Family participation in intensive care unit rounds: Comparing family and provider perspectives☆,☆☆,★

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Abstract

Purpose:

To describe and compare intensive care unit (ICU) patient family member and provider experiences, preferences, and perceptions of family participation in ICU rounds.

Methods:

Cross-sectional survey of ICU family members and providers of patients admitted to 4 medical-surgical ICUs from September 2014 to March 2015.

Measurements and main results:

Surveys were completed by 63 (62%) family members and 258 (43%) providers. Provider respondents included physicians (9%), nurses (56%), respiratory therapists (24%), and other ICU team members (11%). Although 38% of providers estimated only moderate family member interest in participating in rounds, 97% of family members expressed high interest. Family members and providers reported listening (95% vs 96%; P = .594) and sharing information about the patient (82% vs 82%; P = .995) as appropriate roles for family members during rounds, but differed in their perceptions on asking questions (75% vs 86%; P = .043) and participating in decision making (36% vs 59%; P = .003). Compared with family members, providers were more likely to perceive family participation in rounds to cause family stress (7% vs 22%; P = .020) and confusion (0% vs 28%; P < .001).

Conclusion:

Family members and providers share some perspectives on family participation in ICU rounds although other perspectives are discordant, with implications for communication strategies and collaborative decision making.

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