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Related Concept Videos

Techniques of therapeutic communication I: Active Listening, Sharing Observations, Validation, and Using Touch01:15

Techniques of therapeutic communication I: Active Listening, Sharing Observations, Validation, and Using Touch

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The history of therapeutic communication can be traced back to Florence Nightingale, who emphasized the importance of developing trusting relationships with patients. She taught that the presence of nurses with patients results in therapeutic healing.
Therapeutic communication is not the same as social interaction. Social interaction has no goal or purpose and consists of casual information sharing, whereas therapeutic communication has a plan or purpose for the conversation. Therapeutic...
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Techniques of Therapeutic Communication II: Focusing, Paraphrasing, and Summarizing01:23

Techniques of Therapeutic Communication II: Focusing, Paraphrasing, and Summarizing

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Focusing involves centering a conversation on a message's critical elements or concepts. Focusing is valuable if the talk is vague or patients begin to repeat themselves. Sometimes, when patients are asked about their symptoms, they may go off-topic and try to tell their entire life story. Respectfully, the nurse should bring the conversation back into focus.
This therapeutic technique can also be used when a patient brings up pertinent information during a health-related conversation. The...
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Therapeutic Communication01:30

Therapeutic Communication

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Communication is a lifelong learning process. Through therapeutic communication, nurses can collect relevant assessment data, provide education and counseling, and interact during nursing interventions. Sending and receiving messages occur through verbal and nonverbal communication techniques and can happen separately or simultaneously.
Verbal communication depends on language or a prescribed way of using words so that people can share information effectively. The critical aspects of verbal...
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SBAR II: Application of SBAR01:14

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SBAR is an effective communication tool used by healthcare professionals to communicate patient information accurately. SBAR stands for Situation, Background, Assessment, and Recommendation. For a better understanding, an example is given below.
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
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Acute Coronary Syndrome IV: Interprofessional Care01:28

Acute Coronary Syndrome IV: Interprofessional Care

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IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...
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Barriers to Effective Communication II01:21

Barriers to Effective Communication II

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The barriers to effective communication also include cultural barriers, semantic barriers, gender barriers, and time constraints.
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
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Best Case/Worst Case Communication Tool for Trauma Intensive Care Units.

Melanie L Fritz1, Alexandra H Hernandez2, Amy B Zelenski3

  • 1Department of Surgery, University of Wisconsin-Madison, Madison.

JAMA Surgery
|September 24, 2025
PubMed
Summary
This summary is machine-generated.

The Best Case/Worst Case-ICU (BC/WC-ICU) tool improves communication for critically injured patients. While feasible and beneficial for families, barriers like time constraints and communication fears hinder widespread adoption in trauma ICUs.

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Area of Science:

  • Trauma critical care
  • Clinical communication strategies
  • Patient and family support

Background:

  • Effective communication is crucial for seriously injured older adults in intensive care units (ICUs).
  • Implementing advanced communication tools requires buy-in from trauma team members.

Purpose of the Study:

  • To evaluate the implementation of the Best Case/Worst Case-ICU (BC/WC-ICU) communication tool.
  • Assess the feasibility and impact of the BC/WC-ICU tool in trauma ICUs.

Main Methods:

  • A quality improvement study involving the BC/WC-ICU tool within a randomized clinical trial.
  • Training provided to trauma team members across 8 US trauma centers over 12 months.
  • Evaluation of Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) outcomes.

Main Results:

  • The BC/WC-ICU intervention reached approximately 1300 patient families, with clinicians reporting improved prognostic communication and decision-making.
  • Site adherence varied (45%-100%), with high fidelity in using the graphic aid.
  • Barriers included competing tasks, fear of discussing prognosis, and perceived lack of innovation, leading to lagging long-term use.

Conclusions:

  • Implementation of the BC/WC-ICU tool in trauma ICUs is feasible and supports prognostic communication, enhancing the clinician-family relationship.
  • Addressing barriers such as high patient acuity and communication disincentives is vital for future communication improvement efforts.
  • The BC/WC-ICU tool demonstrates potential to improve care for critically ill patients and their families.