Tessie W. October|Zoelle B. Dizon|Debra Roter
Is it my turn to speak? An analysis of the dialogue in the family-physician intensive care unit conference
George Washington University|Children's National|Johns Hopkins University
apply turn analysis family conferences pediatric intensive care unitwe analyzed 39 audiorecorded family conferences using roter interaction analysis system turn defined continuous block uninterrupted statements speakeropening turns healthcare team hct averaged 207s compared 28s families turn density number statementsturn 6 hct versus 2 families p00001 average 21 turns 26 occurred hct members resulting substantial sections dialogue excluding family average hct dialogue reflected literacy demand 9th grade level whereas family dialogue averaged 5th grade level p00001 hct turns related higher reading level demand r034 p003 lower levels patientcenteredness r035 p003the healthcare team improve communication experience families encouraging facilitating family engagement conference dialoguechanging healthcare team engages families communication events vital improving experience families data suggests simple adjustments limiting medical jargon interteam turns may lead increased family participation familycentered care