Understanding equitable and affirming communication moments and relationship milestones during the intensive care unit journey: findings from stage 1 of a design thinking project.

Autor: Suleman S; Speech Language Pathologist, Independent Research Consultant, Edmonton, AB, Canada., O'Brien JM; Department of Anesthesiology, Perioperative Medicine and Pain Management, College of Medicine, University of Saskatchewan, Saskatoon, SK, Canada. jennifer.obrien@usask.ca., McIlduff C; Department of Community Health and Epidemiology, University of Saskatchewan, Saskatoon, SK, Canada., Benson B; Department of Anesthesiology, Perioperative Medicine and Pain Management, College of Medicine, University of Saskatchewan, Saskatoon, SK, Canada., Labine N; Department of Surgery, College of Medicine, University of Saskatchewan, Saskatoon, SK, Canada., Khan S; Department of Medicine, College of Medicine, University of Saskatchewan, Saskatoon, SK, Canada., Tse T; Department of Medicine, College of Medicine, University of Saskatchewan, Saskatoon, SK, Canada., Kawchuk J; Department of Anesthesiology, Perioperative Medicine and Pain Management, College of Medicine, University of Saskatchewan, Saskatoon, SK, Canada., Kapur P; Department of Emergency Medicine, College of Medicine, University of Saskatchewan, Saskatoon, SK, Canada., Abramyk C; Patient and Family Partners, Saskatchewan Center for Patient Oriented Research, Saskatoon, SK, Canada., Reimche E; Patient and Family Partners, Saskatchewan Center for Patient Oriented Research, Saskatoon, SK, Canada., Valiani S; Department of Medicine, College of Medicine, University of Saskatchewan, Saskatoon, SK, Canada.
Jazyk: angličtina
Zdroj: Canadian journal of anaesthesia = Journal canadien d'anesthesie [Can J Anaesth] 2023 Jun; Vol. 70 (6), pp. 995-1007. Date of Electronic Publication: 2023 May 15.
DOI: 10.1007/s12630-023-02456-9
Abstrakt: Purpose: Communication is vital to facilitate patient and family-centred care (PFCC) and to build trusting relationships between intensive care unit (ICU) health care providers, the patient, and their loved ones in the ICU. The focus of this investigation was to identify, define, and refine key moments of communication, connection, and relationship building in the ICU through a lens of Equity, Diversity, Decolonization, and Inclusion (EDDI) to encourage meaningful communication and development of trusting relationships.
Methods: We conducted 13 journey mapping interviews with ICU health care providers, patients, and their loved ones as the first stage in a design thinking project. We used directed content analysis to identify intersections where principles of EDDI directly or indirectly impacted communication, relationships, and trust throughout the ICU journey. To serve diverse patients and their loved ones, accessibility, inclusivity, and cultural safety were foundational pillars of the design thinking project.
Results: Thirteen ICU health care providers, patients, and their loved ones participated in journey mapping interviews. We defined and refined 16 communication moments and relationship milestones in the journey of a patient through the ICU (e.g., admission, crises, stabilization, discharge), and intersections where EDDI directly or indirectly impacted communication and connection during the ICU journey.
Conclusion: Our findings highlight that diverse intersectional identities impact communication moments and relationship milestones during an ICU journey. To fully embrace a paradigm of PFCC, consideration should be given to creating an affirming and safe space for patients and their loved ones in the ICU.
(© 2023. Canadian Anesthesiologists' Society.)
Databáze: MEDLINE
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