Improving communication toward ICU families to facilitate understanding and reduce stress. Protocol for a multicenter randomized and controlled Italian study

Mistraletti, Giovanni; Mezzetti, Andrea; Anania, Stefania; Maddalena, Alessandra Ionescu; Negro, Silvia Del; Giusti, Gian Domenico; Gili, Alessio; Iacobone, Emanuele; Pulitanò, Silvia; Conti, Giorgio; Bocci, Maria Grazia

doi:10.1016/j.cct.2019.105847

Cited by 14 publications

(13 citation statements)

References 41 publications

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“…The pandemic of severe acute respiratory syndrome corona virus 2 (SARS-CoV-2), abruptly interrupted a decades-long path of "humanization" [ 1 , 2 ] and "opening" of intensive care units (ICUs) [ 3 , 4 ]. This is a precise need and clearly a right of patients and their families [ 5 ], establishing understanding and collaboration between families and the care team.…”

Section: Introductionmentioning

confidence: 99%

Why and how to open intensive care units to family visits during the pandemic

et al. 2021

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Since the lockdown because of the pandemic, family members have been prohibited from visiting their loved ones in hospital. While it is clearly complicated to implement protocols for the admission of family members, we believe precise strategic goals are essential and operational guidance is needed on how to achieve them. Even during the pandemic, we consider it a priority to share strategies adapted to every local setting to allow family members to enter intensive care units and all the other hospital wards.

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Section: Introductionmentioning

confidence: 99%

Why and how to open intensive care units to family visits during the pandemic

et al. 2021

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“…Therefore, effective communication is essential for nurse–patient interactions and potentially contributes to reducing occupational stress (Mistraletti et al . 2019).…”

Section: Introductionmentioning

confidence: 99%

“…In mental health nursing, nurses can collect information through communication, offer psychological support, and empathize with the patient. Therefore, effective communication is essential for nurse-patient interactions and potentially contributes to reducing occupational stress (Mistraletti et al 2019).…”

Section: Introductionmentioning

confidence: 99%

Does workplace violence, empathy, and communication influence occupational stress among mental health nurses?

Yao

Shao

Wang

et al. 2020

Int J Mental Health Nurs

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Workplace violence is a major cause of occupational stress among mental health nurses, particularly those working in acute care. This study investigated the occurrence of occupational stress among mental health nurses in psychiatric hospitals and explored whether workplace violence, empathy, and communication skills influenced occupational stress levels in this population. A socio‐demographic questionnaire and the Chinese Nursing Work Stress Scale, Workplace Violence Scale, Jefferson Scale of Empathy – Health Professions version, and Nurses’ Clinic Communication Competence Scale were administered to 539 mental health nurses from three top‐grade tertiary research hospitals in the Beijing–Tianjin–Hebei region. The analysis revealed a high level of job stress (3.06 ± 0.69) and a moderate prevalence of workplace violence (6.21 ± 2.94) existed among participants when compared with among other nurses. Meanwhile, participants’ empathy (114.78 ± 15.99) and communication (4.31 ± 0.60) abilities were similar to or higher than those of other nursing populations. Mental health nurses with varying years of practice experience distinct levels of job stress. A linear regression analysis revealed that, while practice years (β = 0.104; P < 0.05) and workplace violence (β = 0.264; P < 0.01) aggravated occupational stress levels, empathy (β = −0.147; P < 0.01) facilitated reductions in stress. Results suggest that reducing workplace violence and improving empathy in therapeutic relationships can limit the pervasiveness of occupational stress among mental health nurses. Having both psychological support and organizational support after a violent incident is essential, and the importance of professional education should be stressed.

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“…[8][9][10] De ciencies in communication can be further worsened by any combination of patient factors such as lack of understanding of medical terms, 11 limited uency in English, 12,13 di culty retaining verbal instructions 14 , or inability to absorb critical information due to stress. 15,16 While patient-centered summary tools to communicate critical information to patients and family-caregivers (i.e., family members or close friends of the patient) at discharge have been implemented, many of these tools vary in their applicability to diverse care settings and are not standardized across healthcare systems. 17…”

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confidence: 99%

Development and Pilot Implementation of a Patient Oriented Discharge Summary for Critically Ill Patients (PODS-ICU)

Shahid

Sept

Kupsch

et al. 2021

Preprint

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Background - Patients leaving the intensive care unit (ICU) often experience gaps in care due to deficiencies in discharge communication. This study aimed to develop an ICU specific patient-oriented discharge summary tool (PODS-ICU) and pilot test the tool for acceptability and feasibility.Methods - Patient-partners, ICU clinicians, and researchers met to discuss ICU patients’ specific informational needs and design the PODS-ICU through several cycles of iterative revisions. Research team nurses piloted the PODS-ICU with patient and family-caregiver participants in two ICUs in Calgary, Canada. Follow-up surveys on the PODS-ICU and its impact on discharge were administered to participants and ICU nurses.Results – Fifteen patient and family-caregiver participants were administered the PODS-ICU. Most participants felt that their discharge from the ICU was good or better (n=13), and some (n=9) participants reported a good understanding of why the patient was in ICU. Most participants (n=12) reported that they understood ICU events and impacts on the patient’s health. ICU nurses reported that the PODS-ICU was “not reasonable” in their daily clinical workflow due to “time constraint”. Conclusions - PODS-ICU improves patients and family-caregivers’ understanding of ICU events and health-implications but requires better integration with existing care processes to be feasible. Patient or Public Contribution – This work involved patient partners (i.e., individuals with lived experience as patients or family-caregivers) in tool development, study design, participant recruitment, and manuscript preparation.

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Improving communication toward ICU families to facilitate understanding and reduce stress. Protocol for a multicenter randomized and controlled Italian study

Cited by 14 publications

References 41 publications

Why and how to open intensive care units to family visits during the pandemic

Why and how to open intensive care units to family visits during the pandemic

Does workplace violence, empathy, and communication influence occupational stress among mental health nurses?

Development and Pilot Implementation of a Patient Oriented Discharge Summary for Critically Ill Patients (PODS-ICU)

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