Do they hear what we speak? Assessing the effectiveness of communication to families of critically ill neurosurgical patients

Journal of Anaesthesiology, Clinical Pharmacology
Jacob Eapen MathewSarvpreet Singh Grewal

Abstract

Clinician-family communication must be effective for medical decision making in any Intensive Care Unit (ICU) setting. We performed a prospective study to assess the effectiveness of communication to families of critically ill neurosurgical patients based on the two criteria of comprehension and satisfaction. The study was conducted on 75 patients in a 15 bedded neurosurgical ICU. An independent investigator assessed the comprehension and satisfaction of families between the 3(rd) and the 5(th) day of admission in ICU. Comprehension was tested using three components, that is, comprehension of diagnosis, prognosis and treatment. The satisfaction was measured using a modified version of the Critical Care Family Needs Inventory (CCFNI) (score of 56-extreme dissatisfaction and 14-extreme satisfaction). Poor comprehension was noted in 52 representatives (71.2%). The mean satisfaction score as measured by the CCFNI score was 28. Factors associated with poor comprehension included increasing age of patient representative (P = 0.024), higher simplified acute physiology score (P = 0.26), nonoperated patients (P = 0.0087) and clinician estimation of poor prognosis (P = 0.01). Operated patients had significantly better satisfaction score ...Continue Reading

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Citations

Feb 7, 2018·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Allison K IkedaJennifer J Shin
Dec 31, 2019·International Journal of Nursing Practice·Kriessa Mae S BayogJohn Rey B Macindo
Sep 20, 2020·Clinical Neurology and Neurosurgery·Christine ParkOren N Gottfried
Dec 3, 2020·International Journal of Environmental Research and Public Health·Leopoldo M AmendolaDario Laquintana
Apr 2, 2021·Dimensions of Critical Care Nursing : DCCN·Danielle Claire SheadRyan A Davids
Jun 27, 2019·Journal of Surgical Education·Stephen P MirandaMary K Buss

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Software Mentioned

Epidata
Statistical Package for Social Sciences ( SPSS )

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