Family satisfaction with family conferences about end-of-life care in the intensive care unit: increased proportion of family speech is associated with increased satisfaction

Critical Care Medicine
Jonathan R McDonaghJ Randall Curtis

Abstract

Family members of critically ill patients report dissatisfaction with family-clinician communication about withdrawing life support, yet limited data exist to guide clinicians in this communication. The hypothesis of this analysis was that increased proportion of family speech during ICU family conferences would be associated with increased family satisfaction. Cross-sectional study. We identified family conferences in intensive care units of four Seattle hospitals during which discussions about withdrawing life support were likely to occur. Participants were 214 family members from 51 different families. There were 36 different physicians leading the conferences, as some physicians led more than one conference. Fifty-one conferences were audiotaped. We measured the duration of time that families and clinicians spoke during the conference. All participants were given a survey assessing satisfaction with communication. The mean conference time was 32.0 mins with an sd of 14.8 mins and a range from 7 to 74 mins. On average, family members spoke 29% and clinicians spoke 71% of the time. Increased proportion of family speech was significantly associated with increased family satisfaction with physician communication. Increased prop...Continue Reading

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