ArticleCritical care medicine2016
Dimensions and Role-Specific Mediators of Surrogate Trust in the ICU.
Article in Critical care medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 2 of them syntheses that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
10 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Pooled it
- Intensive care unit length of stay is reduced by protocolized family support intervention: a systematic review and meta-analysis.Intensive care medicine · 2019Pooled it
- Predicting 6-month decisional regret among family surrogate decision-makers of ICU patients: development and internal validation of prediction models.Frontiers in public health · 2026Observational
- Surrogate Trust in the Intensive Care Unit: What Can We Do Better?Healthcare (Basel, Switzerland) · 2025Article
- A New Process Model for Relationship-Centred Shared Decision-Making in Physical Medicine and Rehabilitation Settings.Health expectations : an international journal of public participation in health care and health policy · 2024Article
- Application of a pre-emptive question and answer platform to improve the level of satisfaction during family meetings in general medical wards.BMC health services research · 2022Article
- Article
- Surrogate Informed Consent: A Qualitative Analysis of Surrogate Decision Makers' Perspectives.Annals of the American Thoracic Society · 2021Article
- Time-Limited Trials in the Intensive Care Unit to Promote Goal-Concordant Patient Care.Clinical pulmonary medicine · 2019Article
- What Does the Word "Treatable" Mean? Implications for Communication and Decision-Making in Critical Illness.Critical care medicine · 2019Article
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
objectiveIn the ICU, discussions between clinicians and surrogate decision makers are often accompanied by conflict about a patient's prognosis or care plan. Trust plays a role in limiting conflict, but little is known about the determinants of trust in the ICU. We sought to identify the dimensions of trust and clinician behaviors conducive to trust formation in the ICU.
designProspective qualitative study.
settingMedical ICU of a major urban university hospital. SUBJECTS: Surrogate decision makers of intubated, mechanically ventilated patients in the medical ICU. MEASUREMENTS AND MAIN
resultsSemistructured interviews focused on surrogates' general experiences in the ICU and on their trust in the clinicians caring for the patient. Interviews were audio-recorded, transcribed verbatim, and coded by two reviewers. Constant comparison was used to identify themes pertaining to trust. Thirty surrogate interviews revealed five dimensions of trust in ICU clinicians: technical competence, communication, honesty, benevolence, and interpersonal skills. Most surrogates emphasized the role of nurses in trust formation, frequently citing their technical competence. Trust in physicians was most commonly related to honesty and the quality of their communication with surrogates.
conclusionsInterventions to improve trust in the ICU should be role-specific, since surrogate expectations are different for physicians and nurses with regard to behaviors relevant to trust. Further research is needed to confirm our findings and explore the impact of trust modification on clinician-family conflict.
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