Family ratings of ICU care. Is there concordance within families?
J Crit Care
; 55: 108-115, 2020 02.
Article
em En
| MEDLINE
| ID: mdl-31715527
ABSTRACT
PURPOSE:
To examine heterogeneity of quality-of-care ratings within families and to examine possible predictors of concordance. MATERIALS ANDMETHODS:
We examined two aspects of agreement within families response similarity and the amount of exact concordance in responses in a cohort of Danish ICU family members participating in a questionnaire survey (the European Quality Questionnaire euroQ2).RESULTS:
Two hundred seventy-four family respondents representing 122 patients were included in the study. Identical ratings between family members occurred in 28%-59% of families, depending upon the specific survey item. In a smaller sample of 28 families whose patients died, between 39% and 86% gave identical responses to items rating end-of-life care. There was more response variance within than between families, yielding low estimates of intrafamily correlation. Statistics correcting for chance agreement also suggested modest within-family agreement.CONCLUSIONS:
The finding that variance is higher within than between families suggests the value of including multiple participants within a family in order to capture varying points of view.Palavras-chave
Texto completo:
1
Bases de dados:
MEDLINE
Assunto principal:
Assistência Terminal
/
Satisfação do Paciente
/
Avaliação de Resultados em Cuidados de Saúde
/
Cuidados Críticos
Tipo de estudo:
Clinical_trials
/
Observational_studies
/
Prevalence_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Adult
/
Aged
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Female
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Humans
/
Male
/
Middle aged
País/Região como assunto:
Europa
Idioma:
En
Revista:
J Crit Care
Assunto da revista:
TERAPIA INTENSIVA
Ano de publicação:
2020
Tipo de documento:
Article