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Family Support Strategies During Intensive Care Unit: A Systematic Review.

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Summary
This summary is machine-generated.

Family-centered nursing interventions significantly reduce psychological distress and improve communication for families of intensive care unit (ICU) patients. These structured approaches enhance emotional support and decision-making during critical care.

Keywords:
decision makingfamily-centered careintensive care unitsnursing caresystematic review

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Area of Science:

  • Nursing
  • Critical Care Medicine
  • Psychology

Background:

  • Family members of critically ill patients in intensive care units (ICUs) face significant psychological distress.
  • Uncertainty and fear of adverse outcomes are primary stressors for ICU families.
  • Structured nursing interventions may alleviate these challenges through emotional support and improved communication.

Purpose of the Study:

  • To systematically review the effectiveness of nursing interventions compared to standard care.
  • To assess impacts on communication with healthcare professionals, decision-making support, and emotional attachment for adult ICU patient families.

Main Methods:

  • Systematic review adhering to PRISMA 2020 guidelines.
  • Comprehensive literature search (PubMed, Scopus, CINAHL, SciELO, Web of Science, 2015-2025).
  • Quality appraisal using Johns Hopkins EBP Model and ROB 2 tool; narrative synthesis of outcomes.

Main Results:

  • Eighteen studies included diverse populations, predominantly female.
  • Interventions included structured communication, open visitation, family involvement, and technology-assisted approaches.
  • These interventions increased family satisfaction and reduced psychological distress.

Conclusions:

  • Family-centered nursing interventions effectively address emotional and informational needs of ICU families.
  • Variability in design, small sample sizes, and moderate bias limit generalizability.
  • Further high-quality, mixed-methods studies are recommended to strengthen evidence.