A Systematic Review of Family-Centered Intervention Among Critical Ill Patients

Abstract

Background – The Critical Care Unit is services that induce stress physically and psychologically in the long-term for patients and families. Family-centered intervention, resulting in specific family-level interventions into the nursing process, could help deal with those problems.

Objective – This study aimed to review and appraise the Impact of family-centered intervention in the adult critical care unit.

Design – The design was a systematic review of a Randomized Control Trial published in English from beginning to 2020. Three databases: PubMed, Science Direct, and CINAHL. Four independent reviewers were analyzed based on the inclusion and exclusion criteria, followed by the CONSORT, to assess methodological quality. We extracted data from each article as follows: the authors, region, purpose of the study, intervention, duration, sample, instrument, and outcomes. Furthermore, we used JBI to control the risk of bias, followed by the PRISMA to arrange paper. There were twenty-five studies that were included in the analysis.

Result – We extracted 653 articles based on the PRISMA flowchart. We selected relevant studies related to family-centered intervention to improve Intensive Care Unit outcomes. This review found that family-centered intervention used collaborative approaches, including family participation, sharing information, and flexible visitation.

Conclusion - The family-centered intervention was effective in improving family satisfaction, family psychological well-being, and patient Level of Consciousness. The family-centered intervention was an essential part of quality healthcare.

Research limitations– Some limitations were encountered in this study since we only focused on narratively rather than meta-analysis.

Originality/value – This study was the first study from Indonesia, which focused on the family center. Another value of this study was focused on randomized control trials. Aside from that, this study used EndNote to manage references)

Keyword: Family-Centered Care, Adult, Intensive Care Unit