Table 7.
Changea in the PICU-QODD-20 When Family or Team Barriers Were
| Barrier (% yes) | Attending (n=57) |
Fellow (n=51) |
Psychosocial Staff (n=86) |
Bedside Nurse (n=58) |
Primary Nurse (n=47) |
|---|---|---|---|---|---|
| Patient/Family Barriers | |||||
| patient too sick for interaction (34%) | −5.96b | NS | −4.86 b | −3.87 c | NS |
| family does not visit or call (20%) | −27.3 c | NS | −13.3c | NS | NS |
| the family is angry (15%) | NS | NS | −7.27 c | NS | NS |
| family has unrealistic expectations of medical treatment (17%) | NS | −3.86 b | NS | NS | −11.3 b |
| language difficulties (8%) | −10.4 b | NS | NS | NS | NS |
| Team Barriers | |||||
| patient load (10%) | NS | NS | NS | NS | −13.5 c |
| conflict among clinicians (6%) | NS | NS | −18.0 c | NS | NS |
| lack of communication among clinical staff (5%) | −12.2 d | −5.4 d | −24.1 c | NS | NS |
a
The difference in the PICU-QODD-20 for decedents where the barrier was encountered versus those where it was not was computed in a mixed model to account for nesting of decedents within clinicians.
b
0.01<P ≤ 0.05.
c
0.001<P ≤ 0.01.
d
0.05<P ≤ 0.10.,
NS: P = 0.10.