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Families' View on Primary Nursing in Intensive Care Units - A Cross-Sectional Study
Lars Krüger1,2, Francesco Squiccimarro3, Thomas Mannebach4
1Ruhr University Bochum, Heart and Diabetes Center NRW, Care Directorate, Project and Knowledge Management/Care Development Intensive Care, Bad Oeynhausen, Germany.
Nursing in Critical Care
|July 14, 2026
Summary
Family members reported better information and support for patient recovery with Primary Nursing (PN) compared to Standard Care (SC) in intensive care units (ICUs). Both models showed positive family experiences, indicating effective family-centered care (FCC).
Area of Science:
- Intensive Care Medicine
- Nursing Science
- Patient Experience Research
Background:
- Family-centered care (FCC) is increasingly emphasized in intensive care units (ICUs).
- Primary nursing (PN), a patient-centered model, is hypothesized to facilitate family integration into care.
- Limited research exists on family perspectives of PN in ICUs.
Purpose of the Study:
- To compare family satisfaction with Primary Nursing (PN) versus Standard Care (SC) in ICUs.
- To assess secondary outcomes including nursing framework conditions, physician support, interprofessional collaboration, and hospital environment.
Main Methods:
- A cross-sectional study involving family members of ICU patients.
- Utilized a validated 27-item questionnaire with Likert scales.
- Data analyzed using the Wilcoxon rank test for group comparisons.
Main Results:
- 213 questionnaires were analyzed; 63 in PN and 150 in SC.
- Families in PN reported significantly better information about care measures (p=0.047) and support for patient recovery (p=0.01) compared to SC.
- Nursing conditions, physician support, collaboration, and environmental factors were comparable between groups.
Conclusions:
- Family members reported positive experiences with both PN and SC, with a trend favoring PN.
- Findings suggest that FCC principles are implemented in both nursing models within the studied ICUs.
- Further mixed-methods research is recommended to explore the effects of PN more deeply.
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