A Systematic Review of Family Meeting Tools in Palliative and Intensive Care Settings

Author:

Singer Adam E.12,Ash Tayla3,Ochotorena Claudia4,Lorenz Karl A.2567,Chong Kelly5,Shreve Scott T.58,Ahluwalia Sangeeta C.29

Affiliation:

1. David Geffen School of Medicine, University of California at Los Angeles, Los Angeles, CA, USA

2. RAND Corporation, Santa Monica, CA, USA

3. T.H. Chan School of Public Health, Harvard University, Boston, MA, USA

4. College of Nursing and Health Professions, Drexel University, Philadelphia, PA, USA

5. Quality Improvement Resource Center, Greater Los Angeles VA Health Care System, Los Angeles, CA, USA

6. Stanford University School of Medicine, Stanford, CA, USA

7. VA Palo Alto Health Care System, Palo Alto, CA, USA

8. Pennsylvania State College of Medicine, Lebanon, PA, USA

9. Fielding School of Public Health, University of California at Los Angeles, Los Angeles, CA, USA

Abstract

Purpose: Family meetings can be challenging, requiring a range of skills and participation. We sought to identify tools available to aid the conduct of family meetings in palliative, hospice, and intensive care unit settings. Methods: We systematically reviewed PubMed for articles describing family meeting tools and abstracted information on tool type, usage, and content. Results: We identified 16 articles containing 23 tools in 7 categories: meeting guide (n = 8), meeting planner (n = 5), documentation template (n = 4), meeting strategies (n = 2), decision aid/screener (n = 2), family checklist (n = 1), and training module (n = 1). We found considerable variation across tools in usage and content and a lack of tools supporting family engagement. Conclusion: There is need to standardize family meeting tools and develop tools to help family members effectively engage in the process.

Publisher

SAGE Publications

Subject

General Medicine

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