title: A survey of the attitudes and perceptions of multidisciplinary team members towards family presence at bedside rounds in the intensive care unit.
abstract: OBJECTIVE
  To describe the attitudes and perceptions of intensive care unit (ICU) staff [critical care physicians and fellows (MDs), registered nurses (RNs), allied health discipline (HD) and managers] towards family presence at bedside rounds.
  
  
  METHODS
  We developed, tested and administered a questionnaire to the multidisciplinary staff.
  
  
  METHODS
  24-Bed medical surgical ICU.
  
  
  RESULTS
  160/221 (72.4%) individuals responded, including 12 MDs, 95 RNs, 48 HD personnel, 4 managers and 1 unspecified. While most MDs strongly agreed and HD and management groups somewhat agreed, most RNs strongly disagreed with providing family members the option to attend rounds. Over 50% of respondents either strongly or somewhat agreed that the presence of family members prolongs rounds, reduces the medical education provided to the team and constrains delivery of negative medical information. Compared to MDs, RNs expressed greater reservation to family presence at rounds. Among RNs, more experienced RNs, expressed greater reservation with family presence during rounds.
  
  
  CONCLUSIONS
  We found significant differences among the attitudes of health care providers towards family presence at bedside rounds with RNs, especially more experienced RNs, expressing the greatest reservation. Qualitative research is required to explore perceived and actual barriers to family member presence at rounds.
authors: Critical Care Department, St. Michael's Hospital, Toronto, Ontario, Canada; Lawence S. Bloomberg Faculty of Nursing, University of Toronto, Toronto, Ontario, Canada. Electronic address: santiagoc@smh.ca.
authors: Cecilia
authors: C
authors: Santiago
authors: Lorena
authors: L
authors: Lazar
authors: Depeng
authors: D
authors: Jiang
authors: Karen E A
authors: KE
authors: Burns
mesh_terms: D000328:Adult; D000488:Allied Health Personnel; D001291:Attitude of Health Personnel; D064648:Critical Care Nursing; D005190:Family; D005260:Female; D006801:Humans; D007362:Intensive Care Units; D008297:Male; D008875:Middle Aged; D010820:Physicians; D056164:Teaching Rounds; D055815:Young Adult
keywords: Bedside rounds; Family presence