One way to increase family participation is through purposeful interactions in family-centered rounds. Stelson and colleagues interviewed family members and adult surgical intensive care unit (ICU) providers to examine their perspectives on family participation in rounds and the role of telemedicine as a communication tool. They found the following:
Significant differences existed between the 2 groups on structure, style, and purpose of rounds.
Both groups identified facilitators to communication such as familiarity with medical concepts and desire to understand prognosis, as well as barriers such as family members not wanting to be “bothersome.”
Both groups described 2 benefits to the use of telemedicine: convenience and interpersonal advantages. However, user-friendly and reliable platforms would be required.
The authors note that communication is the key to family satisfaction with ICU care and that telemedicine platforms be explored as a feasible means of family participation.