Family experience with intensive care unit care: association of self-reported family conferences and family satisfaction.
OBJECTIVE
A family conference is recommended as a best practice to improve communication in the intensive care unit (ICU), but this can be challenging given the setting. This study examined whether family members who reported that a family conference occurred had higher satisfaction than those who did not report that a conference was held.


METHODS
The study used a retrospective data analysis of family satisfaction based on family member's responses to a questionnaire. Families of all the patients admitted to ICUs of 2 quaternary hospitals in an integrated health system were surveyed.


RESULTS
The families of 457 patients who matched the inclusion and exclusion criteria were surveyed with a 55.6% response rate. Family satisfaction with decision making was significantly higher (83.6 vs 78.2, P=.0211) for families who reported that family conferences occurred. No significant difference in the satisfaction with care and overall satisfaction scores was found (84.2 vs 80.0, P=.10). Patients whose families reported a family conference were older and had higher mortality.


CONCLUSIONS
This study confirms that families who report attending family conferences are more satisfied with decision making in the ICU. This study highlights the need to increase communication in ICUs.
Division of Clinical Innovation, Geisinger Health System, Danville, PA. Electronic address: skodali@geisinger.edu.
Sashikanth
S
Kodali
Division of Clinical Innovation, Geisinger Health System, Danville, PA.
Rebecca A
RA
Stametz
Division of Clinical Innovation, Geisinger Health System, Danville, PA.
Amanda C
AC
Bengier
Division of Clinical Innovation, Geisinger Health System, Danville, PA.
Deserae N
DN
Clarke
Division of Critical Care, Geisinger Health System, Danville, PA.
Abraham J
AJ
Layon
Division of Clinical Innovation, Geisinger Health System, Danville, PA.
Jonathan D
JD
Darer
D000328:Adult; D000368:Aged; D003142:Communication; D003422:Critical Care / Q000523:psychology*; D003657:Decision Making; D005190:Family; D005260:Female; D006801:Humans; D007362:Intensive Care Units; D008297:Male; D008875:Middle Aged; D010549:Personal Satisfaction; D011368:Professional-Family Relations; D012189:Retrospective Studies; D011795:Surveys and Questionnaires; D013727:Terminal Care
End-of-life care; Family communication; Family conference; Family satisfaction; Medical decision making