Family Procedural Presence

This is a research study about the effect of a quality improvement policy change regarding
family presence at ICU procedures on family and patient engagement, psychological outcomes
and stress levels in clinicians. In the study, ICU patients, their family members and ICU
clinicians will be surveyed regarding these outcomes, with some surveys obtained prior to a
policy change and a second set during a second time period after policy change. The patients
and family members will be asked survey questions after the procedure and 3 months later.
This study will also evaluate the change in clinician stress related to this policy change,
and clinicians will also answer survey questions.

Inclusion Criteria:

- 18 years old or older

- Able to read & speak English

- Family member of a patient or a patient that has undergone one of these procedures at
any point during the ICU stay (if the procedure occurs from Sunday at 8 am to Friday
at 12 pm): intubation, central line placement, arterial line placement, bronchoscopy,
thoracentesis, chest tube placement, paracentesis and lumbar puncture

- Physician (both attending physicians and trainees) and nurses who work in the ICU
during the study period.

Exclusion Criteria:

- Patients for whom no family member can be identified

- Non-English speaking individuals

- Children (<18 years of age)

- Participants with dementia, psychiatric disorder with psychosis, schizophrenia or
known cognitive dysfunction (established from chart review, report and/or score
greater than or equal to 3 on IQ Code screening).

- Provider who does not want to participate