Junior versus senior physicians for informing families of intensive care unit patients.
To compare the effectiveness of information delivered to family members of critically ill patients by junior and senior physicians, we performed a prospective randomized multicenter trial in 11 French intensive care units. Patients (n = 220) were allocated at random to having their family members receive information by only junior or only senior physicians throughout the intensive care unit stay; there were 92 and 93 evaluable cases in the junior and senior groups, respectively, with no significant differences in baseline characteristics. Between Days 3 and 5, one family representative per patient was evaluated for comprehension of the diagnosis, prognosis, and treatment in the patient; satisfaction with information and care; and presence of symptoms of anxiety and depression. No significant differences were found between the two groups for any of these three criteria. Family members informed by a junior physician were more likely to feel they had not been given enough information time (additional time wanted: 3 [0-6.5] vs. 0 [0-5] minutes, p = 0.01) and to have sought additional explanations from their usual doctor (48.9 vs. 34.4%, p = 0.004). Specialty residents, if given opportunities for acquiring experience, can become proficient in communicating with families and share this task with senior physicians.
Moreau
Delphine
D
Service de Réanimation Médicale, Hôpital Saint-Louis, Paris, France.
Goldgran-Toledano
Dany
D
Alberti
Corinne
C
Jourdain
Mercé
M
Adrie
Christophe
C
Annane
Djilali
D
Garrouste-Orgeas
Maité
M
Lefrant
Jean-Yves
JY
Papazian
Laurent
L
Quinio
Philippe
P
Pochard
Frédéric
F
Azoulay
Elie
E
D000328:Adult; D000368:Aged; D003142:Communication; D032882:Comprehension; D003422:Critical Care; D016638:Critical Illness; D005192:Family Health; D005260:Female; D006801:Humans; D007362:Intensive Care Units; D007396:Internship and Residency; D008297:Male; D008505:Medical Staff, Hospital; D008875:Middle Aged; D010549:Personal Satisfaction; D011368:Professional-Family Relations; D011446:Prospective Studies