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Original ResearchCRITICAL CARE MEDICINEFamily Satisfaction in the ICU: Differences Between Families of Survivors and Nonsurvivors
Section snippets
Populations and Settings
Data for the current analyses come from a prospective before/after study12 that was designed to evaluate a palliative care intervention for ICU patients and their families. There was no data overlap with our prior study.11 The preintervention period occurred from August 2003 through March 2004. The postintervention period occurred from December 2004 through October 2005. The study was conducted at Harborview Medical Center, a 350-bed tertiary care hospital affiliated with the University of
Results
Among 983 eligible family members, 539 returned completed survey packets (overall response rate, 54.8%). The response rate was higher for the families of decedents than for the families of survivors (58.4% vs 51.6%, respectively; p = .034). Table 1displays the self-reported demographics of the sample. Overall, 275 of 539 of the family respondents (51%) had a loved one die in the ICU, and, as expected, dying patients were older and had shorter hospital lengths of stay. A higher number of dying
Discussion
In this study, we compared satisfaction ratings between the family members of patients who died in the ICU and the family members of ICU survivors. Overall, we found that the families of patients dying in the ICU were more satisfied with their ICU experience than families of ICU survivors. This difference was most evident for attributes of care that directly affected family members. For example, the families of patients dying in the ICU were more satisfied with family-centered aspects of care
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Decisional Satisfaction, Regret, and Conflict Among Parents of Infants with Neurologic Conditions
2022, Journal of PediatricsImplementation of a structured communication tool improves family satisfaction and expectations in the intensive care unit
2019, Journal of Critical CareCitation Excerpt :In response to a need to improve communication with family members, a variety of innovative approaches have been tested, including daily phone calls to families by nurses, ethics consultations, brochures and structured family conferences tools [18]. The few studies that evaluated the use of structured communication tools found that they improved comprehension, reduced family distress, decreased length of stay and the use of intensive treatments [14,15,19] and increased satisfaction with care [20-23]. Studies that examined the impact of a structured communication tool on families' satisfaction with the ICU staff and their understanding of the information provided were previously conducted in Europe and North America, but not in Israel.
Failures in the Respectful Care of Critically Ill Patients
2019, Joint Commission Journal on Quality and Patient SafetyCitation Excerpt :All statistical tests were performed using SAS 9.4 (SAS Institute Inc., Cary, North Carolina). As family perceptions and experiences of ICU care can vary based on whether the patient survives to discharge,26 we conducted a sensitivity analysis stratifying each outcome by survival. As in statistical analysis of the total group, we assessed prevalence and risk factors for each outcome within survivors and nonsurvivors and tested for between-group differences.
Inter-Rater Agreement of Intensivists Evaluating the Goal Concordance of Preference-Sensitive ICU Interventions
2018, Journal of Pain and Symptom ManagementA modified Delphi process to identify clinical and research priorities in patient and family centred critical care
2017, Journal of Critical CareCitation Excerpt :Within the ICU, Olding et al. developed a framework for classifying patient and family involvement, ranging from passive (family presence) to active (direct contributions to care) [14]. Strategies to engage patients and families across these dimensions have demonstrated improvements in communication, satisfaction [15-17], PTSD symptoms [16], and reductions in the provision of unwanted, non-beneficial treatment [15]. Despite potential benefits, there remains uncertainty about which elements of care best facilitate PFCC, as guideline recommendations are based on moderate to low quality evidence [18].
This project was funded by a grant from the National Institute of Nursing Research (R01NR05226) and a grant from the Robert Wood Johnson Foundation. Dr. Wall was also supported by a grant from the American Lung Association (RT21106N).
The authors have reported to the ACCP that no significant conflicts of interest exist with any companies/organizations whose products or services may be discussed in this article.