Family-clinician communication in the ICU and its relationship to psychological distress of family members: A cross-sectional study
Effective communication between family and clinicians has been identified as one of the most important factors in end-of-life care. Family members’ perception of communication quality with clinicians may be associated with their psychological symptoms. To examine the association between family-clini...
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| Veröffentlicht in: | International journal of nursing studies 2019-07, Vol.95, p.34-39 |
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| creator | Jo, Minjeong Song, Mi-Kyung Knafl, George J. Beeber, Linda Yoo, Yang-Sook Van Riper, Marcia |
| description | Effective communication between family and clinicians has been identified as one of the most important factors in end-of-life care. Family members’ perception of communication quality with clinicians may be associated with their psychological symptoms.
To examine the association between family-clinician (physicians or nurses) communication quality and symptoms of anxiety, depression, and stress among family members of chronically critically ill patients in intensive care units (ICUs).
A cross-sectional study.
The participants were 71 adult family members of 71 patients who required prolonged mechanical ventilation in ten ICUs at three medical centres in Korea.
Participants completed the Quality of Communication (QOC) questionnaire, Hospital Anxiety and Depression Scale (HADS), and Impact of Event Scale-Revised (IES-R). The data were analysed using correlation, bivariate regression, and multiple regression analysis.
The mean (SD) QOC score for physicians and nurses was 50.3 (15.2) and 42.9 (14.2), respectively. Forty-six participants (64.8%) were identified as being at risk for having anxiety symptoms; 22 (31%) had a mild risk and 24 (33.8%) had a moderate or severe risk. More family members (76.1%) were at risk for having depressive symptoms; 15 (21.1%) had a mild risk and 39 (54.9%) had a moderate or severe risk. For post-traumatic stress symptoms, 48 (67.6%) were at risk. While the QOC scores for nurses were negatively associated with participants’ HADS-depression scores (β = −.01, p = .03), the QOC scores for physicians were not associated with the HADS or IES-R scores. This conclusion held after consideration of covariates.
The findings suggest that communication between family members and ICU nurses may be more influential than that with ICU physicians on psychological distress of family members in Korea. However, further research is warranted to confirm this relationship. Future interventions to reduce psychological distress in family members of chronically critically ill patients may need to target ICU nurses for improving communication skills. |
| doi_str_mv | 10.1016/j.ijnurstu.2019.03.020 |
| format | Article |
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To examine the association between family-clinician (physicians or nurses) communication quality and symptoms of anxiety, depression, and stress among family members of chronically critically ill patients in intensive care units (ICUs).
A cross-sectional study.
The participants were 71 adult family members of 71 patients who required prolonged mechanical ventilation in ten ICUs at three medical centres in Korea.
Participants completed the Quality of Communication (QOC) questionnaire, Hospital Anxiety and Depression Scale (HADS), and Impact of Event Scale-Revised (IES-R). The data were analysed using correlation, bivariate regression, and multiple regression analysis.
The mean (SD) QOC score for physicians and nurses was 50.3 (15.2) and 42.9 (14.2), respectively. Forty-six participants (64.8%) were identified as being at risk for having anxiety symptoms; 22 (31%) had a mild risk and 24 (33.8%) had a moderate or severe risk. More family members (76.1%) were at risk for having depressive symptoms; 15 (21.1%) had a mild risk and 39 (54.9%) had a moderate or severe risk. For post-traumatic stress symptoms, 48 (67.6%) were at risk. While the QOC scores for nurses were negatively associated with participants’ HADS-depression scores (β = −.01, p = .03), the QOC scores for physicians were not associated with the HADS or IES-R scores. This conclusion held after consideration of covariates.
The findings suggest that communication between family members and ICU nurses may be more influential than that with ICU physicians on psychological distress of family members in Korea. However, further research is warranted to confirm this relationship. Future interventions to reduce psychological distress in family members of chronically critically ill patients may need to target ICU nurses for improving communication skills.</description><identifier>ISSN: 0020-7489</identifier><identifier>EISSN: 1873-491X</identifier><identifier>DOI: 10.1016/j.ijnurstu.2019.03.020</identifier><identifier>PMID: 31005678</identifier><language>eng</language><publisher>England: Elsevier Ltd</publisher><subject>Aged ; Anxiety ; Communication ; Communication skills ; Critical Illness ; Cross-Sectional Studies ; End of life decisions ; End-of-life care ; Family ; Family - psychology ; Female ; Humans ; Intensive care ; Intensive care unit ; Intensive Care Units ; Male ; Mechanical ventilation ; Mental depression ; Middle Aged ; Nurse-Patient Relations ; Nurses ; Nursing ; Patients ; Physician-Patient Relations ; Physicians ; Post traumatic stress disorder ; Psychological distress ; Psychological problems ; Psychological stress ; Psychological trauma ; Questionnaires ; Regression analysis ; Relatives ; Republic of Korea ; Stress, Psychological ; Symptoms ; Ventilation</subject><ispartof>International journal of nursing studies, 2019-07, Vol.95, p.34-39</ispartof><rights>2019 Elsevier Ltd</rights><rights>Copyright © 2019 Elsevier Ltd. All rights reserved.</rights><rights>Copyright Elsevier Limited Jul 2019</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c396t-a315875368aad8ac15aedb5be318b8e493f2152cbd7ea49d3c340505d2dd40513</citedby><cites>FETCH-LOGICAL-c396t-a315875368aad8ac15aedb5be318b8e493f2152cbd7ea49d3c340505d2dd40513</cites><orcidid>0000-0002-1101-4008</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.ijnurstu.2019.03.020$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3548,27922,27923,30997,45993</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31005678$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Jo, Minjeong</creatorcontrib><creatorcontrib>Song, Mi-Kyung</creatorcontrib><creatorcontrib>Knafl, George J.</creatorcontrib><creatorcontrib>Beeber, Linda</creatorcontrib><creatorcontrib>Yoo, Yang-Sook</creatorcontrib><creatorcontrib>Van Riper, Marcia</creatorcontrib><title>Family-clinician communication in the ICU and its relationship to psychological distress of family members: A cross-sectional study</title><title>International journal of nursing studies</title><addtitle>Int J Nurs Stud</addtitle><description>Effective communication between family and clinicians has been identified as one of the most important factors in end-of-life care. Family members’ perception of communication quality with clinicians may be associated with their psychological symptoms.
To examine the association between family-clinician (physicians or nurses) communication quality and symptoms of anxiety, depression, and stress among family members of chronically critically ill patients in intensive care units (ICUs).
A cross-sectional study.
The participants were 71 adult family members of 71 patients who required prolonged mechanical ventilation in ten ICUs at three medical centres in Korea.
Participants completed the Quality of Communication (QOC) questionnaire, Hospital Anxiety and Depression Scale (HADS), and Impact of Event Scale-Revised (IES-R). The data were analysed using correlation, bivariate regression, and multiple regression analysis.
The mean (SD) QOC score for physicians and nurses was 50.3 (15.2) and 42.9 (14.2), respectively. Forty-six participants (64.8%) were identified as being at risk for having anxiety symptoms; 22 (31%) had a mild risk and 24 (33.8%) had a moderate or severe risk. More family members (76.1%) were at risk for having depressive symptoms; 15 (21.1%) had a mild risk and 39 (54.9%) had a moderate or severe risk. For post-traumatic stress symptoms, 48 (67.6%) were at risk. While the QOC scores for nurses were negatively associated with participants’ HADS-depression scores (β = −.01, p = .03), the QOC scores for physicians were not associated with the HADS or IES-R scores. This conclusion held after consideration of covariates.
The findings suggest that communication between family members and ICU nurses may be more influential than that with ICU physicians on psychological distress of family members in Korea. However, further research is warranted to confirm this relationship. Future interventions to reduce psychological distress in family members of chronically critically ill patients may need to target ICU nurses for improving communication skills.</description><subject>Aged</subject><subject>Anxiety</subject><subject>Communication</subject><subject>Communication skills</subject><subject>Critical Illness</subject><subject>Cross-Sectional Studies</subject><subject>End of life decisions</subject><subject>End-of-life care</subject><subject>Family</subject><subject>Family - psychology</subject><subject>Female</subject><subject>Humans</subject><subject>Intensive care</subject><subject>Intensive care unit</subject><subject>Intensive Care Units</subject><subject>Male</subject><subject>Mechanical ventilation</subject><subject>Mental depression</subject><subject>Middle Aged</subject><subject>Nurse-Patient Relations</subject><subject>Nurses</subject><subject>Nursing</subject><subject>Patients</subject><subject>Physician-Patient Relations</subject><subject>Physicians</subject><subject>Post traumatic stress disorder</subject><subject>Psychological distress</subject><subject>Psychological problems</subject><subject>Psychological stress</subject><subject>Psychological trauma</subject><subject>Questionnaires</subject><subject>Regression analysis</subject><subject>Relatives</subject><subject>Republic of Korea</subject><subject>Stress, Psychological</subject><subject>Symptoms</subject><subject>Ventilation</subject><issn>0020-7489</issn><issn>1873-491X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNqFkU9v1DAQxS0EokvhK1SWuHBJ8J8kdjhRrSitVIkLlbhZjj1hHSXx4kmQ9swXx7vbcuiFk0f2770ZzyPkirOSM958HMowzGvCZS0F423JZMkEe0E2XCtZVC3_8ZJsWL4qVKXbC_IGcWCMcc30a3IhOWN1o_SG_LmxUxgPhRvDHFywM3VxmtZc2yXEmYaZLjugd9sHamdPw4I0wXh6w13Y0yXSPR7cLo7xZ9aM1AdcEiDS2NP-5E0nmDpI-IleU5ciYoHgjgaZzvP7w1vyqrcjwrvH85I83Hz5vr0t7r99vdte3xdOts1SWMlrrWrZaGu9to7XFnxXdyC57jRUrewFr4XrvAJbtV46WbGa1V54nwsuL8mHs-8-xV8r4GKmgA7G0c4QVzRCcKFEJtuMvn-GDnFNeeIjpZRUslVNppozdfpWgt7sU5hsOhjOzDEmM5inmMwxJsOkyZlk4dWj_dpN4P_JnnLJwOczAHkfvwMkgy7A7MCHlJdnfAz_6_EX_IGpeg</recordid><startdate>201907</startdate><enddate>201907</enddate><creator>Jo, Minjeong</creator><creator>Song, Mi-Kyung</creator><creator>Knafl, George J.</creator><creator>Beeber, Linda</creator><creator>Yoo, Yang-Sook</creator><creator>Van Riper, Marcia</creator><general>Elsevier Ltd</general><general>Elsevier Limited</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>NAPCQ</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-1101-4008</orcidid></search><sort><creationdate>201907</creationdate><title>Family-clinician communication in the ICU and its relationship to psychological distress of family members: A cross-sectional study</title><author>Jo, Minjeong ; Song, Mi-Kyung ; Knafl, George J. ; Beeber, Linda ; Yoo, Yang-Sook ; Van Riper, Marcia</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c396t-a315875368aad8ac15aedb5be318b8e493f2152cbd7ea49d3c340505d2dd40513</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Aged</topic><topic>Anxiety</topic><topic>Communication</topic><topic>Communication skills</topic><topic>Critical Illness</topic><topic>Cross-Sectional Studies</topic><topic>End of life decisions</topic><topic>End-of-life care</topic><topic>Family</topic><topic>Family - psychology</topic><topic>Female</topic><topic>Humans</topic><topic>Intensive care</topic><topic>Intensive care unit</topic><topic>Intensive Care Units</topic><topic>Male</topic><topic>Mechanical ventilation</topic><topic>Mental depression</topic><topic>Middle Aged</topic><topic>Nurse-Patient Relations</topic><topic>Nurses</topic><topic>Nursing</topic><topic>Patients</topic><topic>Physician-Patient Relations</topic><topic>Physicians</topic><topic>Post traumatic stress disorder</topic><topic>Psychological distress</topic><topic>Psychological problems</topic><topic>Psychological stress</topic><topic>Psychological trauma</topic><topic>Questionnaires</topic><topic>Regression analysis</topic><topic>Relatives</topic><topic>Republic of Korea</topic><topic>Stress, Psychological</topic><topic>Symptoms</topic><topic>Ventilation</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Jo, Minjeong</creatorcontrib><creatorcontrib>Song, Mi-Kyung</creatorcontrib><creatorcontrib>Knafl, George J.</creatorcontrib><creatorcontrib>Beeber, Linda</creatorcontrib><creatorcontrib>Yoo, Yang-Sook</creatorcontrib><creatorcontrib>Van Riper, Marcia</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>International journal of nursing studies</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Jo, Minjeong</au><au>Song, Mi-Kyung</au><au>Knafl, George J.</au><au>Beeber, Linda</au><au>Yoo, Yang-Sook</au><au>Van Riper, Marcia</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Family-clinician communication in the ICU and its relationship to psychological distress of family members: A cross-sectional study</atitle><jtitle>International journal of nursing studies</jtitle><addtitle>Int J Nurs Stud</addtitle><date>2019-07</date><risdate>2019</risdate><volume>95</volume><spage>34</spage><epage>39</epage><pages>34-39</pages><issn>0020-7489</issn><eissn>1873-491X</eissn><abstract>Effective communication between family and clinicians has been identified as one of the most important factors in end-of-life care. Family members’ perception of communication quality with clinicians may be associated with their psychological symptoms.
To examine the association between family-clinician (physicians or nurses) communication quality and symptoms of anxiety, depression, and stress among family members of chronically critically ill patients in intensive care units (ICUs).
A cross-sectional study.
The participants were 71 adult family members of 71 patients who required prolonged mechanical ventilation in ten ICUs at three medical centres in Korea.
Participants completed the Quality of Communication (QOC) questionnaire, Hospital Anxiety and Depression Scale (HADS), and Impact of Event Scale-Revised (IES-R). The data were analysed using correlation, bivariate regression, and multiple regression analysis.
The mean (SD) QOC score for physicians and nurses was 50.3 (15.2) and 42.9 (14.2), respectively. Forty-six participants (64.8%) were identified as being at risk for having anxiety symptoms; 22 (31%) had a mild risk and 24 (33.8%) had a moderate or severe risk. More family members (76.1%) were at risk for having depressive symptoms; 15 (21.1%) had a mild risk and 39 (54.9%) had a moderate or severe risk. For post-traumatic stress symptoms, 48 (67.6%) were at risk. While the QOC scores for nurses were negatively associated with participants’ HADS-depression scores (β = −.01, p = .03), the QOC scores for physicians were not associated with the HADS or IES-R scores. This conclusion held after consideration of covariates.
The findings suggest that communication between family members and ICU nurses may be more influential than that with ICU physicians on psychological distress of family members in Korea. However, further research is warranted to confirm this relationship. Future interventions to reduce psychological distress in family members of chronically critically ill patients may need to target ICU nurses for improving communication skills.</abstract><cop>England</cop><pub>Elsevier Ltd</pub><pmid>31005678</pmid><doi>10.1016/j.ijnurstu.2019.03.020</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0002-1101-4008</orcidid></addata></record> |
| fulltext | fulltext |
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| ispartof | International journal of nursing studies, 2019-07, Vol.95, p.34-39 |
| issn | 0020-7489 1873-491X |
| language | eng |
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| source | MEDLINE; Applied Social Sciences Index & Abstracts (ASSIA); ScienceDirect Journals (5 years ago - present) |
| subjects | Aged Anxiety Communication Communication skills Critical Illness Cross-Sectional Studies End of life decisions End-of-life care Family Family - psychology Female Humans Intensive care Intensive care unit Intensive Care Units Male Mechanical ventilation Mental depression Middle Aged Nurse-Patient Relations Nurses Nursing Patients Physician-Patient Relations Physicians Post traumatic stress disorder Psychological distress Psychological problems Psychological stress Psychological trauma Questionnaires Regression analysis Relatives Republic of Korea Stress, Psychological Symptoms Ventilation |
| title | Family-clinician communication in the ICU and its relationship to psychological distress of family members: A cross-sectional study |
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