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Impact of Restricted Visitation Policies during the First Wave of the COVID-19 Pandemic on Communication between Critically Ill Patients, Families, and Clinicians: A Qualitative Interview Study
RATIONALE: Restricted visitation policies during the first wave of the coronavirus disease (COVID-19) pandemic have had a major impact on the ways that intensive care unit (ICU) clinicians communicated with patients and their families, requiring the use of innovative strategies to adapt to new commu...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
American Thoracic Society
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9278629/ https://www.ncbi.nlm.nih.gov/pubmed/34914537 http://dx.doi.org/10.1513/AnnalsATS.202107-877OC |
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author | Krewulak, Karla D. Jaworska, Natalia Spence, Krista L. Mizen, Sara J. Kupsch, Shelly Stelfox, Henry T. Parsons Leigh, Jeanna Fiest, Kirsten M. |
author_facet | Krewulak, Karla D. Jaworska, Natalia Spence, Krista L. Mizen, Sara J. Kupsch, Shelly Stelfox, Henry T. Parsons Leigh, Jeanna Fiest, Kirsten M. |
author_sort | Krewulak, Karla D. |
collection | PubMed |
description | RATIONALE: Restricted visitation policies during the first wave of the coronavirus disease (COVID-19) pandemic have had a major impact on the ways that intensive care unit (ICU) clinicians communicated with patients and their families, requiring the use of innovative strategies to adapt to new communication structures. OBJECTIVES: The purpose of this study is to describe the impact of restricted visitation policies on communication and to identify strategies that could be used to facilitate better communication within Canadian ICUs from the perspective of those affected. METHODS: We conducted semistructured individual interviews with critically ill patients, their families, and clinicians from 23 Canadian ICUs during the first wave of the COVID-19 pandemic between July 2020 and October 2020. We used inductive thematic analysis to identify relevant themes and subthemes. RESULTS: Forty-one interviews were conducted with 3 patients, 8 family members, 17 nurses, and 13 physicians. Five themes were identified from the analysis: 1) patient and family psychosocial and information needs; 2) communication tools; 3) quality of communication; 4) changing roles and responsibilities of patients and nurses/physicians; and 5) facilitators or barriers to implementing alternative communication. Participants identified strategies to leverage new videoconference technology and communication structures to preserve the quality of communication. CONCLUSIONS: Our study identified challenges and opportunities related to communication between critically ill patients, families, and ICU clinicians due to the restricted hospital visitation policies during the first wave of the COVID-19 pandemic. The use of videoconference technology and changes to communication structure were important strategies to facilitate effective communication within the ICU. |
format | Online Article Text |
id | pubmed-9278629 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | American Thoracic Society |
record_format | MEDLINE/PubMed |
spelling | pubmed-92786292022-08-02 Impact of Restricted Visitation Policies during the First Wave of the COVID-19 Pandemic on Communication between Critically Ill Patients, Families, and Clinicians: A Qualitative Interview Study Krewulak, Karla D. Jaworska, Natalia Spence, Krista L. Mizen, Sara J. Kupsch, Shelly Stelfox, Henry T. Parsons Leigh, Jeanna Fiest, Kirsten M. Ann Am Thorac Soc Original Research RATIONALE: Restricted visitation policies during the first wave of the coronavirus disease (COVID-19) pandemic have had a major impact on the ways that intensive care unit (ICU) clinicians communicated with patients and their families, requiring the use of innovative strategies to adapt to new communication structures. OBJECTIVES: The purpose of this study is to describe the impact of restricted visitation policies on communication and to identify strategies that could be used to facilitate better communication within Canadian ICUs from the perspective of those affected. METHODS: We conducted semistructured individual interviews with critically ill patients, their families, and clinicians from 23 Canadian ICUs during the first wave of the COVID-19 pandemic between July 2020 and October 2020. We used inductive thematic analysis to identify relevant themes and subthemes. RESULTS: Forty-one interviews were conducted with 3 patients, 8 family members, 17 nurses, and 13 physicians. Five themes were identified from the analysis: 1) patient and family psychosocial and information needs; 2) communication tools; 3) quality of communication; 4) changing roles and responsibilities of patients and nurses/physicians; and 5) facilitators or barriers to implementing alternative communication. Participants identified strategies to leverage new videoconference technology and communication structures to preserve the quality of communication. CONCLUSIONS: Our study identified challenges and opportunities related to communication between critically ill patients, families, and ICU clinicians due to the restricted hospital visitation policies during the first wave of the COVID-19 pandemic. The use of videoconference technology and changes to communication structure were important strategies to facilitate effective communication within the ICU. American Thoracic Society 2022-07-01 /pmc/articles/PMC9278629/ /pubmed/34914537 http://dx.doi.org/10.1513/AnnalsATS.202107-877OC Text en Copyright © 2022 by the American Thoracic Society https://creativecommons.org/licenses/by-nc-nd/4.0/This article is open access and distributed under the terms of the Creative Commons Attribution Non-Commercial No Derivatives License 4.0 (https://creativecommons.org/licenses/by-nc-nd/4.0/) . For commercial usage and reprints please e-mail Diane Gern (dgern@thoracic.org). |
spellingShingle | Original Research Krewulak, Karla D. Jaworska, Natalia Spence, Krista L. Mizen, Sara J. Kupsch, Shelly Stelfox, Henry T. Parsons Leigh, Jeanna Fiest, Kirsten M. Impact of Restricted Visitation Policies during the First Wave of the COVID-19 Pandemic on Communication between Critically Ill Patients, Families, and Clinicians: A Qualitative Interview Study |
title | Impact of Restricted Visitation Policies during the First Wave of the COVID-19 Pandemic on Communication between Critically Ill Patients, Families, and Clinicians: A Qualitative Interview Study |
title_full | Impact of Restricted Visitation Policies during the First Wave of the COVID-19 Pandemic on Communication between Critically Ill Patients, Families, and Clinicians: A Qualitative Interview Study |
title_fullStr | Impact of Restricted Visitation Policies during the First Wave of the COVID-19 Pandemic on Communication between Critically Ill Patients, Families, and Clinicians: A Qualitative Interview Study |
title_full_unstemmed | Impact of Restricted Visitation Policies during the First Wave of the COVID-19 Pandemic on Communication between Critically Ill Patients, Families, and Clinicians: A Qualitative Interview Study |
title_short | Impact of Restricted Visitation Policies during the First Wave of the COVID-19 Pandemic on Communication between Critically Ill Patients, Families, and Clinicians: A Qualitative Interview Study |
title_sort | impact of restricted visitation policies during the first wave of the covid-19 pandemic on communication between critically ill patients, families, and clinicians: a qualitative interview study |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9278629/ https://www.ncbi.nlm.nih.gov/pubmed/34914537 http://dx.doi.org/10.1513/AnnalsATS.202107-877OC |
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