Family ratings of ICU care. Is there concordance within families?
J Crit Care
; 55: 108-115, 2020 02.
Article
en 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.Palabras clave
Texto completo:
1
Base de datos:
MEDLINE
Asunto principal:
Cuidado Terminal
/
Satisfacción del Paciente
/
Evaluación de Resultado en la Atención de Salud
/
Cuidados Críticos
Tipo de estudio:
Clinical_trials
/
Observational_studies
/
Prevalence_studies
/
Prognostic_studies
/
Risk_factors_studies
Límite:
Adult
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Aged
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Female
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Humans
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Male
/
Middle aged
País/Región como asunto:
Europa
Idioma:
En
Revista:
J Crit Care
Asunto de la revista:
TERAPIA INTENSIVA
Año:
2020
Tipo del documento:
Article