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Journal article
The development of a family-led novel intervention for delirium prevention and management in the adult intensive care unit: A co-design qualitative study
Australian critical care, Vol.38(1), 101088
2025
PMID: 39129064
Abstract
Aim
The aim of this study was to codesign a Family Members’ Voice Reorientation Intervention (FAMVR) for delirium prevention and management in critically ill adult patients through collaborative process with previous patients, families, and clinical staff.
Background
Delirium is a common consequence of intensive care admission, and there is limited evidence to support family-led interventions to prevent or minimise delirium in intensive care. People with lived experience of intensive care are seldom involved in codesigning delirium prevention and management interventions despite the identified benefits of their involvement in delirium care.
Design
Codesign qualitative study.
Methods
The process of co-designing was undertaken using the four stages of the Double Diamond model. Participants included people with lived experience of the intensive care unit, family members, and intensive care clinicians. The codesign approach was utilised, and data were gathered from a series of focus groups and individual interviews. Data were digitally recorded, transcribed verbatim, and analysed using thematic analysis.
Findings
Of the 26 people who indicated their interest in participating, 12 (46%) completed the first and second stages, and nine (35%) completed the third and fourth stages of the Family Members’ Voice Reorientation Intervention development. All participant groups were represented in the fourth stage: patients (n = 4), family members (n = 1), nurses (n = 2), and medical staff (n = 2). Four themes were identified: message content, wording, reactions, and tone, all of which informed the prototype of the intervention and its associated domains.
Conclusion
A codesign approach was important for developing a delirium management intervention. This process enabled participants to provide their feedback in the context of their unique experiences, which in turn enhanced the authenticity and appropriateness of this unique intervention.
Details
- Title
- The development of a family-led novel intervention for delirium prevention and management in the adult intensive care unit: A co-design qualitative study
- Authors/Creators
- Gideon U. Johnson (Author/Creator) - Chelsea and Westminster Hospital NHS Foundation TrustAmanda Towell-Barnard (Author) - Sir Charles Gairdner HospitalChristopher McLean (Author) - University of SouthamptonBev Ewens (Author) - Edith Cowan University
- Publication Details
- Australian critical care, Vol.38(1), 101088
- Publisher
- Elsevier Ltd.
- Number of pages
- 9
- Identifiers
- 991005856088307891
- Copyright
- © 2024 Australian College of Critical Care Nurses Ltd.
- Murdoch Affiliation
- Murdoch University
- Language
- English
- Resource Type
- Journal article
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Source: InCites
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InCites Highlights
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- Collaboration types
- Domestic collaboration
- International collaboration
- Citation topics
- 1 Clinical & Life Sciences
- 1.154 Assisted Ventilation
- 1.154.1403 Delirium
- Web Of Science research areas
- Critical Care Medicine
- Nursing
- ESI research areas
- Clinical Medicine