A family intervention to reduce delirium in hospitalised ICU patients: A feasibility randomised controlled trial

Mitchell, Marion; Kean, Susanne; Rattray, Janice; Hull, Alastair; Davis, Chelsea; Murfield, Jenny; Aitken, Leanne M.

doi:10.1016/j.iccn.2017.01.001

Cited by 70 publications

(96 citation statements)

References 33 publications

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“…Within the three studies that did report family caregiver's age, the mean age was 63 years. Four of the five studies included participants who had cognitive impairment or dementia in their past medical history. However, the percentage of patients with cognitive impairment or dementia was not consistently reported within these studies.…”

Section: Resultsmentioning

confidence: 99%

“…However, the percentage of patients with cognitive impairment or dementia was not consistently reported within these studies. Four of the five studies used the 3‐Minute Diagnostic Interview for Confusion Assessment Method (3DCAM) or the adapted 3DCAM (CAM‐ICU) to identify days in delirium. All five studies used mean days to identify hospital length of stay.…”

Section: Resultsmentioning

confidence: 99%

“…Four of the five studies compared the duration of delirium using the 3DCAM or CAM‐ICU . The 3DCAM is a cognitive assessment administered daily to identify if delirium present .…”

Section: Resultsmentioning

confidence: 99%

“…All five studies compared the length of hospital stay using number of days. Findings of these studies were combined in a meta‐analysis (95% CI, P ‐value = 0.005, I 2 0%).…”

Section: Resultsmentioning

confidence: 99%

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Family intervention improves outcomes for patients with delirium: Systematic review and meta‐analysis

McKenzie

Joy

2019

Australas J Ageing

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Objective To determine if family caregiver involvement in interventions with patients with delirium improves patient outcomes. Methods A search of three databases (Medline‐Ovid, CINAHL and Embase) was conducted. Eligibility criteria included adult patients and involvement of family caregivers in any delirium intervention. Data were extracted from each study (determined by PEDro scale) using a customised form. A meta‐analysis was undertaken which compared the length of hospital stay and duration of delirium. PROSPERO registration number is CRD42017077650. Results Five studies involving 505 participants published over a 5‐year period were suitable for inclusion. Low‐level evidence demonstrated family caregiver involvement may reduce caregiver's anxiety and hospital staff viewed administration of education to family caregivers as efficient. Meta‐analysis suggested family interventions reduce length of hospital stay for patients with delirium. It remains unclear if it affects the duration of delirium. Conclusion Family caregivers providing interventions to patients with delirium can improve patient outcomes.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

“…Four of the five studies compared the duration of delirium using the 3DCAM or CAM‐ICU . The 3DCAM is a cognitive assessment administered daily to identify if delirium present .…”

Section: Resultsmentioning

confidence: 99%

“…All five studies compared the length of hospital stay using number of days. Findings of these studies were combined in a meta‐analysis (95% CI, P ‐value = 0.005, I 2 0%).…”

Section: Resultsmentioning

confidence: 99%

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Family intervention improves outcomes for patients with delirium: Systematic review and meta‐analysis

McKenzie

Joy

2019

Australas J Ageing

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“…The few researchers that have investigated the integration of family caregivers in care have underscored or evidenced that family caregivers can play a major role in preventing delirium (Bull et al, ; Martins, Conceição, Paiva, Simões, & Fernandes, ; Mitchell et al, ; Rosenbloom & Fick, ; Steis et al, ), particularly by handling certain aspects of care (e.g., comfort, orientation, reassurance). This collaboration has been found to be beneficial to family caregivers, who have reported a higher level of perceived support and respect from nurses (Al‐Mutair, Plummer, O'brien, & Clerehan, ; Mitchell, Chaboyer, Burmeister, & Foster, ).…”

Section: Discussionmentioning

confidence: 99%

Understanding the integration of family caregivers in delirium prevention care for hospitalized older adults: A case study protocol

Cohen

Pereira

Kampel

et al. 2019

Journal of Advanced Nursing

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Aim To understand family caregiver involvement in delirium prevention care for older adults hospitalized for orthopaedic surgery hospitals and family caregiver integration by nurses. Design Multiple‐case study. Methods The model of Care Partner Engagement was selected as theoretical framework. Eight cases will comprise an older adult hospitalized a family caregiver and a ward nurse. They will be recruited with a non‐probability sampling on two orthopaedic surgery wards in two hospitals. Semi‐structured interviews with participants will be audiotaped. Sociodemographic data will be collected. These data, researcher field notes and interview transcripts will be subjected to within‐ and across‐case thematic analysis. Regional ethics committee approved the study protocol in August 2018. Discussion The study will allow surgical nursing teams to gain a better understanding of the issues and possibilities regarding family caregiver integration in delirium prevention care for older adults.

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A focused ethnography of the culture of inclusive caring practice in the intensive care unit

Al-Shamaly¹

2021

Nursing Open

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The concept "caring" is complex. Numerous theoretical and operational perspectives of caring within the context of nursing have emerged. The ongoing discussion about what constitutes caring within nursing practice domains is nowhere more evident than in the adult ICU specialization, where humanistic caring is juxtaposed with advanced technology. Caring in ICU has been discussed in terms of one entity as the patient (Cutler et al., 2013), their family (Mackie et al., 2017), nurses (Hales et al., 2018), health professionals (Handberg & Voss, 2018) or a couple of entities such as patients and nurses (Happ et al., 2014). However, ICU is not limited to caring for patients, their families and nursing staff. This study examines the multidimensional inclusive nature of caring in ICU. | BACKG ROU N DSeveral authors discussed different caring ICU entities from various perspectives, including patients' perspectives and experiences of care (Cutler et al., 2013), patients' descriptions of the art of nursing (Gramling, 2004), and patients' perceptions of nursing care qual-

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A family intervention to reduce delirium in hospitalised ICU patients: A feasibility randomised controlled trial

Abstract: The study was able to recruit, randomise and retain family member participants. Further strategies are required to assess intervention fidelity and improve data collection.

Cited by 70 publications

References 33 publications

Family intervention improves outcomes for patients with delirium: Systematic review and meta‐analysis

Family intervention improves outcomes for patients with delirium: Systematic review and meta‐analysis

Understanding the integration of family caregivers in delirium prevention care for hospitalized older adults: A case study protocol

A focused ethnography of the culture of inclusive caring practice in the intensive care unit

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