Nurses experience of communication with palliative patients in critical care unit: Saudi experience

  • Authors

    • Hanan Alshehri Lecturer, Director of Training and Internship
    • Samantha Ismaile Assistan Professor, Director of Nursing Program
    2016-06-01
    https://doi.org/10.14419/ijans.v5i2.6171
  • Communication, Palliative Care, Critical Care Unit, Critical Care Nurse, Saudi Arabia.

  • Abstract

    Communication is crucial regardless of a patient's condition in Critical Care Units (CCU). However; communication barriers are common in CCU. In recent years there has been a rapid growth within hospital settings in the provision of palliative care according to patient needs. The purpose of the research study was to investigate nurses’ experiences of communication with palliative patients in CCU. A cross sectional design was conducted using questionnaire. The study sample included nurses who were working in CCU. The total number of completed and submitted questionnaires were 61. The majority of respondents were females. The results show that 49% of respondents have experienced difficulties in palliative care tasks while 41% respondents have complications with communication in palliative care. Also, nurses who took part in this study reported difficultly in discussing decisions such as advanced directives, do not resuscitate orders, and feeding tubes. In conclusion, nurses experience difficulty with communication whilst carrying out palliative care tasks in critical care units. The common causes of communication difficulty are because of the complexity of palliative care tasks, language barriers, shortage of staff and feeling un-empowered. Moreover, there is a lack of education programs centered around enhancing communication difficulties between nurses and palliative patients.

  • References

    1. [1] Neideen T. (2012), Monitoring devices in the intensive care unit. Surgical Clinics of North America 92, (6):1387-1402. http://dx.doi.org/10.1016/j.suc.2012.08.010.

      [2] Wunsch H, Linde-Zwirble WT, Harrison DA, Barnato AE, Rowan KM, Angus DC. (2009), Use of intensive care services during terminal hospitalizations in England and the United States. American journal of respiratory and critical care medicine180, (9):875-880. http://dx.doi.org/10.1164/rccm.200902-0201OC.

      [3] Ågård AS, Maindal HT0 (2009), Interacting with relatives in intensive care unit. Nurses' perceptions of a challenging task. Nursing in Critical Care 14, (5):264-272. http://dx.doi.org/10.1111/j.1478-5153.2009.00347.x.

      [4] Elliott D, Aitken L, Chaboyer W. (2011), ACCCN's critical care nursing. Elsevier, Australia.

      [5] Aslakson, R. A., Coyle, M., Wyskiel, R., Copley, C., Han, K., Ahuja, N., & Pronovost, P. J. (2015), Lessons Learned from a Palliative Care-Related Communication Intervention in an Adult Surgical Intensive Care Unit. Journal of Palliative Care & Medicine 5,240. http://dx.doi.org/10.4172/2165-7386.1000240.

      [6] Sadeghi S, Brooks D, Goldstein RS. (2013), Patients’ and providers’ perceptions of the impact of health literacy on communication in pulmonary rehabilitation. Chronic respiratory disease 10, (2) 65-76. http://dx.doi.org/10.1177/1479972312471548.

      [7] Nelson JE, Meier DE, Oei EJ, et al. (2001), Self-reported symptom experience of critically ill cancer patients receiving intensive care. Critical care medicine 29, (2) 277-282. http://dx.doi.org/10.1097/00003246-200102000-00010.

      [8] Rotondi AJ, Chelluri L, Sirio C, et al. (2002), Patients’ recollections of stressful experiences while receiving prolonged mechanical ventilation in an intensive care unit. Critical care medicine 30, (4):746-752. http://dx.doi.org/10.1097/00003246-200204000-00004.

      [9] Manojlovich M, DeCicco B. (2007), Healthy work environments, nurse-physician communication, and patients’ outcomes. American Journal of Critical Care 16, (6):536-543.

      [10] Anoosheh M, Zarkhah S, Faghihzadeh S, Vaismoradi M. (2009), Nurse–patient communication barriers in Iranian nursing. International Nursing Review 56, (2):243-249. http://dx.doi.org/10.1111/j.1466-7657.2008.00697.x.

      [11] Lyneham J, Parkinson C, Denholm C. (2009), Expert nursing practice: A mathematical explanation of Benner’s 5th stage of practice development. Journal of advanced nursing 65, (11):2477-2484. http://dx.doi.org/10.1111/j.1365-2648.2009.05091.x.

      [12] Alasad J, Ahmad M. (2005), Communication with critically ill patients. Journal of advanced nursing 50, (4):356-362. http://dx.doi.org/10.1111/j.1365-2648.2005.03400.x.

      [13] McCabe C. (2004), Nurse–patient communication: an exploration of patients’ experiences. Journal of clinical nursing 13, (1):41-49. http://dx.doi.org/10.1111/j.1365-2702.2004.00817.x.

      [14] Medin J, Alshehri H, Alasiry S. (2012), Nurses’ Experiences of Providing Palliative Care in an Intensive Care Unit in Saudi Arabia. Middle East Journal of Nursing 6, (1):19-30.

      [15] Malloy P, Virani R, Kelly K, Munévar C. (2010), beyond bad news: communication skills of nurses in palliative care. Journal of Hospice & Palliative Nursing12, (3):166-174. http://dx.doi.org/10.1097/NJH.0b013e3181d99fee.

      [16] Cronbach LJ & Shavelson RJ. (2004), My Current Thoughts on Coefficient Alpha and Successor Procedures. Educational and Psychological Measurement 64, 391–418. http://dx.doi.org/10.1177/0013164404266386.

      [17] Benner P. (1982), from novice to expert. AJN the American Journal of Nursing82, (3):402-407. http://dx.doi.org/10.1097/00000446-198282030-00004.

      [18] Sung YH, Yi YH, Kwon IG, Cho YA. (2006), the roles of critical care advanced practice nurse. Journal Korean Academic Nursing 36, (8):1340-1351.

      [19] Ferrell BR, Virani R, Paice JA, Malloy P, Dahlin C. (2010), Statewide efforts to improve palliative care in critical care settings. Critical care nurse 30, (6):40-45. http://dx.doi.org/10.4037/ccn2010248.

      [20] Polit DF & Beck CT (2012), Nursing Research: Generating and As- sessing Evidence for Nursing Practice, 9th ed. Philadelphia, USA: Wolters Klower Health, Lippincott Williams & Wilkins.

      [21] Meier DE. (2006), Palliative care in hospitals. Journal of Hospital Medicine 1, (1):21-28. http://dx.doi.org/10.1002/jhm.3.

      [22] Ciccarello GP. (2003), Strategies to improve end-of-life care in the intensive care unit. Dimensions of Critical Care Nursing 22, (5):216-222 http://dx.doi.org/10.1097/00003465-200309000-00005.

      [23] Manojlovich M, DeCicco B. (2007), Healthy work environments, nurse-physician communication, and patients’ outcomes. American Journal of Critical Care 16, (6):536-543.

      [24] Abu-Zinadah, S. (2004). The situation of Saudi nursing. In Health Forum 52, 42-43.

      [25] Simpson E, Butler M, Alâ€Somali S, Courtney M. (2006), Guiding the transition of nursing practice from an inpatient to a communityâ€care setting: A Saudi Arabian experience. Nursing & health sciences 8, (2):120-124. http://dx.doi.org/10.1111/j.1442-2018.2006.00258.x.

      [26] James DC, Simpson KR, Knox GE. (2003), How do expert labor nurses view their role? Journal of Obstetric, Gynecologic, & Neonatal Nursing 32, (6):814-823. http://dx.doi.org/10.1177/0884217503258548.

      [27] Fiedler KM, Weir PL, van Wyk PM, Andrews DM. (2011), analyzes what nurses do during work in a hospital setting: a feasibility study using video. Work Reading Mass 43, (4):515-523.

      [28] Koch SH, Weir C, Haar M, et al. (2012), Intensive care unit nurses' information needs and recommendations for integrated displays to improve nurses' situation awareness. Journal of the American Medical Informatics Association19, (4):583-590. http://dx.doi.org/10.1136/amiajnl-2011-000678.

      [29] Sadeghi S, Brooks D, Goldstein RS. (2013), Patients’ and providers’ perceptions of the impact of health literacy on communication in pulmonary rehabilitation. Chronic respiratory disease 10, (2):65-76

      [30] Campbell GB, Happ MB. (2010), Symptom identification in the chronically critically ill. AACN advanced critical care 21, (1):64.

      [31] Pennock BE, Crawshaw L, Maher T, Price T, Kaplan PD (1993), Distressful events in the ICU as perceived by patients recovering from coronary artery bypass surgery. Heart & lung: the journal of critical care 23, (4):323-327.

      [32] Clever SL, Jin L, Levinson W, Meltzer (2008), DO Does doctor patient communication affect patient satisfaction with hospital care? Results of an analysis with a novel instrumental variable. Health services research 43, 1505-1519. http://dx.doi.org/10.1111/j.1475-6773.2008.00849.x.

      [33] Dunn GP, Mosenthal AC. (2007), Palliative care in the surgical intensive care unit: Where least expected, where most needed. Asian Journal of Surgery 30, (1):1-5. http://dx.doi.org/10.1016/S1015-9584(09)60120-2.

      [34] Lugton J, McIntyre R. (2005), Palliative care: The nursing role. Elsevier Health Sciences. UK.

      [35] Daiski I. (2004), Changing nurses’ disempowering relationship patterns. Journal of Advanced Nursing 48, (1):43-50. http://dx.doi.org/10.1111/j.1365-2648.2004.03167.x.

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    Alshehri, H., & Ismaile, S. (2016). Nurses experience of communication with palliative patients in critical care unit: Saudi experience. International Journal of Advanced Nursing Studies, 5(2), 102-108. https://doi.org/10.14419/ijans.v5i2.6171

    Received date: 2016-04-29

    Accepted date: 2016-05-24

    Published date: 2016-06-01