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A Systematic Review of Family Meeting Tools in Palliative and Intensive Care Settings
Adam E Singer1, Tayla Ash2, Claudia Ochotorena3
1David Geffen School of Medicine, University of California at Los Angeles, Los Angeles, CA, USA RAND Corporation, Santa Monica, CA, USA asinger@rand.org.
Purpose:
Family meetings can be challenging, requiring a range of skills and participation. We sought to identify tools available to aid the conduct of family meetings in palliative, hospice, and intensive care unit settings.
Methods:
We systematically reviewed PubMed for articles describing family meeting tools and abstracted information on tool type, usage, and content.
Results:
We identified 16 articles containing 23 tools in 7 categories: meeting guide (n = 8), meeting planner (n = 5), documentation template (n = 4), meeting strategies (n = 2), decision aid/screener (n = 2), family checklist (n = 1), and training module (n = 1). We found considerable variation across tools in usage and content and a lack of tools supporting family engagement.
Conclusion:
There is need to standardize family meeting tools and develop tools to help family members effectively engage in the process.
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