Evidence map›Paper›PMID 39130130›Full record

ArticleJournal of patient experience2024

Communication in the ICU: An Unintended Nocebo Effect?

Irene Riestra Guiance, Lindsey Wallace, Katalin Varga, Alexander Niven, Megan Hosey, Jillene Chitulangoma, Kemuel Philbrick, Ognjen Gajic, Madeline Weiman, Emily Schmitt and 2 more

Abstract read
In one paragraph

Article in Journal of patient experience, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

12 authors.

Irene Riestra GuianceDivision of Pulmonary and Critical Care Medicine, Mayo Clinic, Rochester, MN, USA.
Lindsey WallaceDepartment of Critical Care Multidisciplinary Program, Mayo Clinic, Rochester, MN, USA.
Katalin VargaDepartment of Affective Psychology, Eötvös Loránd University, Budapest, Hungary.
Alexander NivenDivision of Pulmonary and Critical Care Medicine, Mayo Clinic, Rochester, MN, USA.
Megan HoseyDepartment of Physical Medicine and Rehabilitation, Johns Hopkins University School of Medicine, Baltimore, MD, USA.ORCID https://orcid.org/0000-0003-4373-4728
Jillene ChitulangomaDepartment of Physical Medicine and Rehabilitation, Mayo Clinic, Rochester, MN, USA.
Kemuel PhilbrickDepartment of Psychiatry and Psychology, Mayo Clinic, Rochester, MN, USA.
Ognjen GajicDivision of Pulmonary and Critical Care Medicine, Mayo Clinic, Rochester, MN, USA.
Madeline WeimanDepartment of Nursing, Mayo Clinic, Rochester, MN, USA.
Emily SchmittDepartment of Physical Medicine and Rehabilitation, Mayo Clinic, Rochester, MN, USA.
David PaskoDepartment of Respiratory Care, Mayo Clinic, Rochester, MN, USA.
Lioudmila KarnatovskaiaDivision of Pulmonary and Critical Care Medicine, Mayo Clinic, Rochester, MN, USA.ORCID https://orcid.org/0000-0002-9689-3792

Funding

Psychological support based on positive suggestions in acute respiratory failure patientsK23HL146741 · NHLBI · MAYO CLINIC ROCHESTER · PI KARNATOVSKAIA, LIOUDMILA · 2020 to 2024
$929k
NHLBI NIH HHS K23 HL146741
6 · The paper itself

Abstract

To identify medical phrases utilized by the critical care team that may have an unintended impact on the critically ill patient, we administered an anonymous survey to multi-professional critical care team members. We elicited examples of imprecise language that may have a negative emotional impact on the critically ill. Of the 1600 providers surveyed, 265 offered 1379 examples (912 unique) which were clustered into 5 categories. Medical jargon (eg, "riding the vent") was most prevalent (n = 549). There were 217 negative suggestions (eg, "you will feel a stick and a burn"). Hyperboles (eg, "black cloud") were common (n = 198) while homonyms (ie "he fibbed") accounted for 150 examples. Phrases such as "code brown in there" were categorized as metonyms (n = 144). 121 metaphors/similes (eg, "rearranging deck chairs on the Titanic") were provided. Phrases that have the potential to negatively impact critically ill patient perceptions are commonplace in critical care practice. Whether these everyday communication habits lead to an unintended nocebo effect on mental health outcomes of the critically ill deserves further study.

Indexed as

communicationICUnocebo effectpsychologyPTSD

Identifiers

PMID39130130
PMCPMC11311157

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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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.