Evidence map›Paper›PMID 25179033›Full record

Trial reportAmerican journal of critical care : an official publication, American Association of Critical-Care Nurses2014

Clinicians' perceptions of the usefulness of a communication facilitator in the intensive care unit.

Abigail A Howell, Elizabeth L Nielsen, Anne M Turner, J Randall Curtis, Ruth A Engelberg

Open access · bronzeAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in American journal of critical care : an official publication, American Association of Critical-Care Nurses, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
2.0field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 15 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Validation and Analysis of the European Quality Questionnaire in Italian Language.International journal of environmental research and public health · 2020
    Article
  7. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Abigail A HowellAbigail A. Howell and Elizabeth L. Nielsen are both researchers with the end-of-life care research program in the Division of Pulmonary and Critical Care, Department of Medicine, University of Washington, Seattle. Ruth A. Engelberg is a research associate professor in the Division of Pulmonary and Critical Care, Department of Medicine, University of Washington, Seattle. Anne M. Turner is an assistant professor in the Department of Health Services, School of Public Health, and an assistant professor in the Department of Biomedical Informatics and Medical Education, School of Medicine, University of Washington, Seattle. J. Randall Curtis is a professor, the A. Bruce Montgomery-American Lung Association Endowed Chair in Pulmonary and Critical Care Medicine in the Division of Pulmonary and Critical Care, Department of Medicine and an adjunct professor in the Department of Biobehavioral Nursing and Health Systems, School of Nursing, University of Washington, Seattle.
Elizabeth L NielsenAbigail A. Howell and Elizabeth L. Nielsen are both researchers with the end-of-life care research program in the Division of Pulmonary and Critical Care, Department of Medicine, University of Washington, Seattle. Ruth A. Engelberg is a research associate professor in the Division of Pulmonary and Critical Care, Department of Medicine, University of Washington, Seattle. Anne M. Turner is an assistant professor in the Department of Health Services, School of Public Health, and an assistant professor in the Department of Biomedical Informatics and Medical Education, School of Medicine, University of Washington, Seattle. J. Randall Curtis is a professor, the A. Bruce Montgomery-American Lung Association Endowed Chair in Pulmonary and Critical Care Medicine in the Division of Pulmonary and Critical Care, Department of Medicine and an adjunct professor in the Department of Biobehavioral Nursing and Health Systems, School of Nursing, University of Washington, Seattle.
Anne M TurnerAbigail A. Howell and Elizabeth L. Nielsen are both researchers with the end-of-life care research program in the Division of Pulmonary and Critical Care, Department of Medicine, University of Washington, Seattle. Ruth A. Engelberg is a research associate professor in the Division of Pulmonary and Critical Care, Department of Medicine, University of Washington, Seattle. Anne M. Turner is an assistant professor in the Department of Health Services, School of Public Health, and an assistant professor in the Department of Biomedical Informatics and Medical Education, School of Medicine, University of Washington, Seattle. J. Randall Curtis is a professor, the A. Bruce Montgomery-American Lung Association Endowed Chair in Pulmonary and Critical Care Medicine in the Division of Pulmonary and Critical Care, Department of Medicine and an adjunct professor in the Department of Biobehavioral Nursing and Health Systems, School of Nursing, University of Washington, Seattle.
J Randall CurtisAbigail A. Howell and Elizabeth L. Nielsen are both researchers with the end-of-life care research program in the Division of Pulmonary and Critical Care, Department of Medicine, University of Washington, Seattle. Ruth A. Engelberg is a research associate professor in the Division of Pulmonary and Critical Care, Department of Medicine, University of Washington, Seattle. Anne M. Turner is an assistant professor in the Department of Health Services, School of Public Health, and an assistant professor in the Department of Biomedical Informatics and Medical Education, School of Medicine, University of Washington, Seattle. J. Randall Curtis is a professor, the A. Bruce Montgomery-American Lung Association Endowed Chair in Pulmonary and Critical Care Medicine in the Division of Pulmonary and Critical Care, Department of Medicine and an adjunct professor in the Department of Biobehavioral Nursing and Health Systems, School of Nursing, University of Washington, Seattle.
Ruth A EngelbergAbigail A. Howell and Elizabeth L. Nielsen are both researchers with the end-of-life care research program in the Division of Pulmonary and Critical Care, Department of Medicine, University of Washington, Seattle. Ruth A. Engelberg is a research associate professor in the Division of Pulmonary and Critical Care, Department of Medicine, University of Washington, Seattle. Anne M. Turner is an assistant professor in the Department of Health Services, School of Public Health, and an assistant professor in the Department of Biomedical Informatics and Medical Education, School of Medicine, University of Washington, Seattle. J. Randall Curtis is a professor, the A. Bruce Montgomery-American Lung Association Endowed Chair in Pulmonary and Critical Care Medicine in the Division of Pulmonary and Critical Care, Department of Medicine and an adjunct professor in the Department of Biobehavioral Nursing and Health Systems, School of Nursing, University of Washington, Seattle. rengel@u.washington.edu.
University of Washington · US

Funding

Randomized trial of an interdisciplinary communication intervention to improve paR01NR005226 · NINR · UNIVERSITY OF WASHINGTON · PI CURTIS, J RANDALL, ENGELBERG, RUTH ANN · 1999 to 2012
$6.7M
Duke University Molecular Imaging CenterR24CA092656 · NCI · DUKE UNIVERSITY · PI JOHNSON, GEORGE ALLAN · 2001 to 2006
$3.7M
Small Animal Imaging Resource ProgramU24CA092656 · NCI · DUKE UNIVERSITY · PI JOHNSON, GEORGE ALLAN · 2007 to 2011
$2.2M
NCI NIH HHS R24 CA092656NCI NIH HHS U24 CA092656NINR NIH HHS R01 NR005226NINR NIH HHS R01 NR05226
6 · The paper itself

Abstract

backgroundDespite its documented importance, communication between clinicians and patients' families in the intensive care unit often fails to meet families' needs, and interventions to improve communication are needed. Use of a communication facilitator-an additional staff member-to improve communication between clinicians and patients' families is the focus of an ongoing randomized trial. The clinical team's acceptance of the communication facilitator as an integral part of the team is important.

objectivesTo explore clinicians' perceptions of the usefulness of a communication facilitator in the intensive care unit.

methodsFourteen semistructured qualitative interviews to assess perspectives of physicians, nurses, and social workers who had experience with the communication facilitator intervention on the intervention and the role of the facilitator. Methods based on grounded theory were used to analyze the data.

resultsClinicians perceived facilitators as (1) facilitating communication between patients' families and clinicians, (2) providing practical and emotional support for patients' families, and (3) providing practical and emotional support for clinicians. Clinicians were enthusiastic about the communication facilitator but concerned about overlapping or conflicting roles.

conclusionsClinicians in the intensive care unit saw the facilitator intervention as enhancing communication and supporting both patients' families and clinicians. They also identified the importance of the facilitator within the interdisciplinary team. Negative perceptions about the use of a facilitator should be addressed before the intervention is implemented, in order to ensure its effectiveness.

Indexed as

CommunicationProfessional-Family RelationsProfessional RoleAttitude of Health PersonnelEmpathyFemaleHumansIntensive Care UnitsInterviews as TopicMaleMedical Staff, HospitalNursing Staff, HospitalPerceptionQualitative Research

Identifiers

PMID25179033
PMCPMC4701572
OpenAlexW2059820202

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.