Skip to main content
construction release_alert
Scholars@Duke will be undergoing maintenance April 11-15. Some features may be unavailable during this time.
cancel

Guidelines for Family-Centered Care in the Neonatal, Pediatric, and Adult ICU.

Publication ,  Journal Article
Davidson, JE; Aslakson, RA; Long, AC; Puntillo, KA; Kross, EK; Hart, J; Cox, CE; Wunsch, H; Wickline, MA; Nunnally, ME; Netzer, G; Sprung, CL ...
Published in: Crit Care Med
January 2017

OBJECTIVE: To provide clinicians with evidence-based strategies to optimize the support of the family of critically ill patients in the ICU. METHODS: We used the Council of Medical Specialty Societies principles for the development of clinical guidelines as the framework for guideline development. We assembled an international multidisciplinary team of 29 members with expertise in guideline development, evidence analysis, and family-centered care to revise the 2007 Clinical Practice Guidelines for support of the family in the patient-centered ICU. We conducted a scoping review of qualitative research that explored family-centered care in the ICU. Thematic analyses were conducted to support Population, Intervention, Comparison, Outcome question development. Patients and families validated the importance of interventions and outcomes. We then conducted a systematic review using the Grading of Recommendations, Assessment, Development and Evaluations methodology to make recommendations for practice. Recommendations were subjected to electronic voting with pre-established voting thresholds. No industry funding was associated with the guideline development. RESULTS: The scoping review yielded 683 qualitative studies; 228 were used for thematic analysis and Population, Intervention, Comparison, Outcome question development. The systematic review search yielded 4,158 reports after deduplication and 76 additional studies were added from alerts and hand searches; 238 studies met inclusion criteria. We made 23 recommendations from moderate, low, and very low level of evidence on the topics of: communication with family members, family presence, family support, consultations and ICU team members, and operational and environmental issues. We provide recommendations for future research and work-tools to support translation of the recommendations into practice. CONCLUSIONS: These guidelines identify the evidence base for best practices for family-centered care in the ICU. All recommendations were weak, highlighting the relative nascency of this field of research and the importance of future research to identify the most effective interventions to improve this important aspect of ICU care.

Duke Scholars

Altmetric Attention Stats
Dimensions Citation Stats

Published In

Crit Care Med

DOI

EISSN

1530-0293

Publication Date

January 2017

Volume

45

Issue

1

Start / End Page

103 / 128

Location

United States

Related Subject Headings

  • Professional-Family Relations
  • Patient-Centered Care
  • Intensive Care Units
  • Humans
  • Family Relations
  • Emergency & Critical Care Medicine
  • 4205 Nursing
  • 3202 Clinical sciences
  • 1117 Public Health and Health Services
  • 1110 Nursing
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Davidson, J. E., Aslakson, R. A., Long, A. C., Puntillo, K. A., Kross, E. K., Hart, J., … Curtis, J. R. (2017). Guidelines for Family-Centered Care in the Neonatal, Pediatric, and Adult ICU. Crit Care Med, 45(1), 103–128. https://doi.org/10.1097/CCM.0000000000002169
Davidson, Judy E., Rebecca A. Aslakson, Ann C. Long, Kathleen A. Puntillo, Erin K. Kross, Joanna Hart, Christopher E. Cox, et al. “Guidelines for Family-Centered Care in the Neonatal, Pediatric, and Adult ICU.Crit Care Med 45, no. 1 (January 2017): 103–28. https://doi.org/10.1097/CCM.0000000000002169.
Davidson JE, Aslakson RA, Long AC, Puntillo KA, Kross EK, Hart J, et al. Guidelines for Family-Centered Care in the Neonatal, Pediatric, and Adult ICU. Crit Care Med. 2017 Jan;45(1):103–28.
Davidson, Judy E., et al. “Guidelines for Family-Centered Care in the Neonatal, Pediatric, and Adult ICU.Crit Care Med, vol. 45, no. 1, Jan. 2017, pp. 103–28. Pubmed, doi:10.1097/CCM.0000000000002169.
Davidson JE, Aslakson RA, Long AC, Puntillo KA, Kross EK, Hart J, Cox CE, Wunsch H, Wickline MA, Nunnally ME, Netzer G, Kentish-Barnes N, Sprung CL, Hartog CS, Coombs M, Gerritsen RT, Hopkins RO, Franck LS, Skrobik Y, Kon AA, Scruth EA, Harvey MA, Lewis-Newby M, White DB, Swoboda SM, Cooke CR, Levy MM, Azoulay E, Curtis JR. Guidelines for Family-Centered Care in the Neonatal, Pediatric, and Adult ICU. Crit Care Med. 2017 Jan;45(1):103–128.

Published In

Crit Care Med

DOI

EISSN

1530-0293

Publication Date

January 2017

Volume

45

Issue

1

Start / End Page

103 / 128

Location

United States

Related Subject Headings

  • Professional-Family Relations
  • Patient-Centered Care
  • Intensive Care Units
  • Humans
  • Family Relations
  • Emergency & Critical Care Medicine
  • 4205 Nursing
  • 3202 Clinical sciences
  • 1117 Public Health and Health Services
  • 1110 Nursing