ICU Integrative Review

Patients in ICU usually suffer from serious diseases and has difficult of communication, so their families take the decision behalf them about end of life. The communication between professional health care giver and family is the main key for discuss end of life decision in ICU. The purpose of this integrative review is to identify best communication strategies that professional health care giver can use for discuss end of life decision with families in ICU. This review analyzed 18 primary research studies, which obtained from electronic databases and included adult patients in an ICU setting. The findings there are many strategies with deal with families of this review support the communication strategies; different strategies were effective

the communication is the main key for process of end-of-life decision in the ICU, there are many communication strategies have been found (including decision aids, structured meeting plans, and educational interventions help to improve outcome for the patients and family members (Lautrette et al., 2007; Oczkowski, Chung, Hanvey, Mbuagbaw, & You, 2016), to discuss and respect the families and patients value and respect their own wishes about decision of end of

In addition, help to remove conflict between family members and health professional (Lilly et al., 2000). However, the quality of communication about end of life has been shown poor with families in ICU and families not satisfy compare with other care area in ICU which need to be improve (Wall, Curtis, Cooke, & Engelberg, 2007) and health care professional especially the physicians are usually not concerned about patient’s wishes regarding end of life care (Hofmann et al., 1997).

Is difficult for the family member to hear bad news or there a negative progress on their relative, sohealth care professional have to provide support the families and provide communication with a holistic perspective and provide information by simply and clear way to be understandable (Gutierrez, 2012). Using communication strategies such as communicating with compassion, sensitivity, and a genuine sense of caring can be useful to provide emotional support and decrease stress with family(Gutierrez,