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Family Engagement During Patient- and Family-Centered Interdisciplinary Rounds in the Adult Intensive Care Unit: A
Dimensions of Critical Care Nursing : DCCN
|September 30, 2025
Summary
Family engagement in critical care rounds improves patient care by fostering transparency and trust. Barriers include logistical challenges and varied perceptions, while clear communication and feasible logistics facilitate family inclusion.
Area of Science:
- Critical Care Medicine
- Patient and Family-Centered Care
- Health Services Research
Background:
- Family engagement in interdisciplinary rounds is a patient- and family-centered approach in critical care.
- This approach is inconsistently practiced in adult intensive care units and remains underresearched.
- Understanding healthcare professionals' perspectives is crucial for integrating family engagement into clinical practice.
Purpose of the Study:
- To explore registered nurses' and physicians' perspectives on current family engagement practices during interdisciplinary rounds.
- To identify feasible approaches for integrating family inclusion and engagement in critical care.
- To determine facilitators and barriers to implementing family-centered interdisciplinary rounds.
Main Methods:
- Qualitative exploratory study using focus groups with 7 critical care providers (4 RNs, 3 physicians).
- Data collected via videoconferencing with structured questions, recorded, and transcribed verbatim.
- Thematic analysis conducted using Braun and Clarke's constructionist and contextualist approach.
Main Results:
- Rounds perceived as "information-giving" to reduce uncertainty and promote transparency.
- Rounds viewed as a "safe space" fostering care, compassion, and trust.
- Barriers include diverse perceptions, logistical difficulties, and anxiety; facilitators are clear, consistent logistics and information.
Conclusions:
- Study deepens understanding of RNs' and physicians' perspectives on family engagement in critical care rounds.
- Findings inform the design of interventions and future randomized controlled trials.
- Results offer a pathway for improved patient outcomes and family experiences through enhanced family engagement.
Keywords:
Critical careFamily engagementFocus groupIntensive care unitQualitative exploratory researchMore Related Videos
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