Family experience with intensive care unit care: Association of self-reported family conferences and family satisfaction

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• 作者：Sashikanth Kodali ; MD^a ; ^{skodali@geisinger.edu" class="auth_mail} ; Rebecca A. Stametz ; DEd ; MPH^a ; Amanda C. Bengier ; BA^a ; Deserae N. Clarke ; MPA^a ; Abraham J. Layon ; MD^b ; Jonathan D. Darer ; MD ; MPH^a
• 关键词：Family conference ; Family satisfaction ; End-of-life care ; Family communication ; Medical decision making
• 刊名：Journal of Critical Care
• 出版年：August 2014
• 年：2014
• 卷：29
• 期：4
• 页码：641-644
• 全文大小：187 K

文摘

A family conference is recommended as a best practice to improve communication in the intensive care unit (ICU), but this can be challenging given the setting. This study examined whether family members who reported that a family conference occurred had higher satisfaction than those who did not report that a conference was held.

Materials and Methods

The study used a retrospective data analysis of family satisfaction based on family member's responses to a questionnaire. Families of all the patients admitted to ICUs of 2 quaternary hospitals in an integrated health system were surveyed.

Results

The families of 457 patients who matched the inclusion and exclusion criteria were surveyed with a 55.6% response rate. Family satisfaction with decision making was significantly higher (83.6 vs 78.2, P = .0211) for families who reported that family conferences occurred. No significant difference in the satisfaction with care and overall satisfaction scores was found (84.2 vs 80.0, P = .10). Patients whose families reported a family conference were older and had higher mortality.

Conclusion

This study confirms that families who report attending family conferences are more satisfied with decision making in the ICU. This study highlights the need to increase communication in ICUs.