Factors Associated With Family Satisfaction With End-of-Life Care in the ICU
Abstract
Background Family satisfaction with end-of-life care in the ICU has not previously been systematically reviewed. Our objective was to perform a review, synthesizing published data identifying factors associated with family satisfaction with end-of-life care in critically ill adult populations. Methods The following electronic databases were searched: MEDLINE (Medical Literature Analysis and Retrieval System Online), MEDLINE Updated, EMBASE (Excerpta Medical Database), CINAHL (Cumulative Index to Nursing and Allied Health Literature), PsycInfo, and PubMed. Two authors reviewed retrieved titles and abstracts. Studies describing nonadult and non-ICU populations or not addressing end-of-life care, family satisfaction, or factors affecting satisfaction were excluded. The remaining articles underwent full review and data extraction by two authors. Quality was assessed using a checklist based on the recommendations of the Consolidated Standards for Reporting Trials group. Results The search yielded 1,072 articles, with 23 articles describing 14 studies meeting inclusion criteria. All studies obtained satisfaction data from family members via surveys and structured interviews. Specific communication strategies increasing satisfaction included: expressions of empathy, nonabandonment, and assurances of comfort and provision of written information. Additionally, support for shared decision-making, family presence at time of death, and specific patient-care measures such as extubation be…
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Family support interventions may help reduce psychological impacts on family members, as suggested by four systematic reviews and two recent studies.
“Family support interventions may help to reduce these psychological impacts, as suggested by four systematic reviews, 37,71,72,83 and two recent studies. 84,85”
From European Resuscitation Council Guidelines 2021: Ethics of resuscitation and end of life decisions (2021) · cites this paper as [83]
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- Authors
- Hinkle, L. J., Bosslet, G. T., & Torke, A. M.
- Affiliations
- Indiana University Health (US)
- Corresponding author
- Hinkle, Laura J.
- Venue
- Chest
- Publisher
- Elsevier BV
- Published
- 2015-01
- Volume
- 147
- Issue
- 1
- Pages
- 82-93
- ISSN
- 0012-3692 (ISSN-L)
- OpenAlex
- W2012744799
- Cited by
- 142
- References
- 45
- Citations by year
- 2026: 8 · 2025: 8 · 2024: 12 · 2023: 5 · 2022: 15 · 2021: 23 · 2020: 24 · 2019: 20 · 2018: 9 · 2017: 8 · 2016: 7 · 2015: 3
- FWCI
- 0.93
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- CHEST Journal (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative Care and End-of-Life Issues
- Health Sciences › Health Professions › Radiological and Ultrasound Technology › Family and Patient Care in Intensive Care Units
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative and Oncologic Care
- Keywords
- family satisfaction, end-of-life care, intensive care unit, family communication, shared decision-making, palliative care, empathy, family presence at death, critical illness
- MeSH terms
- Decision Making, Family, Humans, Intensive Care Units, Patient Participation, Personal Satisfaction, Terminal Care
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