Exploring the influence of communication and team dynamics relating to infection care on intensive care unit patient discussions: Insights from sociograms and team reflexivity
Authors' conclusion
Mapping and quantifying interactions shows the distribution of power and influences in patient discussions.
Study context
- Population
- Intensive care units (ICU) ward-round multidisciplinary teams, two ICUs at a tertiary hospital in South Africa
- Participants
- 273 patient discussions
- Outcome
- Communication episodes during ICU ward rounds (sociograms)
Methodological detailsward-round observations with sociograms and team reflexivity, mixed methods: thematic analysis with descriptive statistics, two ICUs, single tertiary hospital
- Ward-round observations with sociograms and team reflexivity
- Mixed methods: thematic analysis with descriptive statistics
- Two ICUs, single tertiary hospital
Main finding
As reported in the abstract
- Hours of observation
- 54
- Sociograms generated
- 38
- Communication episodes documented
- 1900
- Communication episodes led by consultants
- 43 %,821/1900
- Communication episodes led by registrars
- 44 %,835/1900
- Tasks undocumented after unclear communication
- 77 %
- Infection-related actions clearly communicated
- 93 %
Observational data: associations, not effects.
Original publication
Exploring the influence of communication and team dynamics relating to infection care on intensive care unit patient discussions: Insights from sociograms and team reflexivity. J Crit Care. Published 29 May 2025. doi:10.
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