Evidence mapPaperPMID 40968261Full record

ArticleCanadian journal of anaesthesia = Journal canadien d'anesthesie2025

Opportunities and threats to communication and relationships with patients and patients' loved ones along an intensive care unit journey: a qualitative journey mapping study.

Salima Suleman, Jennifer M O'Brien, Cari McIlduff, Brittany Benson, Nicole Labine, Sahar Khan, Tiffanie Tse, Joann Kawchuk, Puneet Kapur, Candace Abramyk and 4 more

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Article in Canadian journal of anaesthesia = Journal canadien d'anesthesie, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

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No citing paper in PubMed yet.

4 · The record

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5 · Who and what money

Authors and funding

14 authors.

Salima SulemanCommunity Researcher Partner, Edmonton, AB, Canada.
Jennifer M O'BrienDepartment of Anesthesiology, College of Medicine, University of Saskatchewan, Saskatoon, SK, Canada.
Cari McIlduffDepartment of Community Health and Epidemiology, College of Medicine, University of Saskatchewan, Saskatoon, SK, Canada.
Brittany BensonDepartment of Anesthesiology, College of Medicine, University of Saskatchewan, Saskatoon, SK, Canada.
Nicole LabineDepartment of Surgery, College of Medicine, University of Saskatchewan, Saskatoon, SK, Canada.
Sahar KhanDepartment of Medicine, College of Medicine, University of Saskatchewan, Saskatoon, SK, Canada.
Tiffanie TseDepartment of Medicine, College of Medicine, University of Saskatchewan, Saskatoon, SK, Canada.
Joann KawchukDepartment of Anesthesiology, College of Medicine, University of Saskatchewan, Saskatoon, SK, Canada.
Puneet KapurDepartment of Emergency Medicine, College of Medicine, University of Saskatchewan, Saskatoon, SK, Canada.
Candace AbramykPatient and Family Partner, Saskatchewan Centre for Patient-Oriented Research, Saskatoon, SK, Canada.
Eileen ReimchePatient and Family Partner, Saskatchewan Centre for Patient-Oriented Research, Saskatoon, SK, Canada.
Talha GondalCollege of Medicine, University of Saskatchewan, Saskatoon, SK, Canada.
Sabira ValianiDepartment of Anesthesiology, College of Medicine, University of Saskatchewan, Saskatoon, SK, Canada. svaliani@usask.ca.ORCID 0000-0001-5997-4115
Canadian Critical Care Trials Group

Funding

Non-US Government Research Support
6 · The paper itself

Abstract

purposeWhen a patient requires critical care, the patient and their loved ones embark on a complex and challenging journey through the intensive care unit (ICU). Communication and the development of trusting relationships is an important part of the journey, especially within the paradigm of patient- and family-centred care (PFCC). We sought to expand our understanding of opportunities and threats to communication, trust, and relationship-building throughout the ICU journey from the perspectives of patients, their loved ones, and ICU health care providers.

methodsWe conducted semistructured journey-mapping interviews with 18 participants, including ICU health care providers (n = 10), patients (n = 4), and their loved ones (n = 4). In collaboration with 2 patient partners, we used directed content analysis to identify and understand opportunities and threats.

resultsUsing the building blocks of the ICU journey, we identified opportunities and threats that could enhance or disrupt relationships, trust, and communication. Opportunities included actions that the ICU team can take to enhance the journey (e.g., providing predictable, consistent, timely, clear, concise, and digestible information to patients and/or loved ones). Threats included factors inherent to the ICU experience (e.g., patients being unable to communicate, the physical and psychological ICU environment), systemic factors (e.g., limited health human resources), and ineffective communication and/or inaction on the part of the ICU team (e.g., limited consideration for patient and loved ones' decisions, goals, privacy, and/or autonomy).

conclusionsOpportunities provide actionable steps that can be taken to enhance PFCC, while threats include inaction and factors inherent to the ICU that are more difficult to mitigate.

Indexed as

CommunicationCritical CareFamilyIntensive Care UnitsAdultAgedFemaleHealth PersonnelHumansInterviews as TopicMaleMiddle AgedPatient-Centered CareProfessional-Family RelationsProfessional-Patient RelationsQualitative Researchcommunicationcritical careintensive care unitspatient-centred careprofessional-family relations

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.