Tag: communication

Upvote Story 6
Decisions to limit therapy (DTLT) are routine for ICU physicians. Although breaking bad news is one of the most difficult tasks clinicians face, ongoing communication is even more crucial as families (not necessary following a legal or genetic definition) of critically ill patients have heightened communication needs. Supporting families during the process of shared decision-making from the pursuit of cure/recovery to the pursuit of comfort/freedom... Read More | Comment
Upvote Story 7
It is well established that the Arts have a clear contribution to make in the delivery of an improved healthcare experience for patients, service users and staff. Southmead Hospital (part of North Bristol NHS Trust) has a very active arts programme – Fresh Arts, who have introduced a range of creative interventions including sculpture, music, exhibitions and craft activities, which all help make the hospital... Read More | Comment
Upvote Story 5
The term “intensive care unit” (ICU) was originally meant to refer to the intensity of the resources allocated to patient care. Today, however, ICU refers more to the intensity of the interventions undergone by the patient. In an opinion piece published in JAMA Internal Medicine, Brian L. Block, MD, of the division of pulmonary, allergy, and critical care in the department of medicine at the... Read More | Comment
Upvote Story 6
In this short opinion piece, career and consumer advisor Belinda MacLeod-Smith challenges us to consider crucial elements of whole patient care, and how they can be impacted by limiting factors. Caring for someone with ongoing, occasionally acute, health needs means I have a high level of interest when it comes to hospital-based services and the concept of ‘whole patient’ care. My husband and I often... Read More | Comment
Upvote Story 3
During a period of service reconfiguration, intensivists routinely rostered to work in one ICU worked in another of the hospital's four ICUs. "Home" intensivists were those who continued to work in their usual ICU; "visitor" intensivists were those who delivered care in an unfamiliar ICU. Patient data were obtained from electronic patient records to provide analysis on sex, age, admission Sequential Organ Failure Assessment score,... Read More | Comment
Upvote Story 4
The Social Media Index’s correlation with multiple quality evaluation instruments over time supports the hypothesis that it is associated with overall Web site quality. It can play a role in guiding individuals to high-quality resources that can be reviewed with critical appraisal techniques. A total of 309 of 330 raters completed all ratings (93.6%). The Social Media Index correlated moderately to strongly with the mean... Read More | Comment
Upvote Story 6
Social media is changing the ways that patients interact with healthcare providers and the healthcare system. It is increasingly common for patients to use information technology to gain access to information and control their own healthcare. Increased access to the Internet and mobile communication will bring public health information to many more people, more quickly and directly than at any time in history. Social media... Read More | Comment
Upvote Story 7
We instituted several interventions in our trauma and surgical ICU aimed at improving communication and teamwork between RNs and MDs. Informal feedback indicated greater satisfaction among RNs and MDs with the working environment. However, these results were not reproduced on a subsequent national survey, reflecting the difficulty of measuring intervention effectiveness using standardized surveys. The fundamental elements of our approach that may be used in... Read More | Comment
Upvote Story 11
Ventilator-dependent patients in the ICU often experience difficulties with one of the most basic human functions, namely communication, due to intubation. Although various assistive communication tools exist, these are infrequently used in ICU patients. Although evidence is limited, results suggest that most communication methods may be effective in improving patient–healthcare professional communication with mechanically ventilated patients. A combination of methods is advised. We developed an... Read More | Comment
Upvote Story 4
Qualitative data corroborated that residents need more exposure to clinical cases, especially regarding DCD donors. A standardized education curriculum would be beneficial for all residents within the ICU. Developing a better shared understanding of the donation process will improve team communication and performance, translate into a better end-of-life experience for families, and potentially result in increased donation rates. We undertook a qualitative multicentre study and... Read More | Comment
Upvote Story 5
With the rise of new technologies, long gone are the days of cassette tapes and CDs that made stopping, rewinding, learning, and restarting an audio recording an annoyance. Digital media now makes it possible for individuals to easily listen, read, or do both at the same time from their smartphones, e-readers, tablets, and computers. There is increasing interest in differences between listening versus reading comprehension... Read More | Comment
Upvote Story 15
Written by experts in the field, Families in the Intensive Care Unit: A Guide to Understanding, Engaging and Supporting at the Bedside is a state-of-the-art reference for all clinicians who work with families in the ICU. This text is one of the first comprehensive resources on understanding and working with families in the intensive care unit. The text provides a conceptual overview of the Family... Read More | Comment
Upvote Story 11
Although “respect” and “dignity” are intuitive concepts, little formal work has addressed their systematic application in the ICU setting. After convening a multidisciplinary group of relevant experts, we undertook a review of relevant literature and collaborative discussions focused on the practice of respect in the ICU. We report the output of this process, including a summary of current knowledge, a conceptual framework, and a research... Read More | Comment
Upvote Story 5
The way we communicate and learn has been revolutionized by technology. Almost all of us carry a smartphone these days, so we are never more than a phone call, message or text away from family, friends and colleagues. This blog is the first of three from the authors examining how social media (SoMe) transgresses the usual borders and may, in the future, play an important... Read More | Comment