Family involvement in the intensive care unit, moving to decision-making and family participation
Intensive and Critical Care Nursing,
Journal Year:
2025,
Volume and Issue:
87, P. 103964 - 103964
Published: Feb. 9, 2025
Language: Английский
Society of Critical Care Medicine Guidelines on Family-Centered Care for Adult ICUs: 2024
Critical Care Medicine,
Journal Year:
2025,
Volume and Issue:
53(2), P. e465 - e482
Published: Feb. 1, 2025
RATIONALE:
For
staff
in
adult
ICUs,
providing
family-centered
care
is
an
essential
skill
that
affects
important
outcomes
for
both
patients
and
families.
The
COVID-19
pandemic
placed
unprecedented
strain
on
of
ICU
families,
practices
family
engagement
support
are
still
adjusting.
OBJECTIVES:
To
review
updated
evidence
provide
clear
recommendations,
spotlight
optimal
post-pandemic.
PANEL
DESIGN:
multiprofessional
guideline
panel
28
individuals,
including
member
partners,
applied
the
processes
described
Society
Critical
Care
Medicine
Standard
Operating
Procedures
Manual
to
develop
publish
evidence-based
recommendations
alignment
with
Grading
Recommendations,
Assessment,
Development,
Evaluation
(GRADE)
approach.
Conflict-of-interest
policies
were
strictly
followed
all
phases
guidelines,
selection,
writing,
voting.
METHODS:
guidelines
consist
four
content
sections:
needs,
communication
support,
clinicians
care.
We
conducted
systematic
reviews
15
Population,
Intervention,
Control,
Outcomes
questions,
organized
among
these
sections,
identify
best
available
evidence.
summarized
assessed
certainty
using
GRADE
used
evidence-to-decision
framework
formulate
as
strong
or
conditional,
practice
statements
where
appropriate.
approved
online
vote
requiring
greater
than
80%
agreement
voting
members
pass.
RESULTS:
Our
issued
17
related
one
recommendation,
14
conditional
two
statements.
reaffirmed
critical
importance
liberalized
presence
default
when
possible
suggested
options
attendance
rounds
participation
bedside
ICUs
families
form
educational
programs;
diaries;
mental
health,
bereavement,
spiritual
support.
structured
training
but
did
not
recommend
against
any
specific
clinician-facing
tools
decision
aids,
based
current
recommended
implement
systematically
reduce
barriers
equitable
delivery
programs
designed
wellbeing
responsible
be
developed.
CONCLUSIONS:
achieved
consensus
regarding
ICUs.
Language: Английский
A Promising New Intervention to Improve the Mental Health of Family Caregivers of Critically Ill Patients
Critical Care Medicine,
Journal Year:
2025,
Volume and Issue:
unknown
Published: Jan. 17, 2025
Department
of
Psychiatry
and
Behavioral
Sciences,
Johns
Hopkins
University
School
Medicine,
Baltimore,
MD.
Dr.
Bienvenu
has
disclosed
that
he
does
not
have
any
potential
conflicts
interest.
Language: Английский
Effect of an intensive care unit virtual reality intervention on relatives´ mental health distress: a multicenter, randomized controlled trial
Critical Care,
Journal Year:
2025,
Volume and Issue:
29(1)
Published: Feb. 5, 2025
Abstract
Background
Relatives
of
intensive
care
unit
(ICU)
patients
often
endure
symptoms
post-traumatic
stress,
anxiety,
and
depression
during
after
treatment
a
family
member’s
hospitalization.
The
aim
this
study
was
to
evaluate
the
effect
ICU-specific
virtual
reality
(ICU-VR)
on
mental
health
among
relatives,
6
months
patient’s
ICU
discharge.
Methods
This
multicenter,
randomized
controlled
trial
included
relatives
who
were
assigned
receive
either
standard
or
plus
ICU-VR,
by
randomizing
patients.
assessed
up
patient
discharge
from
for
depression,
quality
life,
relatives’
understanding
care,
appreciation
ICU-VR.
Results
One
hundred
81
89
80
intervention
control
groups,
respectively.
Relatives’
median
age
48
years
53%
female.
Compared
group,
received
ICU-VR
did
not
experience
decrease
in
stress
(23%
vs.
18%;
p
=
0.99),
anxiety
(22%
30%;
0.35),
(17%
23%;
0.44).
There
no
significant
difference
between
life
(50.2
52.6;
0.51),
physical
(56.1
54.3;
0.16),
groups.
Patients
group
highly
endorsed
(90%),
favoring
it
over
traditional
informational
brochures
majority
(82%)
stated
improved
their
treatment.
Conclusion
significantly
improve
distress
6-months
self-reported
that
Language: Английский
A Different Look at the Family in the Family Participation Program in the ICU Is One of the Factors Influencing the Psychological Outcomes
Farshid Rahimibashar,
No information about this author
Keivan Gohari-Moghadam,
No information about this author
Sara Ashtari
No information about this author
et al.
Critical Care Medicine,
Journal Year:
2024,
Volume and Issue:
52(8), P. e433 - e434
Published: July 15, 2024
Rahimi-Bashar,
Farshid
MD;
Gohari-Moghadam,
Keivan
Ashtari,
Sara
MSc;
Vahedian-Azimi,
Amir
PhD
Author
Information
Language: Английский
The Caregiver Pathway Intervention Can Contribute to Reduced Post-Intensive Care Syndrome Among Family Caregivers of ICU Survivors: A Randomized Controlled Trial
Critical Care Medicine,
Journal Year:
2024,
Volume and Issue:
unknown
Published: Dec. 24, 2024
Objectives:
Explore
short-term
effects
of
“The
Caregiver
Pathway,”
an
intervention
for
family
caregiver
follow-up,
on
Post-Intensive
Care
Syndrome
symptoms
among
families
(PICS-F).
Design:
A
randomized
controlled
trial.
Setting:
medical
ICU
at
a
Norwegian
University
Hospital.
Participants:
One
hundred
ninety-six
caregivers
critically
ill
patients
to
(
n
=
101)
or
control
group
95).
Interventions:
Pathway”
four-step
model
offers
individual
and
structured
including:
1)
mapping
caregivers’
needs
concerns
with
assessment
tool
followed
by
conversation
nurse
within
the
first
days
ICU,
2)
supportive
card
when
leaving
3)
offer
receive
phone
call
after
patient
discharge,
4)
follow-up
3
months.
Measurements
Main
Results:
Data
were
collected
baseline
months
analyzed
using
linear
regression.
No
significant
detected
comparing
all
participants
completing
3-month
outcome
measurements
144).
subgroups
analysis
stratified
survival,
however,
showed
statistically
effect
surviving
stay
receiving
compared
controls.
Caregivers
reported
improved
related
post-traumatic
stress
disorder,
measured
Impact
Event
Scale-Revised
(B
–8.2
[95%
CI,
–14.2
–2.2];
p
0.008),
anxiety
–2.2
–4.0
–0.5];
0.014),
depression
–1.5
–2.9
–0.1];
0.035);
Hospital
Anxiety
Depression
Scale,
subscore
physical
functioning
in
health-related
quality
life
9.7
0.3–19.0];
0.043);
Short
Form
12-Item
Health
Survey;
hope
2.4
0.4–4.3];
0.017)
Herth
Hope
Index.
At
3-month,
did
not
appear
improve
outcomes
nonsurviving
patients.
Conclusions:
was
associated
reduced
PICS-F
Language: Английский
Effect of a Standardized Family Participation Program in the ICU: A Multicenter Stepped-Wedge Cluster Randomized Controlled Trial*
Critical Care Medicine,
Journal Year:
2024,
Volume and Issue:
52(3), P. 505 - 506
Published: Feb. 21, 2024
Neiswanger
Institute
for
Bioethics,
Loyola
University
Stritch
School
of
Medicine,
Chicago,
IL.
*See
also
p.
420.
Dr.
Anderson-Shaw
has
disclosed
that
he
does
not
have
any
potential
conflicts
interest.
Language: Английский
The authors reply:
Critical Care Medicine,
Journal Year:
2024,
Volume and Issue:
52(8), P. e434 - e435
Published: July 15, 2024
Dijkstra,
Boukje
M.
RN,
MSc;
Schoonhoven,
Lisette
PhD;
van
der
Hoeven,
Johannes
G.
MD,
Vloet,
Lilian
C.
PhD
Author
Information
Language: Английский
Understanding Intensive Care Unit Family Caregivers’ Vulnerability to Post-Traumatic Stress Disorder: The Impact of Neurotic Personality Traits, Emotional Suppression, and Perceptions of Unexpected Death
James Gerhart,
No information about this author
Grace Bruins,
No information about this author
Michael Hoerger
No information about this author
et al.
Journal of Palliative Medicine,
Journal Year:
2024,
Volume and Issue:
27(10), P. 1332 - 1338
Published: July 18, 2024
Family
members
of
patients
who
die
in
an
intensive
care
unit
(ICU)
are
at
heightened
risk
post-traumatic
stress
disorder
(PTSD)
symptoms.
Not
all
surrogates
develop
these
symptoms
and
heterogeneity
exists
PTSD
symptom
clusters.
Language: Английский
Engaging family members in nutrition care during recovery from critical illness
Current Opinion in Clinical Nutrition & Metabolic Care,
Journal Year:
2024,
Volume and Issue:
unknown
Published: Dec. 17, 2024
Purpose
of
review
The
delivery
high-quality
personalized
nutrition
care
both
during
ICU
and
throughout
post-ICU
recovery
is
limited
by
multifactorial
barriers.
As
families
are
often
a
present
consistent
resource,
family
engagement
may
help
to
optimize
support
hospitalization
after
from
critical
illness.
In
this
review,
we
summarize
the
evidence
base
for
in
hypothesize
future
roles
play,
illness
trajectory.
Recent
findings
Family
members
be
best
placed
convey
patients’
personal
nutritional
preferences,
premorbid
intake
status,
as
well
promote
minimize
barriers
intake.
an
emerging
concept,
such,
few
studies
have
explored
role
care.
Those
that
do
shown
high
levels
feasibility
but
not
yet
translated
improved
clinical
patient-related
outcomes.
Summary
Further
research
should
identify
how
where
engage
support,
or
advocate
for,
Language: Английский