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Open Access

Family satisfaction in an interdisciplinary ICU: a quality audit

  • UM Schmid1,
  • R Alpiger1,
  • T Rizzo1 and
  • CK Hofer1
Critical Care201216(Suppl 1):P496

https://doi.org/10.1186/cc11103

Published: 20 March 2012

Keywords

Intensive Care MedicineVisit FrequencyQuality AuditProfessional QualityChallenging Situation

Introduction

The quality of intensive care medicine depends on multiple indicators [1, 2]. Meeting relatives' needs in the challenging situation of ICU visits is crucial. The aim of this audit was to assess next of kin's satisfaction and influencing factors.

Methods

With institutional approval, questionnaires were distributed to family members of ICU patients. The survey included two visual analogue scale ratings (VAS 1: patient care, VAS 2: decision-making) and 24 questions with four dimensions D1 to D4 (general impression, treatment and patient care quality, professional quality) on a five-point Likert scale, transformed into values 1 to 100. Patient-specific and relatives' sociodemographic data were recorded. Data are presented as the mean ± SD, median (Q.5), interquartile range (IQR) and range (minimum/maximum). Subgroup analysis (relative's and patient's age, sex, education, marital status, length of stay, visit frequency and mortality) was performed using the Mann-Whitney U test.

Results

Questionnaires of 159 patients were analyzed (patients: age = 66.1 ± 13.0 years, 64% female, SAPS = 38.8 ± 17.5, LOS = 13.5 ± 11.8 days, mortality = 16.5%; relatives: age = 44.5 ± 26.9 years, 63.7% female, 13% medical/25.5% higher education). High satisfaction (VAS 1/2, D1 to D4) was observed (Table 1). Significant differences within subgroups were found: relatives with healthcare education showed higher D1 to D4 satisfaction than the ones with a graduate degree only. Higher VAS scorings were observed from next of kin with high visit frequency (≥5×/week).

Table 1

 

Mean ± SD

Q.5/IQR

Minimum/maximum

VAS1

9.1 ± 0.9

9.3/0.9

5.5/10

VAS2

8.6 ± 1.5

9.0/1.5

3.1/10

∑Satisf

87 ± 15.1

80/20

20/100

D1

91.1 ± 15

100/20

20/100

D2

89.2 ± 13

100/20

40/100

D3

86 ± 15.4

80/20

20/100

D4

85.5 ± 15

80/40

20/100

Conclusion

Relatives of ICU patients were in general highly satisfied. The educational status and ICU visit frequency of the next of kin were revealed to be influencing factors.

Authors’ Affiliations

(1)
Triemli City Hospital, Zurich, Switzerland

References

  1. Intensive Care Med. 2007, 33: 1913-1920.Google Scholar
  2. Intensive Care Med. 2009, 35: 2051-2059. 10.1007/s00134-009-1611-4.Google Scholar

Copyright

© Schmid et al.; licensee BioMed Central Ltd. 2012

This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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