Chen Chiahui, Meier Scott T
School of Nursing, University at Buffalo, The State University of New York, Buffalo, NY, USA.
Department of Counseling, School and Educational Psychology, University at Buffalo, The State University of New York, Buffalo, NY, USA.
Am J Hosp Palliat Care. 2020 Feb;37(2):154-160. doi: 10.1177/1049909119867623. Epub 2019 Aug 7.
Good communication with the family is a clinical imperative for high quality end-of-life (EOL) care in intensive care unit (ICU). Many interventions aim to improve EOL communication, and the choice of an outcome instrument has important implications for evaluating interventions. The purpose of this project is to search and review available instruments' psychometric properties and determine which best measures family-clinician communication in the ICU.
A stepwise method was used by searching 2 databases (PsycInfo and Web of Science) to identify instruments and articles that provide information about scale psychometric properties.
Three instruments were identified, including Family Inpatient Communication Survey, Family Perception of Physician-Family Caregiver Communication, and Quality of Communication (QOC).
Reliability estimates were high (≥ 0.79) in all 3 instruments. The QOC's convergent validity estimates exceed its discriminant validity values, and the QOC is an intervention-sensitive measure used to examine families' treatment response in randomized control trials.
Quality of Communication is the most suitable instrument to measure family's perceptions of EOL communication in the ICU. Quality of Communication scores provide a deeper understanding of family-clinician communication and data about how to improve EOL care in ICUs.
与家属进行良好沟通是重症监护病房（ICU）高质量临终关怀的临床要务。许多干预措施旨在改善临终关怀沟通，而选择结果评估工具对于评估干预措施具有重要意义。本项目的目的是搜索并回顾现有工具的心理测量特性，并确定哪种工具最能衡量ICU中医护人员与家属之间的沟通情况。
采用逐步法，通过搜索两个数据库（PsycInfo和Web of Science）来识别提供量表心理测量特性信息的工具和文章。
共识别出三种工具，包括《住院患者家属沟通调查问卷》《家属对医患照护者沟通的认知》以及《沟通质量》（QOC）。
所有三种工具的信度估计值都很高（≥0.79）。《沟通质量》的收敛效度估计值超过了其区分效度值，并且《沟通质量》是一种对干预敏感的测量工具，用于在随机对照试验中检验家属的治疗反应。
《沟通质量》是衡量ICU中家属对临终关怀沟通认知的最合适工具。《沟通质量》得分能让人们更深入地了解医护人员与家属之间的沟通情况，以及有关如何改善ICU临终关怀的相关数据。
