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Annie Proulx¹, Caroline Arbour², Marie-Pascale Pomey³

¹Infirmière clinicienne, M.Sc, École de Santé Publique de l'Université de Montréal (ESPUM), Centre intégré universitaire de santé et de services sociaux du Nord-de-l'Île-de-Montréal (CIUSSSNIM), Montréal, Canada.

Recherche En Soins Infirmiers

|February 13, 2026

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Involving family caregivers in direct intensive care unit (ICU) care is crucial. This review identified relational, informal, clinical, and political factors influencing family caregiver involvement in ICUs.

Area of Science:

Healthcare
Nursing
Critical Care Medicine

Background:

Family caregiver involvement in intensive care units (ICUs) is recognized as a best practice.
Factors promoting or limiting this involvement require further understanding.

Purpose of the Study:

To identify factors influencing family caregiver involvement in direct care within adult ICUs.
To synthesize existing literature on this topic.

Main Methods:

Rapid literature review of MEDLINE and CINAHL databases.
Included English and French articles published between 2010 and 2021.
Analyzed 25 selected articles (20 primary studies, 5 literature syntheses).

Main Results:

Diverse factors influence family caregiver involvement in ICUs.

Keywords:

active participation care partnership family caregiver implication active intensive care unit partenariat de soins proche aidant rapid review.revue rapide.unité de soins intensifs

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Factors were categorized into relational, informal, clinical, and political domains.

Identified organizational, clinical, and human issues impacting involvement.

Conclusions:

Understanding influencing factors is key to facilitating family caregiver involvement in ICUs.
Recommendations can be developed to improve implementation of this care approach.