PMID- 27802949
OWN - NLM
STAT- MEDLINE
DCOM- 20180126
LR  - 20180914
IS  - 1937-710X (Electronic)
IS  - 1062-3264 (Linking)
VI  - 25
IP  - 6
DP  - 2016 Nov
TI  - Clinical Nurse Participation at Family Conferences in the Pediatric Intensive
      Care Unit.
PG  - 489-497
AB  - BACKGROUND: Clinical nurses attend family conferences in the intensive care unit,
      but their role during these meetings is not yet fully understood. OBJECTIVES: To 
      assess perceived and observed contributions of the clinical nurse during family
      conferences. METHODS: Prospective cross-sectional survey and review of 40
      audio-recorded family conferences conducted in the 44-bed pediatric intensive
      care unit of an urban pediatric hospital. RESULTS: Survey responses from 47
      nurses were examined. Most nurses thought it important to attend family
      conferences, but identified workload as a barrier to attendance. They perceived
      their roles as gaining firsthand knowledge of the discussion and providing a
      unique perspective regarding patient care, emotional support, and advocacy. Audio
      recordings revealed that bedside nurses attended 20 (50%) of 40 family
      conferences and spoke in 5 (25%) of the 20. Nurses verbally contributed 4.6% to
      the overall speech at the family conference, mostly providing information on
      patient care. CONCLUSIONS: The clinical nurse is often absent or silent during
      family conferences in the intensive care unit, despite the important roles they
      want to play in these settings. Strategies to improve both the physical and
      verbal participation of clinical nurses during the family conference are
      suggested, especially in the context of previous research demonstrating the need 
      for more attention in family conferences to social-emotional support and patient 
      advocacy.
CI  - (c)2016 American Association of Critical-Care Nurses.
FAU - Watson, Anne C
AU  - Watson AC
AD  - Anne C. Watson is the research nurse coordinator for critical care medicine,
      Children's National Health Systems, Washington, DC. Tessie W. October is an
      attending physician in the pediatric intensive care unit at Children's National
      Health Systems, Washington, DC, and an assistant professor in the Department of
      Pediatrics, George Washington University, Washington, DC.
      aewatson@childrensnational.org.
FAU - October, Tessie W
AU  - October TW
AD  - Anne C. Watson is the research nurse coordinator for critical care medicine,
      Children's National Health Systems, Washington, DC. Tessie W. October is an
      attending physician in the pediatric intensive care unit at Children's National
      Health Systems, Washington, DC, and an assistant professor in the Department of
      Pediatrics, George Washington University, Washington, DC.
LA  - eng
GR  - K12 HD047349/HD/NICHD NIH HHS/United States
GR  - K23 HD080902/HD/NICHD NIH HHS/United States
PT  - Journal Article
PT  - Research Support, N.I.H., Extramural
PL  - United States
TA  - Am J Crit Care
JT  - American journal of critical care : an official publication, American Association
      of Critical-Care Nurses
JID - 9211547
SB  - IM
SB  - N
MH  - Critical Care Nursing/*methods
MH  - Cross-Sectional Studies
MH  - Family
MH  - Health Communication/*methods
MH  - Humans
MH  - *Intensive Care Units, Pediatric
MH  - *Nurse's Role
MH  - Pediatric Nursing/*methods
MH  - *Professional-Family Relations
MH  - Prospective Studies
PMC - PMC5751701
MID - NIHMS926396
EDAT- 2016/11/03 06:00
MHDA- 2018/01/27 06:00
CRDT- 2016/11/03 06:00
PHST- 2016/11/03 06:00 [pubmed]
PHST- 2018/01/27 06:00 [medline]
PHST- 2016/11/03 06:00 [entrez]
AID - 25/6/489 [pii]
AID - 10.4037/ajcc2016817 [doi]
PST - ppublish
SO  - Am J Crit Care. 2016 Nov;25(6):489-497. doi: 10.4037/ajcc2016817.