A Study of Communication Between Clinicians, Patients, and Families in the Intensive Care Unit (ICU)
At a glance
Conditions
Where it's being run
5 sites across 3 statesStudy leadership
- Jacqueline M Kruser, MD, MS · PRINCIPAL_INVESTIGATOR · University of Wisconsin, Madison
Who to contact
This trial hasn't published a contact. View it on ClinicalTrials.gov
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What this trial measures
- Intensive Care Unit (ICU) length of stayThrough participant study completion, an average of 8 days
Cumulative number of days that participant stays in the intensive care unit.
- Surrogate end-of-life intensive care unit (ICU) experienceBetween 4 and 16 weeks after participant's hospital discharge
Surrogate end-of-life intensive care unit (ICU) experience will be measured using the Family Satisfaction in the Intensive Care Unit (FS-ICU) questionnaire. The FS-ICU is a 24 item questionnaire that evaluates family members' satisfaction with their intensive care unit experience. Each question is scored on a 5-point scale from 1 (worst) to 5 (best). The total scores are then converted to a scale from 0 to 100, where 0 is the least satisfied and 100 is the most satisfied.
- Intensive Care Unit (ICU) team acute moral distressUp to 14 days after participant's hospital discharge
Intensive Care Unit (ICU) team acute moral distress will be measured using the Moral Distress Thermometer (MDT). The MDT first presents a definition of moral distress, then asks the respondent to rate their distress related to a specific context on a 10-point scale from 0 (none) to 10 (worst possible) moral distress.
- Direct observation of intensive care unit (ICU) careThrough participant study completion, an average of 8 days
Direct observations will include observations of interactions that are pertinent to time-limited trials (e.g., daily interprofessional rounds, nursing shift-change handoffs) and family meetings, including both formal (e.g., in a private conference room) or informal (e.g., on medical rounds or at the bedside) discussions between members of the ICU team, surrogates, patients (if able), and other family members. Observations will be documented using field notes, and family meetings will be audio-recorded and transcribed verbatim. Qualitative analysis of field notes and written transcripts will be done to look for themes and trends that emerge from the data.