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  • 11 Vanderbilt University Medical Center, Nashville, Tennessee, USA.

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Communication obstacles between healthcare teams and families in critical care settings hinder goal-aligned patient care. Understanding these barriers is key to improving patient-centered communication and shared decision-making.

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Area of Science:

  • Critical Care Medicine
  • Health Communication
  • Sociology of Health

Background:

  • Critical care patients rely on healthcare teams and families for care aligned with their values.
  • Effective communication is crucial for achieving patient-centered care goals.

Purpose of the Study:

  • To identify and understand communication obstacles impacting critical care teams and family members.
  • To explore differences in perceived obstacles between these two groups.

Main Methods:

  • Conducted in-depth semistructured interviews with 10 burn intensive care unit (BICU) care team members and 20 family members.
  • Utilized a two-cycle coding, inductive analytical approach to identify themes.

Main Results:

  • Three obstacle metathemes emerged: family engagement, information exchange, and process transparency/standardization.
  • Distinct themes within each metatheme were identified for care team members and family members.
  • Findings align with actor-network theory's concept of resistances.

Conclusions:

  • Actor-network theory offers a framework for understanding communication obstacles in critical care.
  • Future interventions can be developed based on this theory to enhance shared agency.
  • Improving communication networks can lead to better alignment of care goals with patient values.