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The effect of a family support intervention on physician, nurse, and family perceptions of care in the surgical, neurological, and medical intensive care units.
MedLine Citation:
PMID:  22948372     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Many patients in the intensive care unit (ICU) have predictable medical and discharge outcomes, but some trajectories are marked with medical uncertainty. Stressed family-surrogates receive multiple medical updates from a variety of personnel. These circumstances can lead to confusion, which may result in conflicts and dissatisfaction with care. This study examined the effects of adding a family support coordinator to the surgical, neurological, and medical ICUs on family, physician, and nurse satisfaction with communication and care. A quasi-experimental design was conducted in 2 sequential phases (baseline and intervention). The data sources were 2 surveys: (1) Family Satisfaction Survey and (2) Nurse and Physician Perception and Satisfaction Survey. Family Satisfaction Survey data, a combined data set, were collected in the 3 ICUs. Nurse and Physician Perception and Satisfaction Survey data were collected from the attending physicians and critical care nurses in the medical and neurological ICUs. Results show that family ratings of satisfaction with ICU team communication and care generally increased as a result of the intervention. Overall, physician and nurse perceptions of communication and care did not change as a result of the intervention.
Authors:
Crystal Dea Moore; Gary L Bernardini; Rachel Hinerman; Karen Sigond; Jane Dowling; Deborah Baofeng Wang; Wayne Shelton
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Critical care nursing quarterly     Volume:  35     ISSN:  1550-5111     ISO Abbreviation:  Crit Care Nurs Q     Publication Date:  2012 Oct 
Date Detail:
Created Date:  2012-09-05     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8704517     Medline TA:  Crit Care Nurs Q     Country:  United States    
Other Details:
Languages:  eng     Pagination:  378-87     Citation Subset:  N    
Affiliation:
Department of Social Work Skidmore College, Saratoga Springs (Dr Moore); Division of Surgical Critical Care Medicine, Albany Medical Center, Albany (Dr Bernardini and Hinerman and Sigond); Alden March Bioethics Institute, Albany Medical College, Albany (Dr Shelton), New York; and Wellington Consulting Group, Ltd, Gold Canyon, Arizona (Drs Dowling and Wang).
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