Your browser doesn't support javascript.
Impact of Restricted Visitation Policies during the First Wave of the COVID-19 Pandemic on Communication between Critically Ill Patients, Families, and Clinicians: A Qualitative Interview Study.
Krewulak, Karla D; Jaworska, Natalia; Spence, Krista L; Mizen, Sara J; Kupsch, Shelly; Stelfox, Henry T; Parsons Leigh, Jeanna; Fiest, Kirsten M.
  • Krewulak KD; Department of Critical Care Medicine, Alberta Health Services and University of Calgary, Calgary, Alberta, Canada.
  • Jaworska N; Department of Critical Care Medicine, Alberta Health Services and University of Calgary, Calgary, Alberta, Canada.
  • Spence KL; Department of Critical Care Medicine, Alberta Health Services and University of Calgary, Calgary, Alberta, Canada.
  • Mizen SJ; Faculty of Health, School of Health Administration, Dalhousie University, Halifax, Nova Scotia, Canada; and.
  • Kupsch S; Department of Critical Care Medicine, Alberta Health Services and University of Calgary, Calgary, Alberta, Canada.
  • Stelfox HT; Department of Critical Care Medicine, Alberta Health Services and University of Calgary, Calgary, Alberta, Canada.
  • Parsons Leigh J; Department of Community Health Sciences and O'Brien Institute for Public Health, and.
  • Fiest KM; Faculty of Health, School of Health Administration, Dalhousie University, Halifax, Nova Scotia, Canada; and.
Ann Am Thorac Soc ; 19(7): 1169-1176, 2022 07.
Article in English | MEDLINE | ID: covidwho-1574792
ABSTRACT
Rationale Restricted visitation policies during the first wave of the coronavirus disease (COVID-19) pandemic have had a major impact on the ways that intensive care unit (ICU) clinicians communicated with patients and their families, requiring the use of innovative strategies to adapt to new communication structures.

Objectives:

The purpose of this study is to describe the impact of restricted visitation policies on communication and to identify strategies that could be used to facilitate better communication within Canadian ICUs from the perspective of those affected.

Methods:

We conducted semistructured individual interviews with critically ill patients, their families, and clinicians from 23 Canadian ICUs during the first wave of the COVID-19 pandemic between July 2020 and October 2020. We used inductive thematic analysis to identify relevant themes and subthemes.

Results:

Forty-one interviews were conducted with 3 patients, 8 family members, 17 nurses, and 13 physicians. Five themes were identified from the

analysis:

1) patient and family psychosocial and information needs; 2) communication tools; 3) quality of communication; 4) changing roles and responsibilities of patients and nurses/physicians; and 5) facilitators or barriers to implementing alternative communication. Participants identified strategies to leverage new videoconference technology and communication structures to preserve the quality of communication.

Conclusions:

Our study identified challenges and opportunities related to communication between critically ill patients, families, and ICU clinicians due to the restricted hospital visitation policies during the first wave of the COVID-19 pandemic. The use of videoconference technology and changes to communication structure were important strategies to facilitate effective communication within the ICU.
Subject(s)
Keywords

Full text: Available Collection: International databases Database: MEDLINE Main subject: Critical Illness / COVID-19 Type of study: Experimental Studies / Observational study / Qualitative research Limits: Humans Country/Region as subject: North America Language: English Journal: Ann Am Thorac Soc Year: 2022 Document Type: Article Affiliation country: AnnalsATS.202107-877OC

Similar

MEDLINE

...
LILACS

LIS


Full text: Available Collection: International databases Database: MEDLINE Main subject: Critical Illness / COVID-19 Type of study: Experimental Studies / Observational study / Qualitative research Limits: Humans Country/Region as subject: North America Language: English Journal: Ann Am Thorac Soc Year: 2022 Document Type: Article Affiliation country: AnnalsATS.202107-877OC