Resumé
Purpose: To examine heterogeneity of quality-of-care ratings within families and to examine possible predictors of concordance. Materials and methods: We examined two aspects of agreement within families: response similarity and the amount of exact concordance in responses in a cohort of Danish ICU family members participating in a questionnaire survey (the European Quality Questionnaire: euroQ2). Results: Two hundred seventy-four family respondents representing 122 patients were included in the study. Identical ratings between family members occurred in 28%–59% of families, depending upon the specific survey item. In a smaller sample of 28 families whose patients died, between 39% and 86% gave identical responses to items rating end-of-life care. There was more response variance within than between families, yielding low estimates of intrafamily correlation. Statistics correcting for chance agreement also suggested modest within-family agreement. Conclusions: The finding that variance is higher within than between families suggests the value of including multiple participants within a family in order to capture varying points of view.
| Originalsprog | Engelsk |
|---|---|
| Tidsskrift | Journal of Critical Care |
| Vol/bind | 55 |
| Sider (fra-til) | 108-115 |
| Antal sider | 8 |
| ISSN | 0883-9441 |
| DOI | |
| Status | Udgivet - 1. feb. 2020 |
Fingeraftryk
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Family ratings of ICU care. Is there concordance within families? / Jensen, Hanne Irene; Downey, Lois; Koopmans, Matty; Curtis, J. Randall; Engelberg, Ruth A.; Gerritsen, Rik T.
I: Journal of Critical Care, Bind 55, 01.02.2020, s. 108-115.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › peer review
TY - JOUR
T1 - Family ratings of ICU care. Is there concordance within families?
AU - Jensen, Hanne Irene
AU - Downey, Lois
AU - Koopmans, Matty
AU - Curtis, J. Randall
AU - Engelberg, Ruth A.
AU - Gerritsen, Rik T.
PY - 2020/2/1
Y1 - 2020/2/1
N2 - Purpose: To examine heterogeneity of quality-of-care ratings within families and to examine possible predictors of concordance. Materials and methods: We examined two aspects of agreement within families: response similarity and the amount of exact concordance in responses in a cohort of Danish ICU family members participating in a questionnaire survey (the European Quality Questionnaire: euroQ2). Results: Two hundred seventy-four family respondents representing 122 patients were included in the study. Identical ratings between family members occurred in 28%–59% of families, depending upon the specific survey item. In a smaller sample of 28 families whose patients died, between 39% and 86% gave identical responses to items rating end-of-life care. There was more response variance within than between families, yielding low estimates of intrafamily correlation. Statistics correcting for chance agreement also suggested modest within-family agreement. Conclusions: The finding that variance is higher within than between families suggests the value of including multiple participants within a family in order to capture varying points of view.
AB - Purpose: To examine heterogeneity of quality-of-care ratings within families and to examine possible predictors of concordance. Materials and methods: We examined two aspects of agreement within families: response similarity and the amount of exact concordance in responses in a cohort of Danish ICU family members participating in a questionnaire survey (the European Quality Questionnaire: euroQ2). Results: Two hundred seventy-four family respondents representing 122 patients were included in the study. Identical ratings between family members occurred in 28%–59% of families, depending upon the specific survey item. In a smaller sample of 28 families whose patients died, between 39% and 86% gave identical responses to items rating end-of-life care. There was more response variance within than between families, yielding low estimates of intrafamily correlation. Statistics correcting for chance agreement also suggested modest within-family agreement. Conclusions: The finding that variance is higher within than between families suggests the value of including multiple participants within a family in order to capture varying points of view.
KW - Concordance
KW - EuroQ2
KW - Family ratings of quality of care
KW - Intensive care
KW - Surveys
UR - http://www.scopus.com/inward/record.url?scp=85074518933&partnerID=8YFLogxK
U2 - 10.1016/j.jcrc.2019.10.011
DO - 10.1016/j.jcrc.2019.10.011
M3 - Journal article
VL - 55
SP - 108
EP - 115
JO - Journal of Critical Care
JF - Journal of Critical Care
SN - 0883-9441
ER -