for adult intensive care unit patients. Objective To systematically assess available evidence on communication between adult intensive care unit patients and their families and nurses as the initial step in developing nursing strategies to strengthen communication skills. Methods In this integrative review, the method of Whittemore and Knafl was used to synthesize findings from qualitative and quantitative (descriptive and experimental) research. Results The review revealed a variety of research designs, measurement tools, and types of interventions. The qualitative findings suggest that nurses can strengthen relationship-centered care by regularly updating patients’ families and providing information that can assist with decision-making. The quantitative findings suggest that nurses should be mindful of family members’ needs for assurance, comfort, and support. Providing information on patient status can help alleviate family concerns. Conclusions Improved communication between patients and families and intensive care unit nurses is essential to strengthen relationship-centered care. Additional research is needed to better understand the communication needs of adult patients and their families in the intensive care unit.

Integrative Medicine Approaches: Bridging the Gap Between Conventional and Renal Complementary Therapies

“…Complementary therapies comprise various disciplines, such as herbal therapy, acupuncture, dietary supplements, and mind-body interventions. When carefully combined with conventional treatments, these therapies can effectively meet the comprehensive needs of patients with renal conditions [6]. The integration described is consistent with the concepts of integrative medicine, which prioritizes a patientcentered approach that recognizes the distinctiveness of each individual and customizes treatment programs appropriately [6].…”

“…The process of filtration functions as an initial barrier, effectively removing metabolic waste products, excess salts, and pollutants [5]. The kidneys play a crucial role in preventing the buildup of detrimental substances that can potentially threaten our overall well-being by effectively filtering the bloodstream with great precision [6]. Fluid and electrolyte balance is a critical process regulated by the kidneys to maintain homeostasis inside the body [2][3][4].…”

“…Blood pressure regulation: Blood pressure regulation is primarily controlled by the renin-angiotensinaldosterone system, which is carefully regulated by the kidneys [5]. The kidneys have a crucial role in preventing hypertension and its associated problems, such as stroke and heart disease, through regulating blood volume and constricting blood vessels [6].…”

“…Polycystic kidney disease (PKD): PKD is a hereditary condition that follows an autosomal dominant inheritance pattern [6]. The development of many cysts within the renal system distinguishes it.…”

“…The field of integrative medicine recognizes the significant correlation between the mind and body. In healthcare, it is common to incorporate various practices, such as meditation, yoga, and mindfulness, into treatment protocols to target emotional and psychological wellbeing effectively [6]. The practice of integrative medicine frequently entails the adoption of a collaborative methodology, wherein healthcare professionals from diverse fields collaborate harmoniously to deliver allencompassing treatment [7].…”