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Canadian Journal of Anesthesia/Journal canadien d'anesthésie

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15.05.2023 | Reports of Original Investigations

Understanding equitable and affirming communication moments and relationship milestones during the intensive care unit journey: findings from stage 1 of a design thinking project

verfasst von: Salima Suleman, PhD, Jennifer M. O’Brien, PhD, Cari McIlduff, PhD, Brittany Benson, MD, Nicole Labine, MD, Sahar Khan, BSc, Tiffanie Tse, MD, Joann Kawchuk, MD, FRCPC, Puneet Kapur, MD, FRCPC, Candace Abramyk, Eileen Reimche, MEd, Sabira Valiani, MD, FRCPC

Erschienen in: Canadian Journal of Anesthesia/Journal canadien d'anesthésie | Ausgabe 6/2023

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Abstract

Purpose

Communication is vital to facilitate patient and family-centred care (PFCC) and to build trusting relationships between intensive care unit (ICU) health care providers, the patient, and their loved ones in the ICU. The focus of this investigation was to identify, define, and refine key moments of communication, connection, and relationship building in the ICU through a lens of Equity, Diversity, Decolonization, and Inclusion (EDDI) to encourage meaningful communication and development of trusting relationships.

Methods

We conducted 13 journey mapping interviews with ICU health care providers, patients, and their loved ones as the first stage in a design thinking project. We used directed content analysis to identify intersections where principles of EDDI directly or indirectly impacted communication, relationships, and trust throughout the ICU journey. To serve diverse patients and their loved ones, accessibility, inclusivity, and cultural safety were foundational pillars of the design thinking project.

Results

Thirteen ICU health care providers, patients, and their loved ones participated in journey mapping interviews. We defined and refined 16 communication moments and relationship milestones in the journey of a patient through the ICU (e.g., admission, crises, stabilization, discharge), and intersections where EDDI directly or indirectly impacted communication and connection during the ICU journey.

Conclusion

Our findings highlight that diverse intersectional identities impact communication moments and relationship milestones during an ICU journey. To fully embrace a paradigm of PFCC, consideration should be given to creating an affirming and safe space for patients and their loved ones in the ICU.

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Titel: Understanding equitable and affirming communication moments and relationship milestones during the intensive care unit journey: findings from stage 1 of a design thinking project
verfasst von: Salima Suleman, PhD
Jennifer M. O’Brien, PhD
Cari McIlduff, PhD
Brittany Benson, MD
Nicole Labine, MD
Sahar Khan, BSc
Tiffanie Tse, MD
Joann Kawchuk, MD, FRCPC
Puneet Kapur, MD, FRCPC
Candace Abramyk
Eileen Reimche, MEd
Sabira Valiani, MD, FRCPC
Publikationsdatum: 15.05.2023
Verlag: Springer International Publishing
Erschienen in: Canadian Journal of Anesthesia/Journal canadien d'anesthésie / Ausgabe 6/2023
Print ISSN: 0832-610X
Elektronische ISSN: 1496-8975
DOI: https://doi.org/10.1007/s12630-023-02456-9

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Understanding equitable and affirming communication moments and relationship milestones during the intensive care unit journey: findings from stage 1 of a design thinking project