title: Family participation in intensive care unit rounds: Comparing family and provider perspectives.
abstract: To describe and compare intensive care unit (ICU) patient family member and provider experiences, preferences, and perceptions of family participation in ICU rounds.
  
  
  
  Cross-sectional survey of ICU family members and providers of patients admitted to 4 medical-surgical ICUs from September 2014 to March 2015.
  
  
  
  Surveys were completed by 63 (62%) family members and 258 (43%) providers. Provider respondents included physicians (9%), nurses (56%), respiratory therapists (24%), and other ICU team members (11%). Although 38% of providers estimated only moderate family member interest in participating in rounds, 97% of family members expressed high interest. Family members and providers reported listening (95% vs 96%; P=.594) and sharing information about the patient (82% vs 82%; P=.995) as appropriate roles for family members during rounds, but differed in their perceptions on asking questions (75% vs 86%; P=.043) and participating in decision making (36% vs 59%; P=.003). Compared with family members, providers were more likely to perceive family participation in rounds to cause family stress (7% vs 22%; P=.020) and confusion (0% vs 28%; P<.001).
  
  
  
  Family members and providers share some perspectives on family participation in ICU rounds although other perspectives are discordant, with implications for communication strategies and collaborative decision making.
authors.affiliation: Department of Critical Care Medicine, University of Calgary, Calgary, Alberta, Canada. Electronic address: Selena.Au@AlbertaHealthServices.ca.
authors.forename: Selena S
authors.initials: SS
authors.lastname: Au
authors.affiliation: Department of Critical Care Medicine, University of Calgary, Calgary, Alberta, Canada.
authors.forename: Amanda
authors.initials: A
authors.lastname: Roze des Ordons
authors.affiliation: Department of Critical Care Medicine, Alberta Health Services, Calgary, Alberta, Canada.
authors.forename: Andrea
authors.initials: A
authors.lastname: Soo
authors.affiliation: Department of Critical Care Medicine, Alberta Health Services, Calgary, Alberta, Canada.
authors.forename: Simon
authors.initials: S
authors.lastname: Guienguere
authors.affiliation: Department of Critical Care Medicine, University of Calgary, Calgary, Alberta, Canada.
authors.forename: Henry T
authors.initials: HT
authors.lastname: Stelfox
mesh_terms: D000328:Adult; D000368:Aged; D000416:Alberta; D001291:Attitude of Health Personnel; D001294:Attitude to Health; D003422:Critical Care; D016638:Critical Illness; D003657:Decision Making; D005190:Family / Q000523:psychology*; D005260:Female; D006801:Humans; D007362:Intensive Care Units; D008297:Male; D008875:Middle Aged; D011368:Professional-Family Relations; D011795:Surveys and Questionnaires; D056164:Teaching Rounds
keywords: Communication; Family; Intensive care units