NDLI: Nurses as Intermediaries: How Critical Care Nurses Perceive Their Role in Family Meetings.

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Nurses as Intermediaries: How Critical Care Nurses Perceive Their Role in Family Meetings.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Ahluwalia, Sangeeta C. Schreibeis-Baum, Hannah Prendergast, Thomas J. Reinke, Lynn F. Lorenz, Karl A.
Description	Author Affiliation: Ahluwalia SC ( Sangeeta C. Ahluwalia is a policy researcher, RAND Corporation, Santa Monica, California, and an adjunct assistant professor, Fielding School of Public Health, University of California Los Angeles. Hannah Schreibeis-Baum is a health science specialist, Veterans Affairs Greater Los Angeles Healthcare); Schreibeis-Baum H ( Sangeeta C. Ahluwalia is a policy researcher, RAND Corporation, Santa Monica, California, and an adjunct assistant professor, Fielding School of Public Health, University of California Los Angeles. Hannah Schreibeis-Baum is a health science specialist, Veterans Affairs Greater Los Angeles Healthcare); Prendergast TJ ( Sangeeta C. Ahluwalia is a policy researcher, RAND Corporation, Santa Monica, California, and an adjunct assistant professor, Fielding School of Public Health, University of California Los Angeles. Hannah Schreibeis-Baum is a health science specialist, Veterans Affairs Greater Los Angeles Healthcare); Reinke LF ( Sangeeta C. Ahluwalia is a policy researcher, RAND Corporation, Santa Monica, California, and an adjunct assistant professor, Fielding School of Public Health, University of California Los Angeles. Hannah Schreibeis-Baum is a health science specialist, Veterans Affairs Greater Los Angeles Healthcare); Lorenz KA ( Sangeeta C. Ahluwalia is a policy researcher, RAND Corporation, Santa Monica, California, and an adjunct assistant professor, Fielding School of Public Health, University of California Los Angeles. Hannah Schreibeis-Baum is a health science specialist, Veterans Affairs Greater Los Angeles Healthcare)
Abstract	BACKGROUND: Nurses' involvement in family meetings in the intensive care unit is central to supporting consistent communication and shared understanding within the care team and with patients and patients' family members. Evidence suggests the existence of major barriers to the effective participation and contribution of nurses during family meetings. OBJECTIVES: To characterize the nature and extent of nurses' involvement in family meetings in the intensive care unit, including identifying barriers to nurses' participation and opportunities for involvement. METHODS: Meetings with focus groups of nurses at a Veterans Affairs medical intensive care unit were recorded, transcribed, and qualitatively analyzed by using the constant comparative method. RESULTS: Thirty critical care nurses participated in 6 focus groups. Three major themes describing nurses' involvement in family meetings were identified: nurses can play multiple roles in supporting conduct in family meetings, nurses face critical barriers to fully realizing these roles, and nurses end up as intermediaries in family meetings. Subthemes pertained to being well positioned to act as the patient's advocate, yet feeling undervalued and underempowered to contribute important information in family meetings, often resulting in mixed messages about care preferences, prognosis, or goals of care that nurses did not feel able to address during the meeting. CONCLUSION: Nurses are positioned to play essential roles in family meetings, but their full involvement remains unrealized. Communication training and greater attention to nurses' empowerment and to facilitating the nurse-physician relationship in the context of family meetings most likely would increase appropriate involvement of nurses in the meetings.
File Format	HTM / HTML
ISSN	10623264
Issue Number	1
Volume Number	25
e-ISSN	1937710X
Journal	American Journal of Critical Care
Language	English
Publisher	American Association of Critical-Care Nurses
Publisher Date	2016-01-01
Publisher Place	United States
Access Restriction	Subscribed
Subject Keyword	Discipline Nursing Critical Care Nursing Nurse's Role Professional-family Relations Communication Cross-sectional Studies Focus Groups Group Processes Humans Intensive Care Units Psychology Patient Advocacy Perception Physician-nurse Relations Power (psychology) Qualitative Research Journal Article Research Support, N.i.h., Extramural Research Support, Non-u.s. Gov't Research Support, U.s. Gov't, Non-p.h.s.
Content Type	Text
Resource Type	Article
Subject	Medicine Critical Care Nursing

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