TY - JOUR
T1 - Important clinician information needs about family members in the intensive care unit
AU - Wilson, Michael E.
AU - Kaur, Sumanjit
AU - Gallo De Moraes, Alice
AU - Pickering, Brian W.
AU - Gajic, Ognjen
AU - Herasevich, Vitaly
N1 - Funding Information:
Conflicts of interest: Dr Wilson, Dr Kaur, Dr Gallo De Moraes, Dr Pickering, Dr Gajic, and Dr Herasevich have no conflicts of interest to disclose. Financial support: Financial Support was provided by the Mayo Clinic Foundation. The project described was supported by grant number 1C1CMS330964 from the Department of Health and Human Services, Centers for Medicare & Medicaid Services . The contents of this publication are solely the responsibility of the authors and do not necessarily represent the official views of the US Department of Health and Human Services or any of its agencies.
Publisher Copyright:
© 2015 Elsevier Inc.
PY - 2015/12
Y1 - 2015/12
N2 - Purpose: Clinicians often lack key information regarding intensive care unit (ICU) families. Our objective was to identify (1) important information for clinicians to know about ICU families when making decisions and (2) important information for families to know about patients from clinicians. Materials and methods: We identified important information items through a literature review and semistructured interviews. A separate cohort of family members, nurses, and physicians from 2 ICUs in a single institution were asked to prioritize the identified information as necessary for decision making. Results: We identified 21 items important for clinicians to know about families and 32 items important for families to know about patients from clinicians. Themes important for clinicians to know about family members included family background, questions, understanding, goals, concerns, well-being, and requests for additional help. Themes important for families to know about the patient included diagnosis, treatments, prognosis, clinical status, schedule, comfort, goals of care, medical team, and family participation. Conclusions: Through qualitative and quantitative analysis, we identified important information for ICU clinicians to know about family members and for family members to know about patients. The identified information can be used to guide strategies and tools to improve assessment of and communication with families.
AB - Purpose: Clinicians often lack key information regarding intensive care unit (ICU) families. Our objective was to identify (1) important information for clinicians to know about ICU families when making decisions and (2) important information for families to know about patients from clinicians. Materials and methods: We identified important information items through a literature review and semistructured interviews. A separate cohort of family members, nurses, and physicians from 2 ICUs in a single institution were asked to prioritize the identified information as necessary for decision making. Results: We identified 21 items important for clinicians to know about families and 32 items important for families to know about patients from clinicians. Themes important for clinicians to know about family members included family background, questions, understanding, goals, concerns, well-being, and requests for additional help. Themes important for families to know about the patient included diagnosis, treatments, prognosis, clinical status, schedule, comfort, goals of care, medical team, and family participation. Conclusions: Through qualitative and quantitative analysis, we identified important information for ICU clinicians to know about family members and for family members to know about patients. The identified information can be used to guide strategies and tools to improve assessment of and communication with families.
KW - Communication
KW - Family
KW - Intensive care
KW - Needs assessment
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U2 - 10.1016/j.jcrc.2015.07.028
DO - 10.1016/j.jcrc.2015.07.028
M3 - Article
C2 - 26320406
AN - SCOPUS:84947045620
SN - 0883-9441
VL - 30
SP - 1317
EP - 1323
JO - Seminars in Anesthesia
JF - Seminars in Anesthesia
IS - 6
M1 - 51906
ER -