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Journal article
The implementation and evaluation of a family‐led novel intervention for delirium prevention and management in adult critically ill patients: A mixed‐methods pilot study
Nursing in critical care, Vol.30(4), e13210
2025
PMID: 39617957
Abstract
Background
Family-led interventions have been identified as effective in many areas of care including the management of delirium. However, because of the heterogeneity and ambiguity of family-led interventions, they are not consistently applied within intensive care units. A user-friendly digital intervention may therefore support consistent family integration into delirium management.
Aim
To explore the feasibility and acceptability of a family member's voice reorientation intervention for delirium prevention and management in an adult intensive care unit.
Study Design
Parallel, convergent mixed-methods pilot study was conducted in a general adult intensive care unit in the United Kingdom. Thirty participants (15 patients and 15 family members) were enrolled in the study. For the qualitative component, 17 participants (three patients, six family members and eight nurses) contributed to the evaluation.
Results
The median frequency of the family member's voice reorientation intervention was 2.3 times per day (range 3.3), and the median Richmond Agitation-Sedation Scale score was −1 (range 2.5). Qualitative data revealed seven themes: acceptance of the intervention, communication, delirium awareness, reactions to the intervention, cognitive state, perception of the intensive care unit and psychological well-being.
Conclusion
Nurses can involve family members in person-centred care within the intensive care unit. Results from this study indicate that the family member's voice reorientation programme is feasible and acceptable and may be an effective strategy for providing ongoing orientation, reassurance and comfort to critically ill adult patients to prevent or manage delirium. A larger study is needed to evaluate its impact on delirium.
Relevance for Clinical Practice
The family member's voice reorientation intervention offers critical care nurses a feasible, family-centred approach to support delirium care in the intensive care unit. Integrating this non-invasive tool into practice may enable nurses to enhance patient outcomes, reduce anxiety and strengthen collaboration between patients, families and health care professionals.
Details
- Title
- The implementation and evaluation of a family‐led novel intervention for delirium prevention and management in adult critically ill patients: A mixed‐methods pilot study
- Authors/Creators
- Gideon U. Johnson (Author/Creator) - King's College LondonAmanda Towell-Barnard Dr (Author) - Sir Charles Gairdner HospitalChristopher McLean (Author) - University of SouthamptonBev Ewens (Author) - Edith Cowan University
- Publication Details
- Nursing in critical care, Vol.30(4), e13210
- Publisher
- John Wiley & Sons Ltd on behalf of British Association of Critical Care Nurses.
- Number of pages
- 11
- Identifiers
- 991005858593307891
- Copyright
- © 2024 The Author(s).
- Murdoch Affiliation
- Murdoch University
- Language
- English
- Resource Type
- Journal article
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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
- Nursing
- ESI research areas
- Clinical Medicine