Status:
COMPLETED
Improving Family Meetings in the Pediatric Cardiac Intensive Care Unit
Lead Sponsor:
Children's Hospital of Philadelphia
Collaborating Sponsors:
National Institutes of Health (NIH)
National Heart, Lung, and Blood Institute (NHLBI)
Conditions:
Communication
Critical Illness
Eligibility:
All Genders
Phase:
NA
Brief Summary
This study aims to improve communication between medical teams, patients, and families in the pediatric cardiac intensive care unit. The researchers hypothesize that both improving interprofessional t...
Detailed Description
Context: A large proportion of children with advanced heart disease (AHD) die in the pediatric cardiac intensive care unit (CICU), where parents describe obtaining a realistic understanding that thei...
Eligibility Criteria
Inclusion
- Participants in Co-design:
- \- Clinicians including attending physicians, front line clinicians (fellows, nurse practitioners, or physician assistants), bedside nurses, and social workers working at CHOP or parents of children previously hospitalized in an ICU at CHOP.
- Clinicians Participating in Intervention:
- \- Pediatric CICU clinicians (attending intensivists, cardiologists, cardiac surgeons, front line clinicians, bedside nurses, and social workers) at CHOP who volunteer to undergo communication skills training.
- Clinicians Not Participating in Intervention:
- \- Clinicians who plan to participate in family meetings in the pediatric CICU that will be observed by the research team.
- Parent-patient Dyads Participating in the Survey or Interview:
- Parent must be the legal decision maker of a patient who has been admitted to the CHOP CICU for at least 7 days.
- Patient has been admitted to the CICU at CHOP for ≥7 days following onset of study and the medical team believes the patient will remain in the CICU for at least 7 more days OR the patient has already been admitted to the CICU for 14 days.
- Parent/guardian ≥ 18 years old.
- Child \< 18 years old at time of enrollment.
- Parent/guardian is English-speaking.
- Parent/guardian has no cognitive impairments that prevent them from being a surrogate decision maker.
Exclusion
- Participants in Co-design:
- \- None.
- Clinicians Participating in Intervention:
- \- Clinicians who will not participate in CHOP's CICU chronic care meeting in the following year.
- Clinicians Not Participating in Intervention:
- \- None.
- Parent-patient Dyads Participating in the Survey or Interview:
- Parent is not the legal decision maker of a patient who has been admitted to the CHOP CICU for at least 7 days.
- The medical team does not believe the patient will remain in the CICU for at least 7 more days.
- Parent/guardian \< 18 years old.
- Child is ≥ 18 years old at time of enrollment.
- Parent/guardian is not English-speaking.
- Parent/guardian has cognitive impairments that prevent them from being a surrogate decision maker.
Key Trial Info
Start Date :
December 19 2018
Trial Type :
INTERVENTIONAL
Allocation :
ACTUAL
End Date :
September 20 2022
Estimated Enrollment :
451 Patients enrolled
Trial Details
Trial ID
NCT03749330
Start Date
December 19 2018
End Date
September 20 2022
Last Update
January 18 2024
Active Locations (1)
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1
The Children's Hospital of Philadelphia
Philadelphia, Pennsylvania, United States, 19146