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Systematic review of family engagement interventions in neonatal, paediatric, and adult ICUs

dc.contributor.authorMcAndrew, Natalie S.
dc.contributor.authorJerofke-Owen, Teresa
dc.contributor.authorFortney, Christine A.
dc.contributor.authorCosta, Deena K.
dc.contributor.authorHetland, Breanna
dc.contributor.authorGuttormson, Jill
dc.contributor.authorHarding, Eric
dc.date.accessioned2022-06-01T20:30:25Z
dc.date.available2023-06-01 16:30:23en
dc.date.available2022-06-01T20:30:25Z
dc.date.issued2022-05
dc.identifier.citationMcAndrew, Natalie S.; Jerofke-Owen, Teresa ; Fortney, Christine A.; Costa, Deena K.; Hetland, Breanna; Guttormson, Jill; Harding, Eric (2022). "Systematic review of family engagement interventions in neonatal, paediatric, and adult ICUs." Nursing in Critical Care 27(3): 296-325.
dc.identifier.issn1362-1017
dc.identifier.issn1478-5153
dc.identifier.urihttps://hdl.handle.net/2027.42/172837
dc.description.abstractAims and objectivesThe purpose of this systematic review was to evaluate interventions that have been used to engage families in direct care activities (active family engagement) in adult, paediatric, and neonatal intensive care unit (ICU) settings.BackgroundFamily engagement is universally advocated across ICU populations and practice settings; however, appraisal of the active family engagement intervention literature remains limited.Search strategyOvid Medline, PsycArticles & PsycInfo, Scopus, and CINAHL were searched for family interventions that involved direct care of the patient to enhance the psychological, physical, or emotional well-being of the patient or family in neonatal, paediatric, or adult ICUs.Inclusion/exclusion criteriaStudies were included if an active family engagement intervention was evaluated. Studies were excluded if they were not published in English or reported non-interventional research.ResultsA total of 6210 abstracts were screened and 19 studies were included. Most studies were of low to moderate quality and were conducted in neonatal ICUs within the United States. Intervention dosage and frequency varied widely across studies. The interventions focused on developmental care (neonatal ICU) and involved families in basic patient care. Family member outcomes measured included satisfaction, stress, family-centred care, confidence, anxiety, and depression. Most studies found improvements in one or more outcomes.ConclusionsThere is a paucity of literature about active family engagement interventions, especially in adult and paediatric populations. The optimal dosage and frequency of family engagement interventions remains unknown. Our systematic review found that data are limited on the relationship between family engagement and patient outcomes, and provides a timely appraisal to guide future research.Relevance to Clinical PracticeFurther research on the efficacy of family engagement interventions is warranted. The translation of active family engagement interventions into clinical practice should also be supported.
dc.publisherWiley Periodicals, Inc.
dc.publisherBlackwell Publishing Ltd
dc.subject.otherfamily-centred care
dc.subject.otherrole of family in ICU
dc.subject.otherfamily care in critical care
dc.subject.otherfamily engagement
dc.subject.otherfamily involvement
dc.subject.otherintensive care
dc.titleSystematic review of family engagement interventions in neonatal, paediatric, and adult ICUs
dc.typeArticle
dc.rights.robotsIndexNoFollow
dc.description.peerreviewedPeer Reviewed
dc.description.bitstreamurlhttp://deepblue.lib.umich.edu/bitstream/2027.42/172837/1/nicc12564_am.pdf
dc.description.bitstreamurlhttp://deepblue.lib.umich.edu/bitstream/2027.42/172837/2/nicc12564.pdf
dc.identifier.doi10.1111/nicc.12564
dc.identifier.sourceNursing in Critical Care
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dc.working.doiNOen
dc.owningcollnameInterdisciplinary and Peer-Reviewed


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