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. Author manuscript; available in PMC: 2015 Sep 1.
Published in final edited form as: Heart Lung. 2014 Mar 19;43(5):406–415. doi: 10.1016/j.hrtlng.2014.02.001

Table 5.

Providing Factual Information

Strategies Exemplar Quotes

Explain Environment: FM described the nurse giving explanations of the equipment and procedures.

Answer questions
Explain equipment
Explain the treatment plan
Use lay terminology
But [the nurse] said ‘I’m going to reposition him; you will see him at different positions, and I’m doing this because I don’t want him to lay
in one spot too long.’ I guess for the circulation and for the…all that. Anyway, he/she explained very, it’s one of those things that seem,
little small details, but it was so important to me. You know, ‘I changed his bandage here because it looked a little bad,’ he/she was
saying that to me. (Mother of P10, Single Interview, Day 2)
I know that [the nurse] will be that bridge to me, the one that’s going to bring it down to the kindergarten terms that I need. And I felt
confident and comfortable that [Nurse L] was competent in translating that to my terms. [Nurse L] is the communicator bridge; he/she
understands the ten-dollar lingo. I don’t get it; it’s all confusing to me. But when they walked away, I knew that I could pepper Nurse L
with questions, and he/she would give everything I needed on my terms. (Daughter1 of P13, Second Interview, Day 8)

Present Findings: FM Described the nurse describing to them physiological findings

Avoid Rendering a Prognosis
Describe Positive Findings
Keep Apprised of Patient’s
Condition
Well it’s a glimmer of hope, but they are not so, ‘oh no he’s not going to make it,’ or ‘I’ve never seen anybody come through this.’ Just, if
they’ve got that opinion, they are not saying it, so that I can hold on to that glimmer of hope. (Wife of P11, Second Interview, Day 8)
Well any time that they tell me that a number looks better, that’s hopeful. His ammonia level was just like 13 points better today. And I
went ‘oh, well that was a little glimmer of hope. He’s not on any sedation, but yet we are getting a little bit of response. That’s a little bit
of hope.’ Just little things like that, that. (Wife of P11, First Interview, Day 4)
Negative
Fail to Keep Apprised of
Condition
Give Inaccurate Information
Guess at What Might Be Wrong
Leave FM hanging
Unable to Answer Questions
Some will say, ‘well nothing’s changed since last night,’ and then I will find out, yes he [had] a seizure, …well that to me is important to
know in the overall scheme of things. So, I’m thinking that he didn’t have a seizure for two days, when actually he did have one the day
before. (Domestic Partner of P8, Single Interview, Day 9)
I called at two o’clock this morning to see how he’s doing. And whoever answered the phone said, “I know that it’s in the middle of the
night, but you’re going to have to call back in an hour.” And right away I’m thinking, is he/she working on him? is there something
[wrong]? So I waited, and I called back and he/she said no change, and that was it…not much of a change, so… For the hour or so just
wondering what’s going on. (Wife of P5, Second Interview, Day 6)