“…Ample evidence exists describing the importance that patients and families place on high-quality communication in the ICU (26,27,170,171). Furthermore, additional evidence demonstrates that poor communication can cause patient and family dissatisfaction (162)(163)(164)(165) and even harm in the form of anxiety, depression, symptoms of PTSD and complicated grief (137,166,167,172). Given the importance of high-quality staff-family communication to familycentered outcomes, many investigators have examined communication training programs as an intervention to improve the quality of communication in the ICU setting.…”