Why trust matters to all of us in treating critically ill patients | from Community Engagement and West Hertfordshire Hospitals NHS Trust

Developing a person centred approach to patients' treatment moves conversations away from focussing solely on 'what's the matter with you?' to 'what matters to you?'.

This is important, What Matters to You blog author Shaun Maher says, because "it creates a relationship – a connection – with another human-being, which in turn generates trust." This is especially important when those close to patients can't be there.

Shaun explains, "Trust is the cornerstone of healing, generative therapeutic relationships. Without trust wounds heal more slowly, pain is intensified, loneliness becomes more unbearable. Trust is the X-factor that leads to better outcomes for the person being cared for and the 'what matters to you?' approach powerfully builds trust."

What's more, says Shaun, this trust-building benefits staff too. "Not only does it lead to better outcomes for people being cared for, but it also helps to generate deeper more meaningful connection to work for health and social care professionals."

Therapy Team Lead and Occupational Therapist at West Hertfordshire ICU, Claire Cutting, shared her recent experience of talking to a COVID-19 patient about what matters to him.

Claire tweeted: "My favourite part of today was seeing a critical care patient smile when I spoke about the memories his family told me he cherished. So important to get #whatmatterstoyou information from families to assist our assessment & communication with patients. #OT @WestHertsICU"

In addition, Queen Elizabeth University Hospital, NHS Greater Glasgow and Clyde, told us that the Physio and Occupational Therapy staff in critical care have been continuing to ask patients and their carers what matters to them.

They say, "The more information we have about a patient and their life can have a huge impact on their rehab and a meaningful conversation with our patients can really get them engaged, some of whom can't speak to us or communicate this information because of delirium.

"We are phoning patients' relatives to help us get a better understanding of our patients. We are hoping to use new technology, VCreate, to help communication between the multidisciplinary team and families of those in critical care. [We want] to create electronic video diaries of a patient’s time in critical care when they're fit for rehabilitation to begin."

Find more information and resources about What Matters to You.

Sources:
Claire Cutting's tweet: https://twitter.com/clairecuttingOT/status/1255943836410490883
Shaun Maher's blog: https://www.whatmatterstoyou.scot/why-what-matters-really-matters/

 

Do you have more examples you'd like us to share?

Please email your suggestions to

hcis.personcentredscot@nhs.net