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Implementation of a structured communication tool improves family satisfaction and expectations in the intensive care unit.

Abstract：

BACKGROUND:Intensive care unit (ICU) physicians should provide relatives of critically ill patients with appropriate and clear information, regarding prognosis, treatment options and expectations. OBJECTIVES:To assess whether a structured communication tool improves satisfaction with care and engenders realistic expectations among relatives of critically ill patients. STUDY DESIGN:A controlled, pre-post intervention design was implemented in the General and Medical ICUs in the Hadassah-Hebrew University Medical Center, Jerusalem, Israel. METHODS:Forty relatives of patients who received usual communication from the medical staff (control group) were interviewed. We then implemented a structured communication tool and another forty family members were interviewed (intervention group). The ICU physicians who participated in the family meeting were also interviewed. RESULTS:Satisfaction in the intervention group was higher regarding ease of obtaining the information (90% vs 70%, p = .025) and the consistency of information provided (92.5% vs 77.5%, p = .057). There was better correlation between physicians' and relatives' expectations in the intervention group regarding hospital survival (Kappa 0.322 vs 0.054, p = .01). Physicians predicted more accurately patients' actual hospital survival. CONCLUSIONS:A structured communication tool was associated with improved family satisfaction with communication and expectations regarding hospital survival. Further research is required to evaluate this promising intervention.

journal_name

J Crit Care

journal_title

Journal of critical care

authors

Sviri S,Geva D,vanHeerden PV,Romain M,Rawhi H,Abutbul A,Orenbuch-Harroch E,Bentur N

doi

10.1016/j.jcrc.2019.01.011

subject

Has Abstract

pub_date

2019-06-01 00:00:00

pages

6-12

eissn

0883-9441

issn

1557-8615

pii

S0883-9441(18)31438-2

journal_volume

51

pub_type

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