Evidence map›Paper›PMID 27802949›Full record

ArticleAmerican journal of critical care : an official publication, American Association of Critical-Care Nurses2016

Clinical Nurse Participation at Family Conferences in the Pediatric Intensive Care Unit.

Anne C Watson, Tessie W October

Abstract read
In one paragraph

Article in American journal of critical care : an official publication, American Association of Critical-Care Nurses, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
4.8field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 24 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Nursing Care at End of Life in Pediatric Intensive Care Unit Patients Requiring Mechanical Ventilation.American journal of critical care : an official publication, American Association of Critical-Care Nurses · 2022
    Article
  7. Article
  8. Pediatric Chronic Critical Illness: Let Us Focus on the Big Picture.Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies · 2019
    Article
  9. Article
  10. Observational
  11. Interdisciplinary Communication: Documentation of Advance Care Planning and End-of-Life Care in Adolescents and Young Adults With Cancer.Journal of hospice and palliative nursing : JHPN : the official journal of the Hospice and Palliative Nurses Association · 2019
    Article
  12. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors at 1 institution in 1 country.

Anne C WatsonAnne C. Watson is the research nurse coordinator for critical care medicine, Children's National Health Systems, Washington, DC. Tessie W. October is an attending physician in the pediatric intensive care unit at Children's National Health Systems, Washington, DC, and an assistant professor in the Department of Pediatrics, George Washington University, Washington, DC. aewatson@childrensnational.org.
Tessie W OctoberAnne C. Watson is the research nurse coordinator for critical care medicine, Children's National Health Systems, Washington, DC. Tessie W. October is an attending physician in the pediatric intensive care unit at Children's National Health Systems, Washington, DC, and an assistant professor in the Department of Pediatrics, George Washington University, Washington, DC.
Children's National · US

Funding

Pediatric Critical Care Scientist Development ProgramK12HD047349 · NICHD · UTAH STATE HIGHER EDUCATION SYSTEM--UNIVERSITY OF UTAH · PI HEATHER T. KEENAN, Kevin M Watt · 2004 to 2026
$17.0M
Enhancing Parent-Provider Communication during Critical Care Decision-makingK23HD080902 · NICHD · CHILDREN'S RESEARCH INSTITUTE · PI OCTOBER, TESSIE W. · 2015 to 2018
$558k
NICHD NIH HHS K12 HD047349NICHD NIH HHS K23 HD080902
6 · The paper itself

Abstract

backgroundClinical nurses attend family conferences in the intensive care unit, but their role during these meetings is not yet fully understood.

objectivesTo assess perceived and observed contributions of the clinical nurse during family conferences.

methodsProspective cross-sectional survey and review of 40 audio-recorded family conferences conducted in the 44-bed pediatric intensive care unit of an urban pediatric hospital.

resultsSurvey responses from 47 nurses were examined. Most nurses thought it important to attend family conferences, but identified workload as a barrier to attendance. They perceived their roles as gaining firsthand knowledge of the discussion and providing a unique perspective regarding patient care, emotional support, and advocacy. Audio recordings revealed that bedside nurses attended 20 (50%) of 40 family conferences and spoke in 5 (25%) of the 20. Nurses verbally contributed 4.6% to the overall speech at the family conference, mostly providing information on patient care.

conclusionsThe clinical nurse is often absent or silent during family conferences in the intensive care unit, despite the important roles they want to play in these settings. Strategies to improve both the physical and verbal participation of clinical nurses during the family conference are suggested, especially in the context of previous research demonstrating the need for more attention in family conferences to social-emotional support and patient advocacy.

Indexed as

Intensive Care Units, PediatricNurse's RoleProfessional-Family RelationsCritical Care NursingCross-Sectional StudiesFamilyHealth CommunicationHumansPediatric NursingProspective Studies

Identifiers

PMID27802949
PMCPMC5751701
OpenAlexW2548773572

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.