Pecanac2019

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Pecanac2019
BibType ARTICLE
Key Pecanac2019
Author(s) Kristen Pecanac, Barbara King
Title Nurse–family communication during and after family meetings in the intensive care unit
Editor(s)
Tag(s) EMCA, Nursing, Decision making
Publisher
Year 2019
Language English
City
Month
Journal Journal of Nursing Scholarship
Volume 51
Number 2
Pages 129–137
URL Link
DOI 10.1111/jnu.12459
ISBN
Organization
Institution
School
Type
Edition
Series
Howpublished
Book title
Chapter

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Abstract

Purpose To explore nurse–family communication during and after family meetings.

Design A cross‐sectional study in which 36 family meetings were audio‐recorded in two intensive care units in an urban, community hospital.

Methods Data were analyzed using conversation analysis, a qualitative method.

Findings Nurses spoke during 10 (28%) of the family meetings. During the family meetings, nurses mostly self‐selected to take a turn by interrupting a physician or family member, finishing their sentences, responding to questions, and, in one instance, asking a question. Nurses were mostly selected as the next speaker to address logistical issues, but were also asked questions. Most of nurses’ turns were short and simple, and aimed to provide clarification, reassurance, and information regarding the patient's status. Immediately after the family meetings, nurses offered to provide family members clarification or gestures of empathy, but these offers were met with resistance from family members.

Conclusions Despite calls for nurses to take a more active role in surrogate decision making, nurses minimally participated during family meetings. Empowering nurses to share their expertise is one solution for nurses to contribute during family meetings. Further research is needed to explore nurse–family bedside interactions to improve our understanding of the nurse's role in the surrogate decision‐making process.

Clinical Relevance Findings from this exploration of nurse communication during and after family meetings can inform how nurses may best assist families during surrogate decision making in the intensive care unit.

Notes