Family Preparation Study For Withdrawal of Mechanical Ventilation From Their Family Member
| Status: | Completed |
|---|---|
| Conditions: | Hospital |
| Therapuetic Areas: | Other |
| Healthy: | No |
| Age Range: | 18 - Any |
| Updated: | 4/21/2016 |
| Start Date: | October 2003 |
| End Date: | February 2007 |
Evaluating the Usefulness of Preparing Families For Withdrawal of Mechanical Ventilation From Their Family Member: A Pilot Study
Using the self-regulation theory, an intervention to prepare families for that experience
was developed. This study will assess the impact of the intervention on a family's
evaluation of their preparation and their short-term coping. The site used for this study
will be the Trauma and Life Support Center (TLC), University of Wisconsin (UW) Hospital.
After a decision has been made to withdraw life support, a member of the TLC staff will
approach the next of kin of the patient to inform him/her about the study and inquire about
his/her interest to participate. Using an experimental design, 10 family members will be
assigned to the control group and 10 to the intervention group. Upon agreement, a research
nurse will use a "coin toss method" for group assignment of the subjects until there are ten
in each group. Experimental group subjects will receive the intervention after the family
meeting. Demographics of the next of kin will be collected at this time. Patient information
such as demographics, diagnosis, and time of withdrawal and death will be collected too. Two
to four weeks after death, a telephone interview will be conducted with the next of kin
using the "Evaluation of the Experience of Withdrawal" questionnaire and the Profile of Mood
State - shortened version.
Potential benefits are that the families will be prepared for the experience of the dying
patient, which will help them cope better during withdrawal and after their loss. There are
no major risks to the subjects but there might be an increase in psychological distress.
was developed. This study will assess the impact of the intervention on a family's
evaluation of their preparation and their short-term coping. The site used for this study
will be the Trauma and Life Support Center (TLC), University of Wisconsin (UW) Hospital.
After a decision has been made to withdraw life support, a member of the TLC staff will
approach the next of kin of the patient to inform him/her about the study and inquire about
his/her interest to participate. Using an experimental design, 10 family members will be
assigned to the control group and 10 to the intervention group. Upon agreement, a research
nurse will use a "coin toss method" for group assignment of the subjects until there are ten
in each group. Experimental group subjects will receive the intervention after the family
meeting. Demographics of the next of kin will be collected at this time. Patient information
such as demographics, diagnosis, and time of withdrawal and death will be collected too. Two
to four weeks after death, a telephone interview will be conducted with the next of kin
using the "Evaluation of the Experience of Withdrawal" questionnaire and the Profile of Mood
State - shortened version.
Potential benefits are that the families will be prepared for the experience of the dying
patient, which will help them cope better during withdrawal and after their loss. There are
no major risks to the subjects but there might be an increase in psychological distress.
Inclusion Criteria:
- Next of kin of a patient who will have withdrawal of life support
- Participant must be 18 years of age or older and read, write, and speak English
Exclusion Criteria:
- Family is unusually highly emotional
- Patient will be a living donor
- Patient is conscious
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