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Communication facilitators improve ICU patient and family support during care transitions. Early collaboration and clear roles are key to overcoming implementation barriers for these communication interventions.

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Area of Science:

  • Healthcare communication
  • Implementation science
  • Critical care medicine

Background:

  • Critically-ill patients and families face communication challenges in the ICU and during care transitions.
  • Communication facilitators may offer a solution to these challenges.
  • Understanding clinician perspectives is crucial for successful intervention implementation.

Purpose of the Study:

  • To identify facilitators and barriers to implementing a communication intervention from the perspective of clinicians.
  • To explore how communication facilitators impact patient and family communication in the ICU.

Main Methods:

  • Semi-structured interviews were conducted with 17 clinicians in an intensive care unit.
  • Purposive sampling was used to recruit participants.
  • The Consolidated Framework for Implementation Research (CFIR) guided data collection and analysis.

Main Results:

  • Facilitators like relative advantage, communication, and critical incidents aided implementation.
  • Barriers included limited access to knowledge/information, relational connections, and clinician beliefs.
  • Clinicians valued facilitators for providing continuity, support during transitions, and bridging communication, especially during the COVID-19 pandemic.
  • Limited intervention information and differing beliefs about facilitator roles hindered implementation.

Conclusions:

  • Future studies should focus on strategies to enhance early connection between facilitators and clinicians.
  • Improving role clarity and collaboration can optimize the effectiveness of communication interventions.
  • Addressing identified barriers is essential for successful implementation of communication facilitator interventions.