Evidence map›Paper›PMID 41252008›Full record

ArticleAdvances in experimental medicine and biology2026

Experience of Communication with Hospitalized Pediatric and Adult Patients in Intensive Care Unit: Validation and Reliability Analysis of EC-ICU 24-Item Scale.

Georgia Koutoulaki, Maria Polikandrioti, Afroditi Zartaloudi, Constantine Vassalos, Eleni Evangelou, Chrysoula Dafogianni, Evangelos Dousis, Styliani Geronikolou, Ioannis Koutelekos

Abstract readValidation Study
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Article in Advances in experimental medicine and biology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

9 authors.

Georgia KoutoulakiDepartment of Nursing, University of West Attica, Athens, Greece.
Maria PolikandriotiDepartment of Nursing, University of West Attica, Athens, Greece.
Afroditi ZartaloudiDepartment of Nursing, University of West Attica, Athens, Greece.
Constantine VassalosNational Health System, Athens, Greece.
Eleni EvangelouDepartment of Nursing, University of West Attica, Athens, Greece.
Chrysoula DafogianniDepartment of Nursing, University of West Attica, Athens, Greece.
Evangelos DousisDepartment of Nursing, University of West Attica, Athens, Greece.
Styliani GeronikolouBiomedical Research Foundation of Academy of Athens Greece, Athens, Greece.
Ioannis KoutelekosDepartment of Nursing, University of West Attica, Athens, Greece.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAdmission to the ICU is a stressful and life-changing event for both patients and families. Effective communication provided by ICU nurses to them minimizes their emotional burden and fosters positive reactions from families. PURPOSE: This study aimed to validate a scale developed to assess the nurses' experiences of communicating with patients in pediatric and adult ICUs.

methodsA 24-item scale was created by the researchers to explore the experience of communicating with patients in pediatric and adult ICUs. The validation of the questionnaire included face and content validity, construct validity, internal consistency, repeatability, and discriminant validity.

resultsIn the present study 45 nurses (20 in pediatric ICUs and 25 in adult ICUs) were enrolled. The majority of participants were women (82.2%), married (51.1%), and had had university-level education (57.8%). The average age of the participants was 42 ± 8.6 years, while the average work experience in an ICU was 12.5 ± 8.9 years. The developed EC-ICU 24-item scale showed two categories: (a) communication difficulties the nurses face in ICU and (b) communication challenges in ICU. Each category comprises of four subscales. Regarding the eight sub-scales of the developed scale, participants tend to strongly agree with the statements (mean values close to 3 or above 3), apart from sub-scales 1,3, and 7 in which they tend to disagree (mean values close to 2). Internal consistency was found high (Cronbach's a > 0.7) in all sub-scales. All scores had great repeatability, which suggests a high degree of reliability of the participants' responses (ICCs>0.8).

conclusionThe topic of communication is commonly inadequately represented in both daily ICU clinical practice and research.

Indexed as

CommunicationIntensive Care UnitsNurse-Patient RelationsAdultChildFemaleHospitalizationHumansIntensive Care Units, PediatricMaleMiddle AgedReproducibility of ResultsSurveys and QuestionnairesCommunicationICUReliabilityValidation

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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.