Identifying Elements of ICU Care That Families Report as Important But Unsatisfactory
| Autor: | Tristan R. Osborn, Elizabeth L. Nielsen, Anthony L. Back, Ruth A. Engelberg, J. Randall Curtis, Sarah E. Shannon |
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| Rok vydání: | 2012 |
| Předmět: |
Pulmonary and Respiratory Medicine
medicine.medical_specialty Quality management Cross-sectional study business.industry Control (management) MEDLINE Retrospective cohort study Critical Care and Intensive Care Medicine Intensive care unit law.invention Randomized controlled trial law Family medicine Bayesian multivariate linear regression medicine Cardiology and Cardiovascular Medicine Intensive care medicine business |
| Zdroj: | Chest. 142:1185-1192 |
| ISSN: | 0012-3692 |
| Popis: | Background One in five deaths in the United States occurs in the ICU, and many of these deaths are experienced as less than optimal by families of dying people. The current study investigated the relationship between family satisfaction with ICU care and overall ratings of the quality of dying as a means of identifying targets for improving end-of-life experiences for patients and families. Methods This multisite cross-sectional study surveyed families of patients who died in the ICU in one of 15 hospitals in western Washington State. Measures included the Family Satisfaction in the ICU (FS-ICU) and the Single-Item Quality of Dying (QOD-1) questionnaires. Associations between FS-ICU items and the QOD-1 were examined using multivariate linear regression controlling for patient and family demographics and hospital site. Results Questionnaires were returned for 1,290 of 2,850 decedents (45%). Higher QOD-1 scores were significantly associated (all P Conclusions Increased support for families as decision-makers and for their desired level of control over patient care along with improvements in the ICU atmosphere were identified as aspects of the ICU experience that may be important targets for quality improvement. Trial registry ClinicalTrials.gov; No.: NCT00685893; URL: www.clinicaltrials.gov. |
| Databáze: | OpenAIRE |
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