ArticlePatient education and counseling2018
Is it my turn to speak? An analysis of the dialogue in the family-physician intensive care unit conference.
Article in Patient education and counseling, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed, 31 citations in OpenAlex.
- The Trauma Informed Family Meeting: A New Model of Information Sharing and Family Support During Cardiac Admission.Pediatric cardiology · 2026Review
- Consumer Perspectives on PICU Safety and Quality.Nursing in critical care · 2026Article
- A novel multi-measure approach to study medical students' communication performance and predictors of their communication quality - a cross-sectional study.BMC medical education · 2025Article
- A Pediatric Interprofessional Cardiac Intensive Care Unit Intervention: CICU Teams and Loved Ones Communicating (CICU TALC) is Feasible, Acceptable, and Improves Clinician Communication Behaviors in Family Meetings.Pediatric cardiology · 2025Article
- Parent communication with care teams and preparation for family meetings in the paediatric cardiac ICU: a qualitative study.Cardiology in the young · 2024Article
- Does Educational Status Influence Parents' Response to Bad News in the NICU?Children (Basel, Switzerland) · 2023Article
- Video tools in pediatric goals of care communication: A systematic review.PEC innovation · 2022Review
- Intervention Codesign in the Pediatric Cardiac Intensive Care Unit to Improve Family Meetings.Journal of pain and symptom management · 2022Article
- Assessment of parent understanding in conferences for critically ill neonates.Patient education and counseling · 2022Article
- [Recommendations for the Use of Family Conferences in Family Medicine - a Scoping Review].ZFA. Zeitschrift fur Allgemeinmedizin · 2022Article
- Development of an observational tool to assess health coaching fidelity.Patient education and counseling · 2021Article
- The 5Ts for Teach Back: An Operational Definition for Teach-Back Training.Health literacy research and practice · 2020Article
- Observational
- Supporting Family Decision-making for a Child Who Is Seriously Ill: Creating Synchrony and Connection.Pediatrics · 2018Article
Corrections and comments
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Authors and funding
3 authors at 3 institutions in 1 country.
Funding
Abstract
objectiveApply turn analysis to family conferences in the pediatric intensive care unit.
methodsWe analyzed 39 audio-recorded family conferences using the Roter Interaction Analysis System. A turn was defined as a continuous block of uninterrupted statements by a speaker.
resultsOpening turns by the healthcare team (HCT) averaged 207s, compared to 28s for families. Turn density (number of statements/turn) was 6 for the HCT versus 2 for families (p<0.0001). An average of 21 turns (26%) occurred between HCT members, resulting in substantial sections of dialogue excluding the family. Average HCT dialogue reflected a literacy demand of a 9th grade level, whereas family dialogue averaged a 5th grade level (p<0.0001). More HCT turns were related to higher reading level demand (r=0.34; p=0.03) and lower levels of patient-centeredness (r=-0.35, p=0.03).
conclusionThe healthcare team can improve the communication experience for families by encouraging and facilitating family engagement in conference dialogue. PRACTICE IMPLICATIONS: Changing how the healthcare team engages with families during communication events is vital to improving the experience for families. Our data suggests simple adjustments, such as limiting medical jargon and inter-team turns may lead to increased family participation and more family-centered care.
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Registered trials
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.