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The Society of Critical Care Medicine

Keywords:
Post–intensive care syndromefamilyfamily-centered care theoryintensive care

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Area of Science:

  • Critical Care Nursing
  • Family-Centered Care
  • Intensive Care Unit (ICU) Practices

Background:

  • The Society of Critical Care Medicine (SCCM) has issued updated guidelines for family care in neonatal, pediatric, and adult ICUs.
  • Implementing these recommendations into clinical practice requires effective strategies.
  • A theoretical framework can support the adoption of these family care guidelines.

Purpose of the Study:

  • To explore the utility of facilitated sensemaking as a theoretical framework for implementing SCCM family care recommendations.
  • To identify how nurses can utilize facilitated sensemaking to integrate SCCM guidelines into ICU practice.

Main Methods:

  • The study proposes facilitated sensemaking, a mid-range theory derived from the same literature underpinning the SCCM guidelines.
  • This theory focuses on developing caring relationships, promoting family presence, and enhancing family engagement.
  • Key components include supporting family communication, information access, and shared decision-making.

Main Results:

  • Facilitated sensemaking provides a practical approach for nurses to adopt SCCM recommendations.
  • It emphasizes building connections, ensuring family presence, and empowering families.
  • Strategies include improving communication, information sharing, and family involvement in care decisions.

Conclusions:

  • Facilitated sensemaking offers a valuable theoretical basis for translating SCCM family care recommendations into practice.
  • Nurses can leverage this framework to foster a more supportive and engaging environment for families in ICUs.
  • Successful implementation hinges on nurturing relationships, presence, communication, and shared decision-making.