Is it my turn to speak? An analysis of the dialogue in the family-physician intensive care unit conference

•We audio-recorded conferences between the healthcare team and family members.•Turn analysis and literacy burden were applied to intensive care unit conferences.•The healthcare team’s turns are dense and with a high oral literacy burden.•1/4 of the turns during the family conference are between heal...

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Bibliographic Details
Published in:Patient education and counseling 2018-04, Vol.101 (4), p.647-652
Main Authors: October, Tessie W., Dizon, Zoelle B., Roter, Debra L.
Format: Article
Language:English
Subjects:
Adult
Child
Child, Preschool
Communication
Critical Care
Cross-Sectional Studies
Decision Making
Female
Health communication
Humans
Infant
Intensive care
Intensive Care Units
Male
Middle Aged
Parents - psychology
Patient Care Team
Physician-patient relationship
Physicians, Family
Professional-Family Relations
Prospective Studies
Shared
Tape Recording
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Summary:•We audio-recorded conferences between the healthcare team and family members.•Turn analysis and literacy burden were applied to intensive care unit conferences.•The healthcare team’s turns are dense and with a high oral literacy burden.•1/4 of the turns during the family conference are between healthcare team members.•More healthcare team turns are associated with less patient-centeredness. Apply turn analysis to family conferences in the pediatric intensive care unit. We analyzed 39 audio-recorded family conferences using the Roter Interaction Analysis System. A turn was defined as a continuous block of uninterrupted statements by a speaker. Opening turns by the healthcare team (HCT) averaged 207s, compared to 28s for families. Turn density (number of statements/turn) was 6 for the HCT versus 2 for families (p
ISSN:0738-3991
1873-5134
DOI:10.1016/j.pec.2017.10.020