Development and evaluation of an interprofessional communication intervention to improve family outcomes in the ICU

J. Randall Curtis, Paul S. Ciechanowski, Lois Downey, Julia Gold, Elizabeth L. Nielsen, Sarah Shannon, Patsy D. Treece, Jessica P. Young, Ruth A. Engelberg

Research output: Contribution to journalArticle

52 Citations (Scopus)

Abstract

The intensive care unit (ICU), where death is common and even survivors of an ICU stay face the risk of long-term morbidity and re-admissions to the ICU, represents an important setting for improving communication about palliative and end-of-life care. Communication about the goals of care in this setting should be a high priority since studies suggest that the current quality of ICU communication is often poor and is associated with psychological distress among family members of critically ill patients. This paper describes the development and evaluation of an intervention designed to improve the quality of care in the ICU by improving communication among the ICU team and with family members of critically ill patients. We developed a multi-faceted, interprofessional intervention based on self-efficacy theory. The intervention involves a "communication facilitator" - a nurse or social worker - trained to facilitate communication among the interprofessional ICU team and with the critically ill patient's family. The facilitators are trained using three specific content areas: a) evidence-based approaches to improving clinician-family communication in the ICU, b) attachment theory allowing clinicians to adapt communication to meet individual family member's communication needs, and c) mediation to facilitate identification and resolution of conflict including clinician-family, clinician-clinician, and intra-family conflict. The outcomes assessed in this randomized trial focus on psychological distress among family members including anxiety, depression, and post-traumatic stress disorder at 3 and 6. months after the ICU stay. This manuscript also reports some of the lessons that we have learned early in this study.

Original languageEnglish (US)
Pages (from-to)1245-1254
Number of pages10
JournalContemporary Clinical Trials
Volume33
Issue number6
DOIs
StatePublished - Nov 2012
Externally publishedYes

Fingerprint

Intensive Care Units
Communication
Critical Illness
Quality of Health Care
Patient Care Planning
Psychology
Terminal Care
Negotiating
Self Efficacy
Post-Traumatic Stress Disorders
Survivors
Anxiety
Nurses
Depression
Morbidity

Keywords

  • Communication
  • Critical care
  • Palliative care
  • Randomized trial

ASJC Scopus subject areas

  • Pharmacology (medical)
  • Medicine(all)

Cite this

Curtis, J. R., Ciechanowski, P. S., Downey, L., Gold, J., Nielsen, E. L., Shannon, S., ... Engelberg, R. A. (2012). Development and evaluation of an interprofessional communication intervention to improve family outcomes in the ICU. Contemporary Clinical Trials, 33(6), 1245-1254. https://doi.org/10.1016/j.cct.2012.06.010

Development and evaluation of an interprofessional communication intervention to improve family outcomes in the ICU. / Curtis, J. Randall; Ciechanowski, Paul S.; Downey, Lois; Gold, Julia; Nielsen, Elizabeth L.; Shannon, Sarah; Treece, Patsy D.; Young, Jessica P.; Engelberg, Ruth A.

In: Contemporary Clinical Trials, Vol. 33, No. 6, 11.2012, p. 1245-1254.

Research output: Contribution to journalArticle

Curtis, JR, Ciechanowski, PS, Downey, L, Gold, J, Nielsen, EL, Shannon, S, Treece, PD, Young, JP & Engelberg, RA 2012, 'Development and evaluation of an interprofessional communication intervention to improve family outcomes in the ICU', Contemporary Clinical Trials, vol. 33, no. 6, pp. 1245-1254. https://doi.org/10.1016/j.cct.2012.06.010
Curtis, J. Randall ; Ciechanowski, Paul S. ; Downey, Lois ; Gold, Julia ; Nielsen, Elizabeth L. ; Shannon, Sarah ; Treece, Patsy D. ; Young, Jessica P. ; Engelberg, Ruth A. / Development and evaluation of an interprofessional communication intervention to improve family outcomes in the ICU. In: Contemporary Clinical Trials. 2012 ; Vol. 33, No. 6. pp. 1245-1254.
@article{b0d12e1c4b794912ab9aa8a87da9f052,
title = "Development and evaluation of an interprofessional communication intervention to improve family outcomes in the ICU",
abstract = "The intensive care unit (ICU), where death is common and even survivors of an ICU stay face the risk of long-term morbidity and re-admissions to the ICU, represents an important setting for improving communication about palliative and end-of-life care. Communication about the goals of care in this setting should be a high priority since studies suggest that the current quality of ICU communication is often poor and is associated with psychological distress among family members of critically ill patients. This paper describes the development and evaluation of an intervention designed to improve the quality of care in the ICU by improving communication among the ICU team and with family members of critically ill patients. We developed a multi-faceted, interprofessional intervention based on self-efficacy theory. The intervention involves a {"}communication facilitator{"} - a nurse or social worker - trained to facilitate communication among the interprofessional ICU team and with the critically ill patient's family. The facilitators are trained using three specific content areas: a) evidence-based approaches to improving clinician-family communication in the ICU, b) attachment theory allowing clinicians to adapt communication to meet individual family member's communication needs, and c) mediation to facilitate identification and resolution of conflict including clinician-family, clinician-clinician, and intra-family conflict. The outcomes assessed in this randomized trial focus on psychological distress among family members including anxiety, depression, and post-traumatic stress disorder at 3 and 6. months after the ICU stay. This manuscript also reports some of the lessons that we have learned early in this study.",
keywords = "Communication, Critical care, Palliative care, Randomized trial",
author = "Curtis, {J. Randall} and Ciechanowski, {Paul S.} and Lois Downey and Julia Gold and Nielsen, {Elizabeth L.} and Sarah Shannon and Treece, {Patsy D.} and Young, {Jessica P.} and Engelberg, {Ruth A.}",
year = "2012",
month = "11",
doi = "10.1016/j.cct.2012.06.010",
language = "English (US)",
volume = "33",
pages = "1245--1254",
journal = "Contemporary Clinical Trials",
issn = "1551-7144",
publisher = "Elsevier Inc.",
number = "6",

}

TY - JOUR

T1 - Development and evaluation of an interprofessional communication intervention to improve family outcomes in the ICU

AU - Curtis, J. Randall

AU - Ciechanowski, Paul S.

AU - Downey, Lois

AU - Gold, Julia

AU - Nielsen, Elizabeth L.

AU - Shannon, Sarah

AU - Treece, Patsy D.

AU - Young, Jessica P.

AU - Engelberg, Ruth A.

PY - 2012/11

Y1 - 2012/11

N2 - The intensive care unit (ICU), where death is common and even survivors of an ICU stay face the risk of long-term morbidity and re-admissions to the ICU, represents an important setting for improving communication about palliative and end-of-life care. Communication about the goals of care in this setting should be a high priority since studies suggest that the current quality of ICU communication is often poor and is associated with psychological distress among family members of critically ill patients. This paper describes the development and evaluation of an intervention designed to improve the quality of care in the ICU by improving communication among the ICU team and with family members of critically ill patients. We developed a multi-faceted, interprofessional intervention based on self-efficacy theory. The intervention involves a "communication facilitator" - a nurse or social worker - trained to facilitate communication among the interprofessional ICU team and with the critically ill patient's family. The facilitators are trained using three specific content areas: a) evidence-based approaches to improving clinician-family communication in the ICU, b) attachment theory allowing clinicians to adapt communication to meet individual family member's communication needs, and c) mediation to facilitate identification and resolution of conflict including clinician-family, clinician-clinician, and intra-family conflict. The outcomes assessed in this randomized trial focus on psychological distress among family members including anxiety, depression, and post-traumatic stress disorder at 3 and 6. months after the ICU stay. This manuscript also reports some of the lessons that we have learned early in this study.

AB - The intensive care unit (ICU), where death is common and even survivors of an ICU stay face the risk of long-term morbidity and re-admissions to the ICU, represents an important setting for improving communication about palliative and end-of-life care. Communication about the goals of care in this setting should be a high priority since studies suggest that the current quality of ICU communication is often poor and is associated with psychological distress among family members of critically ill patients. This paper describes the development and evaluation of an intervention designed to improve the quality of care in the ICU by improving communication among the ICU team and with family members of critically ill patients. We developed a multi-faceted, interprofessional intervention based on self-efficacy theory. The intervention involves a "communication facilitator" - a nurse or social worker - trained to facilitate communication among the interprofessional ICU team and with the critically ill patient's family. The facilitators are trained using three specific content areas: a) evidence-based approaches to improving clinician-family communication in the ICU, b) attachment theory allowing clinicians to adapt communication to meet individual family member's communication needs, and c) mediation to facilitate identification and resolution of conflict including clinician-family, clinician-clinician, and intra-family conflict. The outcomes assessed in this randomized trial focus on psychological distress among family members including anxiety, depression, and post-traumatic stress disorder at 3 and 6. months after the ICU stay. This manuscript also reports some of the lessons that we have learned early in this study.

KW - Communication

KW - Critical care

KW - Palliative care

KW - Randomized trial

UR - http://www.scopus.com/inward/record.url?scp=84867212824&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84867212824&partnerID=8YFLogxK

U2 - 10.1016/j.cct.2012.06.010

DO - 10.1016/j.cct.2012.06.010

M3 - Article

C2 - 22772089

AN - SCOPUS:84867212824

VL - 33

SP - 1245

EP - 1254

JO - Contemporary Clinical Trials

JF - Contemporary Clinical Trials

SN - 1551-7144

IS - 6

ER -