RNSystematic ReviewPatient education and counseling2021

Opportunities to improve COVID-19 provider communication resources: A systematic review.

Elaine Wittenberg, Joy V Goldsmith, Chiahui Chen and 2 others

PMID 33455825

WHAT IT FOUND

COVID-19 provider communication resources averaged 38% against patient-centered communication practices, were mostly physician-focused, and lacked content on family, telehealth, and nurse needs.

Key findings

01The 36 provider communication resources averaged 38% on patient-centered communication best-practice domains, and four resources scored 75% or higher.

02The most frequent communication barriers were family/partner cannot be present (23 articles), reduced patient-centered care (18 articles), and reduced communication channels (17 articles).

03Two resources targeted nurses, and the review found a lack of content on nurse needs, family communication, and telehealth.

STILL TO COME

How it was doneWhat they foundWhat it means for RNs

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What it does not show

The review included grey literature and peer-reviewed articles of any type, including summaries, editorials, commentaries, and opinion pieces, so many sources are provider arguments rather than tested evidence. It did not measure patient, family, or clinical outcomes, and it did not test whether any communication resource changed care. The search was limited to English-language material from January 1, 2020 to September 1, 2020 and excluded developing countries, so it may miss later or non-US practice. Most included articles described provider experiences, especially physicians, and the review notes little content on nurse needs, family communication, and telehealth. Resource quality was judged by whether patient-centered communication domains were present, not by whether the resource worked. Two reviewers screened the literature, and article extraction was done by one researcher and checked by another, so coding may depend on a small team.

Declared interests

The Archstone Foundation supported the research. The authors reported no competing interests.

The easy way to misread this

Do not read these resources as tested interventions. The review found low patient-centered communication scores and little evidence base, so it reports gaps in available materials, not proven effects on patients or families.

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