Benefit of using a "bundled" consent for intensive care unit procedures as part of an early family meeting

J Crit Care. 2014 Dec;29(6):919-22. doi: 10.1016/j.jcrc.2014.07.004. Epub 2014 Jul 10.

Abstract

Purpose: Relatives of patients in the intensive care unit (ICU) are often dissatisfied with family-physician communication. Our prospective preintervention and postintervention study tested the hypothesis that introducing this informed consent process would improve family satisfaction with the ICU process of care.

Materials and methods: We developed a consent form that included an introductory explanation of the main ICU interventions and a description of 8 common procedures in a surgical ICU. We administered it early in the ICU course during a scheduled family meeting. The study was a prospective preintervention and postintervention design.

Results: The "Family Satisfaction in the Intensive Care Unit" (FS-ICU) score was higher in the intervention than in the control group (95.4±4 vs 78.2±22, P<.001). The nursing perception of satisfaction with care was also higher in the intervention group (95.8±13 vs 71.9±28, P<.001).

Conclusion: A bundled informed consent resulted in higher family satisfaction with the process of care in ICU.

Keywords: Critical care; Decision making; Patient satisfaction; Patient-centered care; Quality improvement.

MeSH terms

  • Communication*
  • Critical Care Nursing* / statistics & numerical data
  • Critical Care* / psychology
  • Critical Care* / statistics & numerical data
  • Family*
  • Female
  • Humans
  • Informed Consent*
  • Intensive Care Units
  • Male
  • Middle Aged
  • Professional-Family Relations*
  • Prospective Studies