title: Perceptions of Family Participation in Intensive Care Unit Rounds and Telemedicine: A Qualitative Assessment.
abstract: Family-centered rounds involve purposeful interactions between patients' families and care providers to refocus the delivery of care on patients' needs.
  
  
  
  To examine perspectives of patients' family members and health care providers on family participation in rounds in the surgical intensive care unit (ICU) and the potential use of telemedicine to facilitate this process.
  
  
  
  Patients' family members and surgical ICU care providers were recruited for semistructured interviews exploring stakeholders' perspectives on family participation in ICU rounds and the potential role of telemedicine. Thirty-two interviews were conducted, audio recorded, and transcribed verbatim. Common coding methods were facilitated by using NVivo 10. A mean coding agreement of 97.3% was calculated for 22% of transcripts.
  
  
  
  Both patients' family members and health care providers described inconsistent practices surrounding family participation in ICU rounds as well as barriers to and facilitators of family participation. Family members identified 3 primary logistical challenges to participation in ICU rounds: distance to hospitals, work/family obligations, and the rounding schedule. Both family members and providers reported receptivity to virtual participation as a potential solution to these challenges.
  
  
  
  Understanding the barriers to and facilitators of family participation in ICU rounds is key to encouraging adoption of family-centered rounds. For families that live far away or have competing demands, telemedical options may facilitate participation.
authors: Elisabeth A. Stelson is manager of community programs and evaluation at Lutheran Settlement House, Philadelphia, Pennsylvania. Kate E. Golden is a clinical research coordinator, Mixed Methods Research Lab, Department of Family Medicine and Community Health, University of Pennsylvania, Philadelphia. Brendan G. Carr is vice-dean, Department of Emergency Medicine, Jefferson University School of Medicine, Philadelphia. Niels Martin is medical director of the surgical intensive care unit and assistant professor of surgery, Division of Traumatology, Surgical Critical Care and Emergency Surgery, Perelman School of Medicine at the University of Pennsylvania, Philadelphia. Therese S. Richmond is the Andrea B. Laporte Professor and associate dean for research and innovation, University of Pennsylvania School of Nursing, Philadelphia. M. Kit Delgado is an assistant professor of emergency medicine and epidemiology, Department of Emergency Medicine, a senior scholar at the Center for Clinical Epidemiology and Biostatistics, Perelman School of Medicine at the University of Pennsylvania, and a senior fellow at The Leonard Davis Institute, Wharton School of Business at the University of Pennsylvania. Daniel N. Holena is an assistant professor, Division of Traumatology, Surgical Critical Care and Emergency Surgery and a senior scholar, The Leonard Davis Institute, Wharton School of Business, University of Pennsylvania.
authors: Elisabeth A
authors: EA
authors: Stelson
authors: Elisabeth A. Stelson is manager of community programs and evaluation at Lutheran Settlement House, Philadelphia, Pennsylvania. Kate E. Golden is a clinical research coordinator, Mixed Methods Research Lab, Department of Family Medicine and Community Health, University of Pennsylvania, Philadelphia. Brendan G. Carr is vice-dean, Department of Emergency Medicine, Jefferson University School of Medicine, Philadelphia. Niels Martin is medical director of the surgical intensive care unit and assistant professor of surgery, Division of Traumatology, Surgical Critical Care and Emergency Surgery, Perelman School of Medicine at the University of Pennsylvania, Philadelphia. Therese S. Richmond is the Andrea B. Laporte Professor and associate dean for research and innovation, University of Pennsylvania School of Nursing, Philadelphia. M. Kit Delgado is an assistant professor of emergency medicine and epidemiology, Department of Emergency Medicine, a senior scholar at the Center for Clinical Epidemiology and Biostatistics, Perelman School of Medicine at the University of Pennsylvania, and a senior fellow at The Leonard Davis Institute, Wharton School of Business at the University of Pennsylvania. Daniel N. Holena is an assistant professor, Division of Traumatology, Surgical Critical Care and Emergency Surgery and a senior scholar, The Leonard Davis Institute, Wharton School of Business, University of Pennsylvania.
authors: Brendan G
authors: BG
authors: Carr
authors: Elisabeth A. Stelson is manager of community programs and evaluation at Lutheran Settlement House, Philadelphia, Pennsylvania. Kate E. Golden is a clinical research coordinator, Mixed Methods Research Lab, Department of Family Medicine and Community Health, University of Pennsylvania, Philadelphia. Brendan G. Carr is vice-dean, Department of Emergency Medicine, Jefferson University School of Medicine, Philadelphia. Niels Martin is medical director of the surgical intensive care unit and assistant professor of surgery, Division of Traumatology, Surgical Critical Care and Emergency Surgery, Perelman School of Medicine at the University of Pennsylvania, Philadelphia. Therese S. Richmond is the Andrea B. Laporte Professor and associate dean for research and innovation, University of Pennsylvania School of Nursing, Philadelphia. M. Kit Delgado is an assistant professor of emergency medicine and epidemiology, Department of Emergency Medicine, a senior scholar at the Center for Clinical Epidemiology and Biostatistics, Perelman School of Medicine at the University of Pennsylvania, and a senior fellow at The Leonard Davis Institute, Wharton School of Business at the University of Pennsylvania. Daniel N. Holena is an assistant professor, Division of Traumatology, Surgical Critical Care and Emergency Surgery and a senior scholar, The Leonard Davis Institute, Wharton School of Business, University of Pennsylvania.
authors: Kate E
authors: KE
authors: Golden
authors: Elisabeth A. Stelson is manager of community programs and evaluation at Lutheran Settlement House, Philadelphia, Pennsylvania. Kate E. Golden is a clinical research coordinator, Mixed Methods Research Lab, Department of Family Medicine and Community Health, University of Pennsylvania, Philadelphia. Brendan G. Carr is vice-dean, Department of Emergency Medicine, Jefferson University School of Medicine, Philadelphia. Niels Martin is medical director of the surgical intensive care unit and assistant professor of surgery, Division of Traumatology, Surgical Critical Care and Emergency Surgery, Perelman School of Medicine at the University of Pennsylvania, Philadelphia. Therese S. Richmond is the Andrea B. Laporte Professor and associate dean for research and innovation, University of Pennsylvania School of Nursing, Philadelphia. M. Kit Delgado is an assistant professor of emergency medicine and epidemiology, Department of Emergency Medicine, a senior scholar at the Center for Clinical Epidemiology and Biostatistics, Perelman School of Medicine at the University of Pennsylvania, and a senior fellow at The Leonard Davis Institute, Wharton School of Business at the University of Pennsylvania. Daniel N. Holena is an assistant professor, Division of Traumatology, Surgical Critical Care and Emergency Surgery and a senior scholar, The Leonard Davis Institute, Wharton School of Business, University of Pennsylvania.
authors: Niels
authors: N
authors: Martin
authors: Elisabeth A. Stelson is manager of community programs and evaluation at Lutheran Settlement House, Philadelphia, Pennsylvania. Kate E. Golden is a clinical research coordinator, Mixed Methods Research Lab, Department of Family Medicine and Community Health, University of Pennsylvania, Philadelphia. Brendan G. Carr is vice-dean, Department of Emergency Medicine, Jefferson University School of Medicine, Philadelphia. Niels Martin is medical director of the surgical intensive care unit and assistant professor of surgery, Division of Traumatology, Surgical Critical Care and Emergency Surgery, Perelman School of Medicine at the University of Pennsylvania, Philadelphia. Therese S. Richmond is the Andrea B. Laporte Professor and associate dean for research and innovation, University of Pennsylvania School of Nursing, Philadelphia. M. Kit Delgado is an assistant professor of emergency medicine and epidemiology, Department of Emergency Medicine, a senior scholar at the Center for Clinical Epidemiology and Biostatistics, Perelman School of Medicine at the University of Pennsylvania, and a senior fellow at The Leonard Davis Institute, Wharton School of Business at the University of Pennsylvania. Daniel N. Holena is an assistant professor, Division of Traumatology, Surgical Critical Care and Emergency Surgery and a senior scholar, The Leonard Davis Institute, Wharton School of Business, University of Pennsylvania.
authors: Therese S
authors: TS
authors: Richmond
authors: Elisabeth A. Stelson is manager of community programs and evaluation at Lutheran Settlement House, Philadelphia, Pennsylvania. Kate E. Golden is a clinical research coordinator, Mixed Methods Research Lab, Department of Family Medicine and Community Health, University of Pennsylvania, Philadelphia. Brendan G. Carr is vice-dean, Department of Emergency Medicine, Jefferson University School of Medicine, Philadelphia. Niels Martin is medical director of the surgical intensive care unit and assistant professor of surgery, Division of Traumatology, Surgical Critical Care and Emergency Surgery, Perelman School of Medicine at the University of Pennsylvania, Philadelphia. Therese S. Richmond is the Andrea B. Laporte Professor and associate dean for research and innovation, University of Pennsylvania School of Nursing, Philadelphia. M. Kit Delgado is an assistant professor of emergency medicine and epidemiology, Department of Emergency Medicine, a senior scholar at the Center for Clinical Epidemiology and Biostatistics, Perelman School of Medicine at the University of Pennsylvania, and a senior fellow at The Leonard Davis Institute, Wharton School of Business at the University of Pennsylvania. Daniel N. Holena is an assistant professor, Division of Traumatology, Surgical Critical Care and Emergency Surgery and a senior scholar, The Leonard Davis Institute, Wharton School of Business, University of Pennsylvania.
authors: M Kit
authors: MK
authors: Delgado
authors: Elisabeth A. Stelson is manager of community programs and evaluation at Lutheran Settlement House, Philadelphia, Pennsylvania. Kate E. Golden is a clinical research coordinator, Mixed Methods Research Lab, Department of Family Medicine and Community Health, University of Pennsylvania, Philadelphia. Brendan G. Carr is vice-dean, Department of Emergency Medicine, Jefferson University School of Medicine, Philadelphia. Niels Martin is medical director of the surgical intensive care unit and assistant professor of surgery, Division of Traumatology, Surgical Critical Care and Emergency Surgery, Perelman School of Medicine at the University of Pennsylvania, Philadelphia. Therese S. Richmond is the Andrea B. Laporte Professor and associate dean for research and innovation, University of Pennsylvania School of Nursing, Philadelphia. M. Kit Delgado is an assistant professor of emergency medicine and epidemiology, Department of Emergency Medicine, a senior scholar at the Center for Clinical Epidemiology and Biostatistics, Perelman School of Medicine at the University of Pennsylvania, and a senior fellow at The Leonard Davis Institute, Wharton School of Business at the University of Pennsylvania. Daniel N. Holena is an assistant professor, Division of Traumatology, Surgical Critical Care and Emergency Surgery and a senior scholar, The Leonard Davis Institute, Wharton School of Business, University of Pennsylvania. Daniel.holena@uphs.upenn.edu.
authors: Daniel N
authors: DN
authors: Holena
mesh_terms: D000328:Adult; D000368:Aged; D001291:Attitude of Health Personnel; D005190:Family; D005260:Female; D006801:Humans; D007362:Intensive Care Units / Q000458:organization & administration*; D007407:Interviews as Topic; D008297:Male; D008875:Middle Aged; D010465:Perception; D011368:Professional-Family Relations; D035503:Sociobiology; D056164:Teaching Rounds / Q000458:organization & administration*; D017216:Telemedicine / Q000458:organization & administration*