×
Home Current Archive Editorial board
News Contact
Original Clinical Research

Humanism during the COVID-19 pandemic: video call as a strategy to satisfy the communication needs of Intensive Care Unit patients and their family members.

By
Michelle Grunauer Orcid logo ,
Michelle Grunauer
Contact Michelle Grunauer

School of Medicine, Universidad San Francisco de Quito , Quito , Ecuador

Fernando Ortega Orcid logo ,
Fernando Ortega

School of Public Health, Universidad San Francisco de Quito , Quito , Ecuador

School of Medicine, Universidad San Francisco de Quito , Quito , Ecuador

Paola Yepez Orcid logo ,
Paola Yepez

School of Medicine, Universidad San Francisco de Quito , Quito , Ecuador

Manuel Jibaja ,
Manuel Jibaja

Intensive Care Unit, Hospital Eugenio Espejo , Quito , Ecuador

Andrea P. Icaza-Freire ,
Andrea P. Icaza-Freire

School of Medicine, Universidad San Francisco de Quito , Quito , Ecuador

Jorge W Velez Orcid logo ,
Jorge W Velez

Intensive Care Unit, Hospital Eugenio Espejo , Quito , Ecuador

Mario F Arboleda ,
Mario F Arboleda

Intensive Care Unit, Hospital Eugenio Espejo , Quito , Ecuador

María F García
María F García

Intensive Care Unit, Hospital Eugenio Espejo , Quito , Ecuador

Abstract

Background: Patients affected by the COVID-19 pandemic required physical/social isolation due to the transmissibility of SARs CoV-2; those hospitalized in healthcare facilities often suffered loneliness due to a complete separation from their loved ones through visitor restrictions.(1) Human contact and movement were restricted to contain the spread of disease. When this kind of restriction must be employed, the “Guidance for Managing Ethical Issues in Infectious Disease Outbreaks”, states that it is necessary to provide people with “effective alternative communication strategies”. (2) Methods:  This is an observational descriptive study that uses qualitative variables to analyze information obtained by virtual focus groups consisting of either medical professionals or family members of hospitalized patients in the ICU of the Eugenio Espejo Hospital (EEH) in Quito, Ecuador. Each video call allowed us to assess anonymous opinions concerning communication methods utilized during the delivery of daily clinical updates in the ICU. By focusing on a patient-and family-centered model, this study aims to minimize the impact of social isolation in hospitalized patients through the implementation of regular doctor-led video conference calls with family members, as well as video calls between the patient and family members when feasible.(1) Results: This study evaluates the increased satisfaction of family members and medical professionals with the implementation of video calls when compared to traditional telephone calls. A contrast between the time before implementing the telehealth team and the time afterward was observed in at least five positive characteristics: 1) the general telehealth experience, 2) the clarity of the messages, 3) the quality of care, 4) the sense of comfort, and 5) the improvement of communication. Conclusions: There was a positive effect on communication quality for both family members and medical professionals, increasing their satisfaction in terms of finding new methods to reduce the social isolation enforced by the current pandemic. Nevertheless, the future role of virtual communication remains undefined as we return to individualized face-to-face meetings.  

References

1.
Webb H, Parson M, Hodgson LE, Daswani K. Virtual visiting and other technological adaptations for critical care. Future Healthc J. 2020;Oct;7(3):e93–5.
2.
Stricker KH, Kimberger O, Schmidlin K, Zwahlen M, Mohr U, Rothen HU. Family satisfaction in the intensive care unit: what makes the difference? Intensive Care Medicine. 2009;35(12):2051–9.
3.
Stricker KH, Niemann S, Bugnon S, Wurz J, Rohrer O, Rothen HU. Family satisfaction in the intensive care unit: cross-cultural adaptation of a questionnaire. Journal of Critical Care. 2007;22(3):204–11.
4.
Thomas KAS, O’Brien BF, Fryday AT, Robinson EC, Hales MJL, Karipidis S, et al. Developing an Innovative System of Open and Flexible, Patient-Family-Centered, Virtual Visiting in ICU During the COVID-19 Pandemic: A Collaboration of Staff, Patients, Families, and Technology Companies. Journal of Intensive Care Medicine. 2021;36(10):1130–40.
5.
Rose L, Yu L, Casey J, Cook A, Metaxa V, Pattison N, et al. Communication and Virtual Visiting for Families of Patients in Intensive Care during the COVID-19 Pandemic: A UK National Survey. Annals of the American Thoracic Society. 2021;18(10):1685–92.

Citation

This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. 

Article metrics

Google scholar: See link

The statements, opinions and data contained in the journal are solely those of the individual authors and contributors and not of the publisher and the editor(s). We stay neutral with regard to jurisdictional claims in published maps and institutional affiliations.