Evidence map›Paper›PMID 39755284›Full record

ArticleJournal of pain and symptom management2025

Perspectives on Implementing a Communication Facilitator Intervention From a Critical Care Setting.

Jennifer Im, Erin Abu-Rish Blakeney, Danae Dotolo, Anna Ungar, Rebecca Barton, Bryan J Weiner, Kathryn I Pollak, Elizabeth Nielsen, Lisa Hudson, Nancy Kentish-Barnes and 3 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of pain and symptom management, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. 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

13 authors.

Jennifer ImCambia Palliative Care Center of Excellence at UW Medicine (J.I., E.A.R.B., D.D., A.U., E.N., C.C., R.A.E., J.R.C.), University of Washington, Seattle, Washington, USA; Department of Health Systems and Population Health (J.I., B.J.W.), School of Public Health, University of Washington, Seattle, Washington, USA. Electronic address: imjenn@uw.edu.
Erin Abu-Rish BlakeneyCambia Palliative Care Center of Excellence at UW Medicine (J.I., E.A.R.B., D.D., A.U., E.N., C.C., R.A.E., J.R.C.), University of Washington, Seattle, Washington, USA; Department of Biobehavioral Nursing and Health Informatics (E.A.R.B.), School of Nursing, University of Washington, Seattle, Washington, USA.
Danae DotoloCambia Palliative Care Center of Excellence at UW Medicine (J.I., E.A.R.B., D.D., A.U., E.N., C.C., R.A.E., J.R.C.), University of Washington, Seattle, Washington, USA; Division of Pulmonary (D.D., A.U., R.B., E.N., L.H., R.A.E., J.R.C.), Critical Care, and Sleep Medicine, Department of Medicine, University of Washington, Seattle, Washington, USA.
Anna UngarCambia Palliative Care Center of Excellence at UW Medicine (J.I., E.A.R.B., D.D., A.U., E.N., C.C., R.A.E., J.R.C.), University of Washington, Seattle, Washington, USA; Division of Pulmonary (D.D., A.U., R.B., E.N., L.H., R.A.E., J.R.C.), Critical Care, and Sleep Medicine, Department of Medicine, University of Washington, Seattle, Washington, USA.
Rebecca BartonDivision of Pulmonary (D.D., A.U., R.B., E.N., L.H., R.A.E., J.R.C.), Critical Care, and Sleep Medicine, Department of Medicine, University of Washington, Seattle, Washington, USA.
Bryan J WeinerDepartment of Health Systems and Population Health (J.I., B.J.W.), School of Public Health, University of Washington, Seattle, Washington, USA; Department of Global Health (B.J.W.), School of Public Health, University of Washington, Seattle, Washington, USA.
Kathryn I PollakDepartment of Population Health Sciences (K.I.P.), School of Medicine, Duke University, Durham, North Carolina, USA; Cancer Prevention and Control Program (K.I.P.), Duke Cancer Institute, Duke University, Durham, North Carolina, USA.
Elizabeth NielsenCambia Palliative Care Center of Excellence at UW Medicine (J.I., E.A.R.B., D.D., A.U., E.N., C.C., R.A.E., J.R.C.), University of Washington, Seattle, Washington, USA; Division of Pulmonary (D.D., A.U., R.B., E.N., L.H., R.A.E., J.R.C.), Critical Care, and Sleep Medicine, Department of Medicine, University of Washington, Seattle, Washington, USA.
Lisa HudsonDivision of Pulmonary (D.D., A.U., R.B., E.N., L.H., R.A.E., J.R.C.), Critical Care, and Sleep Medicine, Department of Medicine, University of Washington, Seattle, Washington, USA.
Nancy Kentish-BarnesFamiréa Research Group (N.K.B.), Medical ICU, AP-HP Nord, Hôpital Saint-Louis, Paris, France.
Claire CreutzfeldtCambia Palliative Care Center of Excellence at UW Medicine (J.I., E.A.R.B., D.D., A.U., E.N., C.C., R.A.E., J.R.C.), University of Washington, Seattle, Washington, USA; Department of Neurology (C.C.), University of Washington, Seattle, Washington, USA.
Ruth A EngelbergCambia Palliative Care Center of Excellence at UW Medicine (J.I., E.A.R.B., D.D., A.U., E.N., C.C., R.A.E., J.R.C.), University of Washington, Seattle, Washington, USA; Division of Pulmonary (D.D., A.U., R.B., E.N., L.H., R.A.E., J.R.C.), Critical Care, and Sleep Medicine, Department of Medicine, University of Washington, Seattle, Washington, USA.
J Randall CurtisCambia Palliative Care Center of Excellence at UW Medicine (J.I., E.A.R.B., D.D., A.U., E.N., C.C., R.A.E., J.R.C.), University of Washington, Seattle, Washington, USA; Division of Pulmonary (D.D., A.U., R.B., E.N., L.H., R.A.E., J.R.C.), Critical Care, and Sleep Medicine, Department of Medicine, University of Washington, Seattle, Washington, USA.

Funding

Identifying opportunities to improve shared decision-making about intensity of care for patients with Alzheimer's disease and related dementiasR01NR018161 · NINR · UNIVERSITY OF WASHINGTON · PI CREUTZFELDT, CLAIRE JOHANNA, ENGELBERG, RUTH ANN · 2018 to 2022
$3.7M
Implementation and Sustainment of Team-Based Practice Transformation to Improve Heart Failure Care and OutcomesK23HL144910 · NHLBI · UNIVERSITY OF WASHINGTON · PI Erin Lindsey Blakeney · 2021 to 2026
$906k
NHLBI NIH HHS K23 HL144910NINR NIH HHS R01 NR018161
6 · The paper itself

Abstract

contextCritically-ill patients and their families often experience communication challenges during their ICU stay and across care transitions. An intervention using communication facilitators may help address these challenges.

objectivesUsing clinicians' perspectives, we identified facilitators and barriers to implementing a communication intervention.

methodsUsing purposive sampling, we conducted semi-structured interviews with 17 clinicians from an intensive care unit at an academic health center that participated in a randomized trial of communication facilitators. We used the Consolidated Framework for Implementation Research (CFIR) to guide data collection and analysis.

resultsCFIR constructs of relative advantage, communication, and critical incidents facilitated the intervention's implementation. CFIR constructs of access to knowledge and information, relational connections, and clinician knowledge and belief hindered its implementation. Clinicians reported that facilitators provided continuity to patients and families, support in a trusting and proactive manner over transitions of care, and bridged communication between families and clinicians particularly during the Covid-19 pandemic. Limited information about the intervention prevented clinicians from working with facilitators earlier in the course of the intervention. Differences in beliefs regarding facilitator involvement during family meetings also hampered the intervention's implementation.

conclusionsFuture studies should incorporate implementation strategies that help connect facilitators to clinicians early in the intervention period which may improve role clarity and enhance collaboration.

Indexed as

CommunicationCritical CareAdultAttitude of Health PersonnelCOVID-19Critical IllnessFemaleHumansIntensive Care UnitsInterviews as TopicMaleProfessional-Family Relations

Identifiers

PMID39755284
PMCPMC11956797

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.