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Family meetings made simpler: a toolkit for the intensive care unit
Judith E Nelson1, Amy S Walker, Carol A Luhrs
1Mount Sinai School of Medicine, New York, NY 10029, USA. judith.nelson@mssm.edu
Implementing structured tools can improve the frequency and effectiveness of intensive care unit (ICU) family meetings. These resources support critical care teams in addressing the communication needs of families with critically ill patients.
Area of Science:
- Critical Care Medicine
- Healthcare Communication
- Patient and Family Support
Background:
- Family meetings in the intensive care unit (ICU) are linked to positive outcomes for patients, families, and healthcare systems.
- Despite recognized benefits, ICU family meetings are frequently delayed, ineffective, or unreliable.
- Effective communication is crucial for supporting families during critical illness.
Purpose of the Study:
- To introduce three prototype tools designed to enhance the implementation of family meetings in the ICU.
- To provide critical care teams with practical resources for improving family communication.
- To support the development of performance improvement initiatives focused on family meetings.
Main Methods:
- Development of three prototype tools: a family meeting planner, a meeting guide for families, and a family meeting documentation template.
- Description of essential features and adaptability of these tools for diverse ICU settings.
- Discussion of the role of these tools in structuring performance improvement initiatives.
Main Results:
- The proposed tools offer a structured approach to family meetings in the ICU.
- The tools are designed to be adaptable to local needs, promoting user acceptability and utilization.
- Implementation of these tools can aid in addressing critical communication needs of ICU families.
Conclusions:
- The developed toolkit provides practical solutions for improving the timeliness, effectiveness, and reliability of ICU family meetings.
- These tools can serve as a valuable resource for critical care teams aiming to enhance family-centered care.
- Similar to tools used in infection control, these resources have the potential to significantly improve communication outcomes for ICU families.
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