Renee D. Boss|Pamela Donohue|Susan Larson|Robert M. Arnold|Debra Roter
Family Conferences in the Neonatal ICU
Historical Archives|ResearchWorks (United States)|Johns Hopkins University|University of Pittsburgh|Johns Hopkins Berman Institute of Bioethics|National Institutes of Health|Johns Hopkins Medicine|Historical Archives|ResearchWorks (United States)|Johns Hopkins University|University of Pittsburgh|Johns Hopkins Berman Institute of Bioethics|National Institutes of Health|Johns Hopkins Medicine|Historical Archives|ResearchWorks (United States)|Johns Hopkins University|University of Pittsburgh|Johns Hopkins Berman Institute of Bioethics|National Institutes of Health|Johns Hopkins Medicine|Historical Archives|ResearchWorks (United States)|Johns Hopkins University|University of Pittsburgh|Johns Hopkins Berman Institute of Bioethics|National Institutes of Health|Johns Hopkins Medicine|Historical Archives|ResearchWorks (United States)|Johns Hopkins University|University of Pittsburgh|Johns Hopkins Berman Institute of Bioethics|National Institutes of Health|Johns Hopkins Medicine
objectives clinicians neonatal icu must engage clear compassionate communication families empirical observational studies neonatal icu family conferences needed develop counseling best practices train clinicians key communication skills devised pilot study record analyze interdisciplinary neonatal icu clinicians parents navigate difficult conversations neonatal icu family conferences design prospectively identified audiotaped convenience sample neonatal icu family conferences difficult news conversations analyzed using roter interaction analysis system quantitative tool assessing content quality patientprovider communication setting urban academic childrens medical center 45bed level iv neonatal icu subjects neonatal icu parents clinicians interventions none measurements main results analyzed 19 family conferences included 31 family members 23 clinicians childs mother included conferences second parent usually father present 13 conferences one conference included multiple medical team members average physicians contributed 65 dialogue regardless else present half 56 dialogue involved giving medical information 5 clinician dialogue involved asking questions family families rarely 5 dialogue asked questions conversations longer presence nonphysician clinicians increase amount dialogue psychosocial information increase parent dialogue conclusions collected novel repository audiorecorded neonatal icu family meetings offers insights discussion content process meetings heavily focused biomedical information even interdisciplinary clinicians present clinicians always talked parents one asked many questions maximizing participation interdisciplinary clinicians neonatal icu family meetings may require explicit strategies methods increase family engagement targeted