Universität zu Köln

Reifarth, Eyleen ORCID: 0000-0002-5109-0144, Naendrup, Jan-Hendrik ORCID: 0000-0002-6420-7938, Böll, Boris ORCID: 0000-0002-6432-0981, Kochanek, Matthias ORCID: 0000-0002-4766-4651 and Garcia Borrega, Jorge ORCID: 0000-0003-1326-1560 (2025). What challenges of family-clinician conversations in the intensive care unit can teach us: A cross-sectional survey study. Intensive and Critical Care Nursing, 88. pp. 1-7. Elsevier. ISSN 0964-3397

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Abstract

[Artikel-Nr. 104011] Objectives: To explore the perspectives of intensive care unit personnel and patients’ family members on chal- lenges of family-clinician conversations and corresponding learning needs. Research Methodology/Design: Cross-sectional survey study. Setting: Two medical intensive care units of a German academic tertiary care hospital. Main Outcome Measures: Data were collected using an investigator-designed online survey with open- and closed- ended questions. Descriptive statistics were conducted to determine frequencies, free-text responses were ana- lysed using directed qualitative content analysis. Findings: The responses of 94 family members, 42 nurses, and 28 physicians were analysed (response rate: 45%). Regarding the clinicians’ perspective, three main themes of challenges were deduced: ICU setting, Staff-related challenges, and Family-related challenges. Conversely, the majority of participating family members reported challenges both cognitive and affective in nature, e.g., remembering provided information or discussing the patient’s prognosis. Most clinicians stated their need for a corresponding communication skills training to suc- cessfully navigate those challenges in clinical practice, particularly regarding conveying complex information, handling strong emotions, and managing family-clinician conflicts. Conclusion: The identified communication challenges underline the issues of family-clinician conversations that require improvement, making it possible to determine corresponding strategies to attain the desired outcome. Further research is needed to elicit best-practices of communication skills trainings for family-clinician con- versations and its implementation in critical care settings. Implications for clinical practice: These findings invite clinicians to engage in self-reflection to identify individually perceived communication challenges and learning needs. Faculty and healthcare institutions may further use these findings to conceptualise tailored communication skills trainings to contribute to the advancement in nursing and medical education.

Item Type:	Article
Creators:	Creators Email ORCID ORCID Put Code Reifarth, Eyleen UNSPECIFIED https://orcid.org/0000-0002-5109-0144 UNSPECIFIED Naendrup, Jan-Hendrik UNSPECIFIED https://orcid.org/0000-0002-6420-7938 UNSPECIFIED Böll, Boris UNSPECIFIED https://orcid.org/0000-0002-6432-0981 UNSPECIFIED Kochanek, Matthias UNSPECIFIED https://orcid.org/0000-0002-4766-4651 UNSPECIFIED Garcia Borrega, Jorge UNSPECIFIED https://orcid.org/0000-0003-1326-1560 UNSPECIFIED
URN:	urn:nbn:de:hbz:38-793671
Identification Number:	10.1016/j.iccn.2025.104011
Journal or Publication Title:	Intensive and Critical Care Nursing
Volume:	88
Page Range:	pp. 1-7
Number of Pages:	1
Date:	June 2025
Publisher:	Elsevier
ISSN:	0964-3397
Language:	English
Faculty:	Faculty of Medicine
Divisions:	Faculty of Medicine > Innere Medizin > Klinik I für Innere Medizin - Hämatologie und Onkologie Faculty of Medicine > Sonstiges > Centrum für integrierte Onkologie (CIO)
Subjects:	Medical sciences Medicine
['eprint_fieldname_oa_funders' not defined]:	Publikationsfonds UzK
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/79367