Hospital communication between health professionals and relatives of hospitalized patients: An integrative review.
Abstract
Hospital communication is a process of great importance in the professional-family relationship in modern care settings. The objective of this review is to explore the current state of communication between health professionals and relatives of hospitalized patients in support of medical care. The review used 6 international databases. The analysis and interpretation was based on the Evans and Dixon-Woods methodology. The results of 28 selected articles were grouped into four categories. 67.85% of the studies address communication in a diverse way and 32.15% with proposals for improvement. Expanding hospital communication through IT enables a prosperous relationship and environment for communication between those involved.
References
Agencia Digital de Innovación Pública. (13 de Mayo de 2020). Agencia Digital de Innovación Pública. Recuperado el 15 de Febrero de 2021, de https://adip.cdmx.gob.mx/comunicacion/nota/familiares-de-pacientes-hospitalizados-por-covid-19-podran-comunicarse-por-medio-de-videollamadas
Aufegger, L., Hà Bùi, K., Bicknell, C., & Darzi, A. (2020). Designing a paediatric hospital information tool with children, parents, and healthcare staff: a UX study. BMC Pediatrics, 20, 469. doi:10.1186/s12887-020-02361-w
Bayog, K., Bello, D., Benabaye, J., Benegas, T., Benito, A., Berioso, M., . . . Macindo, J. (2020). A conjoint analysis of the communication preferences of registered nurses towards mechanically ventilated patients. International journal of nursing practice, 26(2), e12809. doi:10.1111/ijn.12809
Bucknall, T., Hutchinson, A., Botti, M., McTier, L., Rawson, H., Hitch, D., . . . Chaboyer, W. (2020). Engaging patients and families in communication across transitions of care: An integrative review. Patient education and counseling, 103(6), 1104–1117. doi:10.1016/j.pec.2020.01.017
Bucknall., T., Hutchinson, A., Botti, M., McTier, L., Rawson, H., Hewitt, N., . . . Chaboyer, W. (2016). Engaging patients and families in communication across transitions of care: an integrative review protocol. Journal of advanced nursing, 72(7), 1689–1700. doi:10.1111/jan.12953
Carbonell-Estrany, X., Dall'Agnola, A., Fullarton, J., Rodgers-Gray, B., Girardi, E., Mussa, A., . . .Manzoni, P. (2018). Interaction between healthcare professionals and parents is a key determinant of parental distress during childhood hospitalisation for respiratory syncytial virus infection (European RSV Outcomes Study [EROS]). Acta paediatrica, 107(5), 854-860. doi:10.1111/apa.14224
Carlsson, E., Carlsson, A., Prenkert, M., & Svantesson, M. (2015). Ways of understanding being a healthcare professional in the role of family member of a patient admitted to hospital. A phenomenographic study. International journal of nursing studies, 53, 50–60. doi:10.1016/j.ijnurstu.2015.10.004
Charles, M. (2020). Communication experiences of family caregivers of hospitalized adults with intellectual and developmental disabilities—A qualitative study. NursingOpen, 7(6), 1725–1734. doi:10.1002/nop2.557
Chuang, E., Lamkin, R., Hope, A., Kim, G., Burg, J., & Gong, M. (2017). "I Just Felt Like I Was Stuck in the Middle": Physician Assistants' Experiences Communicating With Terminally Ill Patients and Their Families in the Acute Care Setting. Journal of pain and symptom management, 54(1), 27-34. doi:10.1016/j.jpainsymman.2017.03.011
Cicekci, F., Duran, N., Ayhan, B., Arican, S., Ilban, O., Kara, I., . . . Kara, I. (2017). The communication between patient relatives and physicians in intensive care units. BMC anesthesiology, 17(1), 97. doi:10.1186/s12871-017-0388-1
Dixon-Woods, M., Agarwal, S., Jones, D., Young, B., & Sutton, A. (2005). Synthesising qualitative and quantitative evidence: a review of possible methods. Journal of health services research & policy, 10(1), 45–53. doi:10.1177/135581960501000110
Evans, D. (2002). Systematic reviews of interpretive research: interpretive data synthesis of processed data. The Australian journal of advanced nursing : a quarterly publication of the Royal Australian Nursing Federation, 20(2), 22–26.
Ganca, L., Gwyther, L., Harding, R., & Meiring, M. (2016). What are the communication skills and needs of doctors when communicating a poor prognosis to patients and their families? A qualitative study from South Africa. South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde, 196(9), 940–944. doi:10.7196/SAMJ.2016.v106i9.10568
Globus, O., Leibovitch, L., Maayan-Metzger, A., Schushan-Eisen, I., Morag, I., Mazkereth, R., . . . Strauss, T. (2016). The use of short message services (SMS) to provide medical updating to parents in the NICU. Journal of perinatology : official journal of the California Perinatal Association, 36(9), 739–743. doi:10.1038/jp.2016.83
Grudzen, C., Emlet, L., Kuntz, J., Shreves, A., Zimny, E., Gang, M., . . . Arnold, R. (2016). EM Talk: communication skills training for emergency medicine patients with serious illness. BMJ supportive & palliative care, 6(2), 219–224. doi:10.1136/bmjspcare-2015-000993
HONG, Q., PLUYE, P., FÀBREGUES, S., BARTLETT, G., BOARDMAN, F., CARGO, M., . . . VEDEL, I. (2018). MIXED METHODS APPRAISAL TOOL (MMAT) VERSION 2018 User guide. Recuperado el 28 de 04 de 2021, de mixedmethodsappraisaltoolpublic: http://mixedmethodsappraisaltoolpublic.pbworks.com
Jangland, E., Gunningberg, L., & Carlsson, M. (2009). Patients' and relatives' complaints about encounters and communication in health care: evidence for quality improvement. Patient education and counseling, 72(2), 199–204. doi:10.1016/j.pec.2008.10.007
Johnsson, A., Boman, Å., Wagman, P., & Pennbrant, S. (2018). Voices used by nurses when communicating with patients and relatives in a department of medicine for older people-An ethnographic study. Journal of clinical nursing, 27(7-8), e1640–e1650. doi:10.1111/jocn.14316
King, G., Maxwell, J., Karmali, A., Hagens, S., Pinto, M., Williams, L., & Adamson, K. (2017). Connecting Families to Their Health Record and Care Team: The Use, Utility, and Impact of a Client/Family Health Portal at a Children's Rehabilitation Hospital. Journal of medical Internet research, 19(4), e97. doi:10.2196/jmir.6811
Lemmers, A., & van der Voort, P. (2021). Trust in Intensive Care Patients, Family, and Healthcare Professionals: The Development of a Conceptual Framework Followed by a Case Study. Healthcare, 9(2), 208. doi:10.3390/healthcare9020208
Lorie, E. S., W Wreesmann, W.-J., van Veenendaal, N. R., Van Kempen, A. A., & M Labrie, N. H. (2020). Parents' needs and perceived gaps in communication with healthcare professionals in the neonatal (intensive) care unit: A qualitative interview study. Patient education and counseling, 104(7). doi:10.1016/j.pec.2020.12.007
Luiz, F., Aquino Caregnato, R., & da Costa, M. (2017). Humanization in the Intensive Care: perception of family and healthcare professionals. 70(5), 1040-1047. doi:10.1590/0034-7167-2016-0281
Manias, E., Braaf, S., Rixon, S., Williams, A., Liew, D., & Blackburn, A. (2019). Communicating with patients, families and health professionals about managing medications in intensive care: A qualitative observational study. Intensive & critical care nursing, 54, 15–22. doi:10.1016/j.iccn.2019.05.001
Manias, E., Bucknall, T., Wickramasinghe, N., Gray, K., Schaffer, J., & Rosenfeld, E. (2019). Patient and family engagement in communicating with electronic medical records in hospitals: A systematic review. International journal of medical informatics, 134(104036). doi:10.1016/j.ijmedinf.2019.104036
Mori, M., Morita, T., Igarashi, N., Shima, Y., & Miyashita, M. (2018). Communication about the impending death of patients with cancer to the family: a nationwide survey. BMJ supportive & palliative care, 8(2), 221–228. doi:10.1136/bmjspcare-2017-001460
Page, M., McKenzie, J., Bossuyt, P., Boutron, I., Hoffmann, T., Mulrow, C., . . . Moher, D. (2021). The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ, 372(71). doi:https://doi.org/10.1136/bmj.n71
Pagnamenta, A., Bruno, R., Gemperli, A., Chiesa, A., Previsdomini, M., Corti, F., . . . Ulrich Rothen, H. (2016). Impact of a communication strategy on family satisfaction in the intensive care unit. Acta anaesthesiologica Scandinavica, 60(6), 800-9. doi:10.1111/aas.12692
Ranse, K., Bloomer, M., Coombs, M., & Endacott, R. (2016). Family centred care before and during life-sustaining treatment withdrawal in intensive care: A survey of information provided to families by Australasian critical care nurses. Australian critical care : official journal of the Confederation of Australian Critical Care Nurse, 29(4), 210–216. doi:10.1016/j.aucc.2016.08.006
Relationships Australia Queensland. (s.f.). Recuperado el 20 de 05 de 2021, de Relationships Australia Queensland: https://www.raq.org.au/faq/what-definition-family
Theys, S., Lust, E., Heinen, M., Verhaeghe, S., Beeckman, D., Eeckloo, K., . . . Hecke, A. (2019). Barriers and enablers for the implementation of a hospital communication tool for patient participation: A qualitative study. Journal of clinical nursing, 29(11-12), 1945–1956. doi:10.1111/jocn.15055
Valizadeh, L., Zamanzadeh, V., Ghahramanian, A., Aghajari, P., & Foronda, C. (2017). Factors influencing nurse-to-parent communication in culturally sensitive pediatric care: a qualitative study. Contemporary nurse, 53(4), 474–488. doi:10.1080/10376178.2017.1409644
Velasco Bueno, J., Alonso-Ovies, A., Heras La Calle, G., & Zaforteza Lallemand, C. (2017). Main information requests of family members of patients in Intensive Care Units. Medicina intensiva, 42(6), 337–345. doi:10.1016/j.medin.2017.09.007
Walter, J., Sachs, E., Schall, T., Dewitt, A., Miller, V., Arnold, R., & Feudtner, C. (2019). Interprofessional Teamwork During Family Meetings in the Pediatric Cardiac Intensive Care Unit. Journal of pain and symptom management, 57(6), 1089–1098. doi:j.jpainsymman.2019.03.002
Weinert, C. (2015). Giving Doctors' Daily Progress Notes to Hospitalized Patients and Families to Improve Patient Experience. American journal of medical quality : the official journal of the American College of Medical Quality, 32(1), 58–65. doi:10.1177/1062860615610424
Whittemore, R., & Knafl, K. (2005). The integrative review: updated methodology. METHODOLOGICAL ISSUES IN NURSING RESEARCH, 52(5), 546-53. doi:10.1111/j.1365-2648.2005.03621.x.
Wieck, M., Blake, B., Sellick, C., Kenron, D., DeVries, D., Terry, S., & Krishnaswami, S. (2017). Utilizing technology to improve intraoperative family communication. American journal of surgery, 213(15), 895–900. doi:10.1016/j.amjsurg.2017.03.014








