Evidence map›Paper›PMID 40597204›Full record

ArticleBMC nursing2025

Cultural and systematic barriers to communication between nurses and family members in the ICU.

Ahmad Rajeh Saifan, Essa Majed Tadros, Hawazen Rawas, Hekmat Yousef Al-Akash, Ghaida Shujayyi Alsulami, Wesam Taher Almagharbeh, Rami A Elshatarat, Zakaria Ahmad Almasri, Nabeel Al-Yateem, Fatma Refaat Ahmed

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Article in BMC nursing, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–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

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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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

10 authors.

Ahmad Rajeh SaifanFaculty of Nursing, Yarmouk University, Irbid, Jordan.
Essa Majed Tadros, Primary Health Care Nursing Practice Department Ministry of Health Nursing Directorate, Jordan.
Hawazen RawasNursing Department, College of Medicine and Health Sciences, Arabian Gulf University, Manama, Bahrain.
Hekmat Yousef Al-AkashClinical Nursing Department, Faculty of Nursing, Applied Science Private University, Amman, Jordan.
Ghaida Shujayyi AlsulamiFaculty of Nursing, Department of Clinical Nursing Practices, Umm Al-Qura University, Makkah, Saudi Arabia.
Wesam Taher AlmagharbehMedical and Surgical Nursing Department, Faculty of Nursing, University of Tabuk, Tabuk, Saudi Arabia.
Rami A ElshataratDepartment of Medical and Surgical Nursing College of Nursing, Taibah University, Madinah, Saudi Arabia.
Zakaria Ahmad AlmasriCorporate Nursing Affairs, King Saud University Medical City, Riyadh, Saudi Arabia.
Nabeel Al-YateemDepartment of Nursing, College of Health Sciences, University of Sharjah, Sharjah, UAE.
Fatma Refaat AhmedDepartment of Nursing, College of Health Sciences, University of Sharjah, Sharjah, UAE. fahmed@sharjah.ac.ae.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFamilies need honest and clear information in order to make decisions about patient care. The study points to many cultural and systemic barriers to good nurse-family communication in intensive care units (ICUs). These barriers include time constraint, language barriers, culture differences, or emotional stress. As communication is key to patient/family outcomes, there is thus a need for more insight and understanding into why and how this occurs. The purpose of this study is to explore the cultural and systematic barriers that hinder effective communication between ICU nurses and family members in Jordanian healthcare settings.

methodsAn explorative qualitative approach was used to conduct the study, involving semi-structured interviews with 15 ICU nurses and 15 family members. Data were analyzed using thematic analysis framework.

resultsThe findings revealed two main themes: cultural barriers to communication, with sub-themes including cultural expectations, family-centered care, and mistrust between family members and ICU nurses; and systematic barriers to communication in the ICU, with sub-themes including time pressure and heavy workloads, institutional policies and hierarchies, and inadequate medical explanations.

conclusionsNurse-family engagement can be strengthened through structured protocols to address cultural hierarchies and institutional constraints as a novel approach to enhancing patient-centeredness, though Jordanian healthcare families seek such approaches.

Indexed as

Communication barriersCultural competenceFamily involvementICUSystematic challenges

Identifiers

PMID40597204
PMCPMC12211746

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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.