Jane R Schubart1, Margaret Wojnar2, James Price Dillard3, Eric Meczkowski3, Mary Louise Kanaskie4, George F Blackall5, Nancy Sperry4, Thomas Lloyd6. 1. The Pennsylvania State University, College of Medicine, Departments of Surgery, Medicine, and Public Health Sciences, 500 University Drive, Hershey, PA 17033-0850, USA. Electronic address: jschubart@hmc.psu.edu. 2. The Pennsylvania State University, College of Medicine, Department of Medicine, Division of Pulmonary, Allergy, and Critical Care Medicine, 500 University Drive, Hershey, PA 17033-0850, USA. 3. The Pennsylvania State University, Department of Communication Arts and Sciences, University Park, State College, PA 16801, USA. 4. The Milton S. Hershey Medical Center, 500 University Drive, Hershey, PA 17033-0850, USA. 5. The Pennsylvania State University, College of Medicine, Department of Pediatrics, Division of Hematology Oncology, 500 University Drive, Hershey, PA 17033-0850, USA. 6. The Pennsylvania State University, College of Medicine, Department of Public Health Sciences, 500 University Drive, Hershey, PA 17033-0850, USA.
Abstract
OBJECTIVES: Although ineffective communication is known to influence patient and family satisfaction with care in intensive care unit [ICU] settings, there has been little systematic analysis of the features of the perceived problem from a communication theory perspective. This study was undertaken to understand perceptions of miscommunication and the circumstances in which they present. RESEARCH METHODOLOGY AND DESIGN: Semi-structured interviews were conducted with 22 health care professionals [HCPs] in five adult ICUs at an academic medical centre in the United States. FINDINGS: From qualitative analysis of the transcribed interviews, four themes emerged, each containing multiple subthemes. Person factors are problems that originate within individuals, related to education, cultural background and emotion. Structural factors are associated with boundaries and coordination of institutional roles. Information management problems result from social and psychological processes by which HCPs and family members seek, distribute and understand information. Relationship management problems arise from difficulties in interpersonal interactions. CONCLUSIONS: Ineffective communication is not a single problem, but rather several distinct problems that exist at different levels of abstraction and vary in over-time stability. These findings provide a framework for designing interventions to improve the well-being of patients and family members.
OBJECTIVES: Although ineffective communication is known to influence patient and family satisfaction with care in intensive care unit [ICU] settings, there has been little systematic analysis of the features of the perceived problem from a communication theory perspective. This study was undertaken to understand perceptions of miscommunication and the circumstances in which they present. RESEARCH METHODOLOGY AND DESIGN: Semi-structured interviews were conducted with 22 health care professionals [HCPs] in five adult ICUs at an academic medical centre in the United States. FINDINGS: From qualitative analysis of the transcribed interviews, four themes emerged, each containing multiple subthemes. Person factors are problems that originate within individuals, related to education, cultural background and emotion. Structural factors are associated with boundaries and coordination of institutional roles. Information management problems result from social and psychological processes by which HCPs and family members seek, distribute and understand information. Relationship management problems arise from difficulties in interpersonal interactions. CONCLUSIONS: Ineffective communication is not a single problem, but rather several distinct problems that exist at different levels of abstraction and vary in over-time stability. These findings provide a framework for designing interventions to improve the well-being of patients and family members.
Authors: Claire Adams Spears; Sean C Houchins; Wendy P Bamatter; Sandra Barrueco; Diana Stewart Hoover; Rokas Perskaudas Journal: Mindfulness (N Y) Date: 2017-03-31
Authors: Leopoldo M Amendola; Alessandro Galazzi; Irene Zainaghi; Ivan Cortinovis; Anna Zolin; Rik T Gerritsen; Ileana Adamini; Maura Lusignani; Dario Laquintana Journal: Int J Environ Res Public Health Date: 2020-11-28 Impact factor: 3.390