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VOLUME 23 , ISSUE 2 ( February, 2019 ) > List of Articles


Family Satisfaction in a Medical College Multidisciplinary Intensive Care Unit (ICU)—How Can We Improve?

Sowmya Madihalli JanardhanIyengar, Bhaskar Murthy Venkateshmurthy, Yeshaswini Katari

Keywords : Family satisfaction, Intensive care, Questionnaire

Citation Information : JanardhanIyengar SM, Venkateshmurthy BM, Katari Y. Family Satisfaction in a Medical College Multidisciplinary Intensive Care Unit (ICU)—How Can We Improve?. Indian J Crit Care Med 2019; 23 (2):83-88.

DOI: 10.5005/jp-journals-10071-23122

License: CC BY-NC 4.0

Published Online: 01-06-2018

Copyright Statement:  Copyright © 2019; The Author(s).


Background and Aims: In recent years, patient and family-centered implications are being recognized as important outcome measures and one of the quality indicators of health care system worldwide. Most of the Intensive Care Unit patients cannot make decisions themselves, accordingly family members are surrogate decision-makers and judges of care quality. This study was conducted as a prospective observational study using Family Satisfaction-Intensive Care Unit questionnaire to ascertain the level of family satisfaction of care and their involvement in the decision making process of their patient's treatment. Materials and methods: The study was conducted over 3 months with 100 family members by FS-ICU questionnaire survey method. After 48 hours of ICU admission, the questionnaire was administered to an eligible family member by a resident who was not involved in the treatment of the patient, in a language understood by them (English/Kannada). Each question was scored using 5 point Likert response Scale and the scores were transformed into 0 (least satisfied) to 100 (most satisfied) scale. Results: Satisfaction with overall care was 65.31±23.62 (FS-ICU/Care). Satisfaction with decision making process was 73.06±22.154 (FS-ICU/ DM). Individual factors which contributed to lower scores were management of pain and agitation of the patient, waiting room atmosphere and emotional support. Conclusion: This study identified the individual factors which contributed to the high and low satisfaction scores. With this baseline data as reference, there is scope to enhance the aspects of quality care for patients and their family members.

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  1. Daren K. Heyland, Joan E. Tranmer. Measuring family satisfaction with care in the intensive care unit: The development of a questionnaire and preliminary results. J Crit Care 2001;16:142-149.
  2. Van den Broek JM, Brunsveld-Reinders AH, et al. Questionnaires on family satisfaction in the adult ICU: A systematic review including psychometric properties. Crit Care Med 2015;43:1731-1744.
  3. Thomas Wasser, Stephen Matchett, et al. Validation of a total score for the critical care family satisfaction survey. JCOM 2004;11:502-507.
  4. Sundararajan K, Martin M, et al. Posttraumatic stress disorder in close relatives of intensive care unit patients’ evaluation (PRICE) study. Aust Crit Care 2014;27:183-187.
  5. Schmidt M, Azoulay E. Having a loved one in the ICU: The forgotten family. Curr Opin Crit Care 2012;18:540-547.
  6. Wall RJ, Engelber RA, et al. Refinement, scoring, and validation of the family satisfaction in the intensive care unit (FS-ICU) survey. Crit Care Med 2007;35:271-279.
  7. Heyland DK, Rocker GM, et al. Family satisfaction with care in the intensive care unit: Results of a multiple center study. Crit Care Med 2002;30:1413–1418.
  8. The CARENET - family satisfaction survey. Available from: http://www. [Last cited on 2015 Sep 08].
  9. Rosner B. Fundamentals of biostatistics. Cengage Learning, 5th ed. Boston, Massachusetts: Duxbury; 2000. p. 80-240.
  10. Riffenburg RH. Statistics in medicine. 2nd ed. “Cambridge, Massachusetts: Academic press; 2005. p. 85-125.
  11. Sunder Rao P S, Richard J. An introduction to biostatistics, a manual for students in health sciences. 4th ed. New Delhi: Prentice Hall of India; 2006. p. 86-160.
  12. SM Lam, HM So, et al. Intensive care unit family satisfaction survey. Hong Kong Med J 2015;21:435–443.
  13. Schwarzkopf D, Behrend S, et al. Family satisfaction in the intensive care unit: A quantitative and qualitative analysis. Intensive Care Med 2013;39: 1071-1079.
  14. Stricker KH, Kimberger O, et al. Family satisfaction in the intensive care unit: What makes the difference? Intensive Care Med 2009;35:2051- 2059.
  15. Osborn TR, Curtis JR, et al. Identifying elements of ICU care that families report as important but unsatisfactory: Decision-making, control, and ICU atmosphere. Chest 2012;142:1185-1192.
  16. Venkataraman R, Ranganathan L, et al. Critical care – Are we customer friendly? Indian J Crit Care Med 2015;19:507-512.
  17. Kress JP, Pohlman AS, et al. Daily interruption of sedative infusions in critically ill patients undergoing mechanical ventilation. N Engl J Med 2000;342:1471-1477.
  18. Girard TD, Kress JP, et al. Efficacy and safety of a paired sedation and ventilator weaning protocol for mechanically ventilated patients in intensive care (Awakening and breathing controlled trial): A randomised controlled trial. Lancet 2008;371:126-134.
  19. Granja C, Gomes E, et al. Understanding posttraumatic stress disorder–related symptoms after critical care: The early illness amnesia hypothesis. Crit Care Med 2008;36:2801-2809.
  20. Amaravadi RK, Dimick JB, et al. ICU nurse-to-patient ratio is associated with complications and resource use after esophagectomy. Intensive Care Med. 2000;26:1857-1862.
  21. Jongerden IP, Slooter AJ, et al. Effect of intensive care environment on family and patient satisfaction: A before-after study. Intensive Care Med 2013;39:1626-1634.
  22. Hunziker S, McHugh W, et al. Predictors and correlates of dissatisfaction with intensive care. Crit Care Med 2012;40:1554-1561.
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