Evidence map›Paper›PMID 32323147›Full record

ArticleNeurocritical care2021

Satisfaction with Care and Satisfaction with Decision Making are Similar Regardless of Staffing Model in a Neurocritical Care Unit.

Christopher R Newey, Pravin George, Ryan Honomichl, Joao Gomes, Anita Maraj, Tyler Kinzy, Sarah Conley, Bradley Douglas, Michael Stoltz, David Hang and 5 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Neurocritical care, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Article
  2. Article
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

15 authors.

Christopher R NeweyNeurological Institute, Cerebrovascular Center, Cleveland Clinic, 9500 Euclid Avenue, Mailcode 80, Cleveland, OH, 44195, USA. neweyc@ccf.org.
Pravin GeorgeNeurological Institute, Cerebrovascular Center, Cleveland Clinic, 9500 Euclid Avenue, Mailcode 80, Cleveland, OH, 44195, USA.
Ryan HonomichlNeurological Institute, Patient Centered Outcome Center, Cleveland Clinic, 9500 Euclid Avenue, Cleveland, OH, 44195, USA.
Joao GomesNeurological Institute, Cerebrovascular Center, Cleveland Clinic, 9500 Euclid Avenue, Mailcode 80, Cleveland, OH, 44195, USA.
Anita MarajNeurological Institute, Cerebrovascular Center, Cleveland Clinic, 9500 Euclid Avenue, Mailcode 80, Cleveland, OH, 44195, USA.
Tyler KinzyNeurological Institute, Patient Centered Outcome Center, Cleveland Clinic, 9500 Euclid Avenue, Cleveland, OH, 44195, USA.
Sarah ConleyNeurological Institute, Cerebrovascular Center, Cleveland Clinic, 9500 Euclid Avenue, Mailcode 80, Cleveland, OH, 44195, USA.
Bradley DouglasNeurological Institute, Cerebrovascular Center, Cleveland Clinic, 9500 Euclid Avenue, Mailcode 80, Cleveland, OH, 44195, USA.
Michael StoltzNeurological Institute, Cerebrovascular Center, Cleveland Clinic, 9500 Euclid Avenue, Mailcode 80, Cleveland, OH, 44195, USA.
David HangNeurological Institute, Cerebrovascular Center, Cleveland Clinic, 9500 Euclid Avenue, Mailcode 80, Cleveland, OH, 44195, USA.
Tarig OmerAnesthesiology Institute, Cardiothoracic Anesthesia Center, Cleveland Clinic, 9500 Euclid Avenue, Cleveland, OH, 44195, USA.
Samer AbubakrNeurological Institute, Cerebrovascular Center, Cleveland Clinic, 9500 Euclid Avenue, Mailcode 80, Cleveland, OH, 44195, USA.
Gwen LynchNeurological Institute, Cerebrovascular Center, Cleveland Clinic, 9500 Euclid Avenue, Mailcode 80, Cleveland, OH, 44195, USA.
Dhimant DaniNeurological Institute, Cerebrovascular Center, Cleveland Clinic, 9500 Euclid Avenue, Mailcode 80, Cleveland, OH, 44195, USA.
Irene KatzanNeurological Institute, Cerebrovascular Center, Cleveland Clinic, 9500 Euclid Avenue, Mailcode 80, Cleveland, OH, 44195, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPatient-centered care, particularly shared medical decision making, is difficult to measure in critically ill patients where decisions are often made by a designated surrogate, often receiving information from multiple providers with varying degrees of training. The purpose of this study was to compare short-term satisfaction with care and decision making in patients or surrogates between two neurocritical care units [one staffed by a neurocritical care attending and advanced practice providers (APPs) and one staffed by a neurocritical care attending and resident/fellow trainees] using the Family Satisfaction in the ICU (FS-ICU) survey.

methodsOver a 6-month period, the FS-ICU was administered on a tablet device to patients or surrogates at least 24 h after admission and stored on REDCap database.

resultsOne hundred and thirty-four patients or surrogates completed the FS-ICU. The response rates were 59.97% and 46.58% in the APP and trainee units, respectively. There were no differences in patient age, sex, ventilator days or ICU length of stay. Overall, there were no differences in satisfaction with care or perceived shared medical making between the units. Respondents who identified their relationship with the patient as "other" (not a spouse, parent, nor a sibling) were less satisfied with care. Additionally, surrogates who identified as parents of the patient were more satisfied with degree of shared medical decision making.

conclusionThis study showed that: (1) collecting FS-ICU in a neurocritical care unit is feasible, (2) overall there is no difference in short-term satisfaction with care or shared decision making between a NICU staffed with trainees compared to one staffed with APPs, and (3) parents of patients have a higher short-term satisfaction with degree of shared medical decision making.

Indexed as

Decision MakingPersonal SatisfactionCritical IllnessHumansIntensive Care UnitsWorkforceAdvanced practice providersNeurocritical carePatient satisfactionResidentShared medical decision making

Identifiers

PMID32323147
PMCPMC7222902

What OpenQuestion holds

Textmetadata
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.