Journal of pain and symptom management · 2026
The Power of Preparation: A QI Initiative Implementing Structured Pre-meetings in a Pediatric CICU.
СтатьяНазвание и аннотация: Перевод в очереди
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Heneghan Chelsea, Baker Deborah J, Cotnoir Chelsea, Gallagher Christine, Moynihan Katie, Walsh Meghan M, Snaman Jennifer M, Rabinowitz Elliot, D'Aoust Rita
Аннотация
BACKGROUND: Family team meetings (FTMs) support communication in pediatric ICUs, yet teams often lack standardized pre-meeting preparation, limiting effectiveness and consistency.
MEASURES: The project team assessed feasibility (proportion of FTMs using a structured tool), clinician perceived knowledge and attitudes, and clinician and caregiver perceptions of FTM quality, communication, and preparedness.
INTERVENTION: The project team implemented a structured pre-meeting tool with targeted interdisciplinary clinician education in a cardiac ICU.
OUTCOMES: The project team tracked 11 FTMs over 12 weeks. Structured pre-meeting use increased from 0% to 100% and was sustained across all weeks. Clinician perceived knowledge and attitude scores improved (p<0.01). Most clinicians rated the tool as useful and appropriate. All surveyed caregivers reported that meetings met their needs.
CONCLUSIONS: A structured pre-meeting process was feasible, acceptable, and improved clinician preparedness and perceived FTM quality. Standardizing team preparation may support more consistent, high-quality communication with families of critically ill children.
MEASURES: The project team assessed feasibility (proportion of FTMs using a structured tool), clinician perceived knowledge and attitudes, and clinician and caregiver perceptions of FTM quality, communication, and preparedness.
INTERVENTION: The project team implemented a structured pre-meeting tool with targeted interdisciplinary clinician education in a cardiac ICU.
OUTCOMES: The project team tracked 11 FTMs over 12 weeks. Structured pre-meeting use increased from 0% to 100% and was sustained across all weeks. Clinician perceived knowledge and attitude scores improved (p<0.01). Most clinicians rated the tool as useful and appropriate. All surveyed caregivers reported that meetings met their needs.
CONCLUSIONS: A structured pre-meeting process was feasible, acceptable, and improved clinician preparedness and perceived FTM quality. Standardizing team preparation may support more consistent, high-quality communication with families of critically ill children.