TABLE 2.
How can ICU workers build an atmosphere of trust during meetings with patients? (sources [4, 33, 41, 60])
| Instruction | Comment |
|---|---|
| Using nonverbal methods, the doctor can demonstrate that patients and their families are important to him. | No haste, sitting position and making eye contact during the conversation, avoiding professional jargon. |
| It is worth not interrupting patients when they tell personal stories related to the disease. | This is a chance for the doctor to see the extent to which the disease affects life of the patient. |
| Some patients clearly present feelings associated with the disease when providing information about their symptoms. | Example of patient`s words:„I’m afraid I’m going to die, I don’t know what’s going to happen to me...” |
| If the patient does not talk about what he is going through, the doctor may decide to ask him an open question about it. | Example of doctors’ words: “Would you like to say more about how this disease affects your life, what does it mean to you?” |
| Answers about internal experiences or existential doubts should be listened to “actively” (check that they are well understood on an ongoing basis). | The important elements are confirmation of reception of information, paraphrasing, asking supplementary questions. |
| Then the doctor can ensure that such experiences are normal and on the spot. | Example of the doctor’s comment: “Many people in this situation would be angry/depressed”. |
| He can also comment on what he heard in an empathetic way. | Example of the doctor’s comment: “It’s actually very sad”; “I can only imagine what a disappointment it is...” |
| Finally, he can assure of his/her commitment. | Example of the doctor’s comment: “We will work together to achieve the goal”; “I will try to help you feel your best”. |