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J Caring Sci. 2014 Feb 27;3(1):67-82. doi: 10.5681/jcs.2014.008. eCollection 2014 Mar.

Factors affecting the nurse-patients' family communication in intensive care unit of kerman: a qualitative study.

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Departemant of Nursing, Faculty of Nursing and Midwifery, Kerman paradise University of Medical Sciences, Kerman, Iran.
Medical Ethics and law research center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Departemant of Nursing, Faculty of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.



The communication between nurses and patients' families impacts patient well-being as well as the quality and outcome of nursing care, this study aimed to demonstrated the facilitators and barriers which influence the role of communication among Iranian nurses and families member in ICU.


This study is a qualitative study with content analysis. Participants were eight registered nurses and ten of patients' families. Patients were admitted to the ICU of two large university hospitals in Kerman, Iran. We used non-structured interviews for data collection. All interviews were transcribed verbatim with a simultaneous, constant comparative analysis of the audio tapes.


According to data analysis, facilitative factors between nurses and families' communication consisted of spiritual care, emotional support, Participation, notification and consultation and barriers that were misunderstandings regarding treatment, job and patient difficulties.


The findings led into the recognition of the important barriers and facilitators in communication between ICU team and the family of the patients. By identification of the barriers and facilitators of communication, establishing new rules and using creative methods in education and establishing the communication of ICU team especially using patient-based approach we can have effective communication.


Communication; Family; Intensive Care Units; Nurses; Qualitative Research

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