https://doi.org/10.4081/qrmh.2022.10287
Evaluation of the Family Liaison Officer role during the COVID-19 pandemic
Submitted: 16 November 2021
Accepted: 18 May 2022
Published: 31 May 2022
Accepted: 18 May 2022
Abstract Views: 1201
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All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Authors
Communication within healthcare settings is often a subject of contention for patients’ families at the best of times; however, contention was greatly magnified in the United Kingdom by restrictions on hospital visitations during the early stage of the COVID-19 pandemic. To support communication between families and patients, a central London hospital introduced the role of the family liaison officer (FLO). This study was designed to evaluate the rapid implementation of the FLO and to explore potential for it to become a standard role. Semi-structured interviews were conducted with five FLOs and seven colleagues who had worked alongside them between April and June, 2020. Two versions of the role emerged based on FLOs’ previous background: clinical (primarily nurses) and pastoral (primarily play specialists). The FLO became a key role during the pandemic in facilitating communication between patients, clinical teams, and families. Challenges associated with the role reflect the speed in which it was implemented. It was evident to those in the role, and clinicians who the role was supporting, that it had potential to help improve hospital communication and the work of healthcare staff beyond the pandemic.
World Health Organisation. Coronavirus Disease (COVID-19) - events as they happen. Accessed on 8th March 2021. Available from: https://www.who.int/emergencies/diseases/novel-coronavirus-2019/events-as-they-happen
Hermann A, Deligiannidis K, Bergink V, et al. Response to SARS-Covid-19-related visitor restrictions on labor and delivery wards in New York City. Arch Women’s Mental Health 2020;23:793-4.
DOI: https://doi.org/10.1007/s00737-020-01030-2
Virani A, Puls H, Mitsos R, et al. Benefits and risks of visitor restrictions for hospitalized children during the COVID pandemic. Pediatrics 2020;146:e2020000786.
DOI: https://doi.org/10.1542/peds.2020-000786
Klompas M. Coronavirus disease 2019 (COVID-19): Protecting hospitals from the invisible. Ann Internal Med 2020;172:619-620.
DOI: https://doi.org/10.7326/M20-0751
Boyle B. The critical role of family in patient experience. Patient Experience J 2015;2:4-6.
DOI: https://doi.org/10.35680/2372-0247.1112
Farrell M, Joseph D, Schwartz-Barcott D. Visiting hours in the ICU: Finding the balance among patient, visitor and staff needs. Nursing Forum 2005;40:18-28.
DOI: https://doi.org/10.1111/j.1744-6198.2005.00001.x
Ottrey E, Palermo C, Huggins C, Porter J. Exploring staff perceptions and experiences of volunteers and visitors on the hospital ward at mealtimes using an ethnographic approach. J Clinical Nurs 2018;27:e1571-9.
DOI: https://doi.org/10.1111/jocn.14318
McKenzie J, Joy A. Family intervention improves outcomes for patients with delirium: Systematic review and meta-analysis. Australas J Ageing 2020;39:21-30.
DOI: https://doi.org/10.1111/ajag.12688
Newell S, Jordan Z. The patient experience of patient-centered communication with nurses in the hospital setting: a qualitative systematic review protocol. JBI Database System Rev Implement Rep 2015;13:76-87.
DOI: https://doi.org/10.11124/jbisrir-2015-1072
Desai AD, Popalisky J, Simon TD. The effectiveness of family-centred transition processes from hospital settings to home: a review of the literature. Hosp Pediatr 2015;5:219–31.
DOI: https://doi.org/10.1542/hpeds.2014-0097
Underwood J. Hospital visitors’ experiences at the nurses’ station. Nursing Standard 2017;31:44-53.
DOI: https://doi.org/10.7748/ns.2017.e10515
Clay A, Parsh B. Patient- and family-centered care: It’s not just for pediatrics anymore. AMA J Ethics 2016;18:40-4.
DOI: https://doi.org/10.1001/journalofethics.2016.18.1.medu3-1601
Maaskant JM, Jongerden IP, Bik J, et al. Strict isolation requires a different approach to the family of hospitalised patients with COVID-19: A rapid qualitative study. Int J Nurs Stud 2021;117:103858.
DOI: https://doi.org/10.1016/j.ijnurstu.2020.103858
Rose L, Yu L, Casey J, et al. Communication and virtual visiting for families of patients in intensive care during the COVID-19 pandemic: A UK national survey. Ann Am Thorac Soc 2021;18:1685-92.
DOI: https://doi.org/10.1513/AnnalsATS.202012-1500OC
Klop HT, Nasori M, Klinge TW, et al. Family support on intensive care units during the COVID-19 pandemic: A qualitative evaluation study into experiences of relatives. BMC Health Serv Res 2021;21:1060.
DOI: https://doi.org/10.1186/s12913-021-07095-8
College of Policing. 2022. Family Liaison Officer (FLO) - College of Policing. Accessed 22 February 2022. Available from: https://profdev.college.police.uk/professional-profile/family-liaison-officer-flo/
Health Research Authority. Is my study research? Accessed on 8th March 2021. Available from: http://www.hra-decisiontools.org.uk/research/
Ritchie J, Spencer L. Qualitative data analysis for applied policy research. In Bryman A and Burgess RG [eds.] Analyzing qualitative data. 1994, pp.173-94.
DOI: https://doi.org/10.4324/9780203413081_chapter_9
Beck CT. Qualitative research: the evaluation of its credibility, fittingness and auditability. Western J Nursing Res 1993;15:263-6
DOI: https://doi.org/10.1177/019394599301500212
Brashers DE, Neidig JL, Haas SM, et al. Communication in the management of uncertainty: The case of persons living with HIV or AIDS. Commun Monogr 2000;67:63-84.
DOI: https://doi.org/10.1080/03637750009376495
Folkman S, Greer S. Promoting psychological well-being in the face of serious illness: when theory, research and practice inform each other. Psychooncology 2000;9:11-9.
DOI: https://doi.org/10.1002/(SICI)1099-1611(200001/02)9:1<11::AID-PON424>3.0.CO;2-Z
Heyland DK, Barwich D, Pichora D, et al. Failure to engage hospitalized elderly patients and their families in advance care planning. JAMA Intern Med 2013;173:778–87.
DOI: https://doi.org/10.1001/jamainternmed.2013.180
Gabbi S, Man K, Morgan G, Maity S. The development of the family liaison team to improve communication between intensive care unit patients and their families during the COVID-19 pandemic. Arch Dis Child Educ Pract Ed 2021;106:367-9.
DOI: https://doi.org/10.1136/archdischild-2020-319726
Negro A, Mucci M, Beccaria P. Introducing the video call to facilitate the communication between health care providers and families of patients in the intensive care unit during COVID-19 pandemia. Intensive Crit Care Nurs 2020;60:102893.
DOI: https://doi.org/10.1016/j.iccn.2020.102893
Lipworth AD, Collins EJ, Keitz SA, et al. Development of a novel communication liaison program to support COVID-19 patients and their families. J Pain Symptom Manag 2021;61:e1-0
DOI: https://doi.org/10.1016/j.jpainsymman.2020.11.016
van Belle, E, Giesen, J, Conroy, T, et al. Exploring person-centred fundamental nursing care in hospital wards: A multi-site ethnography. J Clin Nurs 2020;29:1933– 44.
DOI: https://doi.org/10.1111/jocn.15024
How to Cite
Hughes, Luke, Lisa Anderton, and Rachel Taylor. 2022. “Evaluation of the Family Liaison Officer Role During the COVID-19 Pandemic”. Qualitative Research in Medicine and Healthcare 6 (1). https://doi.org/10.4081/qrmh.2022.10287.
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