Army School of Health, School of Nursing and Midwifery, Menzies Health Institute Queensland, Griffith University, Australia; School of Nursing, Midwifery and Paramedicine, University of the Sunshine Coast, Australia.
School of Nursing and Midwifery, Menzies Health Institute Queensland, Griffith University, Australia; Intensive Care Unit, Princess Alexandra Hospital, Brisbane, Australia.
Aust Crit Care. 2021 May;34(3):296-299. doi: 10.1016/j.aucc.2020.07.010. Epub 2020 Oct 14.
Effective communication between intensive care health care providers and family is crucial to support surrogate or shared decision-making and to individualise care. Despite its importance in health care standards and policy, the quality of communication with families in intensive care is regarded as suboptimal. Furthermore, an intensive care admission is an extremely stressful event for families, which may impact their understanding and subsequent decision-making. Communicating with family members is a routine practice in intensive care; however, health care providers often receive no formal communication training. To date, family-focused communication interventions in intensive care have targeted end-of-life care and are not generalisable across all types of family-health care provider communication interactions. Mugweni et al. recently reported the results of a multiprofessional training intervention involving 26 health care professionals to improve the delivery of different news to families during pregnancy and at birth. A critique of this article has been undertaken to inform routine communication with critically ill family members and optimise the delivery of care in intensive care units.
有效的重症监护医疗保健提供者与家庭之间的沟通对于支持替代决策或共同决策以及个性化护理至关重要。尽管在医疗保健标准和政策中很重要，但重症监护病房与家庭的沟通质量被认为是不理想的。此外，重症监护病房的入院对于家庭来说是一个极其紧张的事件，这可能会影响他们的理解和随后的决策。与家属沟通是重症监护病房的常规做法；然而，医疗保健提供者通常没有接受过正式的沟通培训。迄今为止，重症监护中以家庭为中心的沟通干预措施针对的是临终关怀，并且不能推广到所有类型的家庭-医疗保健提供者沟通互动中。Mugweni 等人最近报告了一项涉及 26 名医疗保健专业人员的多专业培训干预措施的结果，该措施旨在改善在妊娠和分娩期间向家庭传达不同消息的方式。对这篇文章进行了批评，以告知与重病家属的常规沟通，并优化重症监护病房的护理提供。
