Trial reportAmerican journal of critical care : an official publication, American Association of Critical-Care Nurses2016
The Family Navigator: A Pilot Intervention to Support Intensive Care Unit Family Surrogates.
Open access · greenAbstract readRandomized Controlled Trial
In one paragraph
Trial report in American journal of critical care : an official publication, American Association of Critical-Care Nurses, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 8 of them syntheses that pooled it.
0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 8 pooled it
5.7field-weighted citation impact, top 4% of its field
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
25 citing papers in PubMed, 8 syntheses or guidelines pooled it, 60 citations in OpenAlex.
- Characteristics and Effectiveness of Nurse-Led Family Communication Interventions in the ICU: A Systematic Review and Meta-Analysis.Critical care medicine · 2026Pooled it
- Society of Critical Care Medicine Guidelines on Family-Centered Care for Adult ICUs: 2024.Critical care medicine · 2025Guideline
- Recruitment and Retention Strategies for Randomized Clinical Trials Involving Family Members of ICU Patients.Critical care explorations · 2024Pooled it
- Do Interventions Improve Symptoms Among ICU Surrogates Facing End-of-Life Decisions? A Prognostically-Enriched Systematic Review and Meta-Analysis.Critical care medicine · 2022Pooled it
- Nursing interventions to cover patients' basic needs in the intensive care context - A systematic review.Nursing open · 2022Pooled it
- Association of Surrogate Decision-making Interventions for Critically Ill Adults With Patient, Family, and Resource Use Outcomes: A Systematic Review and Meta-analysis.JAMA network open · 2019Pooled it
- Information or education interventions for adult intensive care unit (ICU) patients and their carers.The Cochrane database of systematic reviews · 2018Pooled it
- Family Support Strategies During Intensive Care Unit: A Systematic Review.Inquiry : a journal of medical care organization, provision and financingPooled it
- The Development, Acceptability and Suitability of an Information and Well-Being Booklet for Family Members of Intensive Care Unit Patients.Nursing in critical care · 2026Article
- Patient and family experiences of sedation in an urban academic tertiary-level intensive care unit in Canada: a qualitative study.BMJ open · 2026Article
- The effect of shared decision-making for critically ill patients: a systematic review and meta-analysis.Frontiers in medicine · 2026Review
- Navigating Uncertainty: Family Experiences and Coping Strategies During Critical Care Hospitalisation: A Descriptive Qualitative Study.Nursing in critical care · 2025Article
- Difficulties in Communicating Between Nurses and Relatives of Patients Admitted to Intensive Care Units: A Scoping Review.Nursing in critical care · 2025Article
- Perspectives on Implementing a Communication Facilitator Intervention From a Critical Care Setting.Journal of pain and symptom management · 2025Article
- The Japanese Clinical Practice Guidelines for Management of Sepsis and Septic Shock 2024.Journal of intensive care · 2025Article
- How good are we at reporting the socioeconomic position, ethnicity, race, religion and main language of research participants? A review of the quality of reporting in palliative care intervention studies.Palliative medicine · 2024Review
- Article
- Nurse perceptions of a nurse family liaison implemented during the COVID-19 pandemic: A qualitative thematic analysis.Intensive & critical care nursing · 2022Article
- Making Family-Centered Care for Adults in the ICU a Reality.Frontiers in psychiatry · 2022Article
- In-hospital interventions to promote relational practice with families in acute care settings: A scoping review.Health SA = SA Gesondheid · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
11 authors at 2 institutions in 1 country.
Alexia M TorkeAlexia M. Torke is a scientist, Indiana University (IU) Center for Aging Research, Regenstrief Institute, Inc, an associate professor, IU School of Medicine, fellowship director, Charles Warren Fairbanks Center for Medical Ethics (FCME), IU Health, and a core faculty, IU Purdue University Indianapolis (IUPUI) Research in Palliative and End of Life Communication and Training (RESPECT) Center, Indianapolis, Indiana. Lucia D. Wocial is a nurse ethicist, FCME, IU Health, a core faculty, IUPUI RESPECT Center, and an adjunct assistant professor, IU School of Nursing, Indianapolis, Indiana. Shelley A. Johns is an assistant professor, IU School of Medicine, an affiliate faculty, FCME, IU Health, a core faculty, IUPUI RESPECT Center, and a scientist, Regenstrief Institute, Inc. Greg A. Sachs is a scientist, IU Center for Aging Research, Regenstrief Institute, Inc, chief, Division of General Internal Medicine and Geriatrics, IU School of Medicine, and co-director, IUPUI RESPECT Center. Christopher M. Callahan is a scientist, IU Center for Aging Research, Regenstrief Institute, Inc, and a professor of medicine, IU School of Medicine. Gabriel T. Bosslet is an assistant professor of clinical medicine, IU School of Medicine, an affiliate faculty, FCME, IU Health, and a core faculty, IUPUI RESPECT Center. James E. Slaven is a biostatistician, Department of Biostatistics, IU School of Medicine. Susan M. Perkins is a core faculty, IUPUI RESPECT Center and a professor, Department of Biostatistics, IU School of Medicine. Susan E. Hickman is a senior affiliate faculty, FCME, IU Health, co-director, IUPUI RESPECT Center, and a professor, IU School of Nursing. Kianna Montz is a research coordinator and Emily Burke is a research specialist, IU Center for Aging Research, Regenstrief Institute, Inc. atorke@iu.edu.
Lucia D WocialAlexia M. Torke is a scientist, Indiana University (IU) Center for Aging Research, Regenstrief Institute, Inc, an associate professor, IU School of Medicine, fellowship director, Charles Warren Fairbanks Center for Medical Ethics (FCME), IU Health, and a core faculty, IU Purdue University Indianapolis (IUPUI) Research in Palliative and End of Life Communication and Training (RESPECT) Center, Indianapolis, Indiana. Lucia D. Wocial is a nurse ethicist, FCME, IU Health, a core faculty, IUPUI RESPECT Center, and an adjunct assistant professor, IU School of Nursing, Indianapolis, Indiana. Shelley A. Johns is an assistant professor, IU School of Medicine, an affiliate faculty, FCME, IU Health, a core faculty, IUPUI RESPECT Center, and a scientist, Regenstrief Institute, Inc. Greg A. Sachs is a scientist, IU Center for Aging Research, Regenstrief Institute, Inc, chief, Division of General Internal Medicine and Geriatrics, IU School of Medicine, and co-director, IUPUI RESPECT Center. Christopher M. Callahan is a scientist, IU Center for Aging Research, Regenstrief Institute, Inc, and a professor of medicine, IU School of Medicine. Gabriel T. Bosslet is an assistant professor of clinical medicine, IU School of Medicine, an affiliate faculty, FCME, IU Health, and a core faculty, IUPUI RESPECT Center. James E. Slaven is a biostatistician, Department of Biostatistics, IU School of Medicine. Susan M. Perkins is a core faculty, IUPUI RESPECT Center and a professor, Department of Biostatistics, IU School of Medicine. Susan E. Hickman is a senior affiliate faculty, FCME, IU Health, co-director, IUPUI RESPECT Center, and a professor, IU School of Nursing. Kianna Montz is a research coordinator and Emily Burke is a research specialist, IU Center for Aging Research, Regenstrief Institute, Inc.
Shelley A JohnsAlexia M. Torke is a scientist, Indiana University (IU) Center for Aging Research, Regenstrief Institute, Inc, an associate professor, IU School of Medicine, fellowship director, Charles Warren Fairbanks Center for Medical Ethics (FCME), IU Health, and a core faculty, IU Purdue University Indianapolis (IUPUI) Research in Palliative and End of Life Communication and Training (RESPECT) Center, Indianapolis, Indiana. Lucia D. Wocial is a nurse ethicist, FCME, IU Health, a core faculty, IUPUI RESPECT Center, and an adjunct assistant professor, IU School of Nursing, Indianapolis, Indiana. Shelley A. Johns is an assistant professor, IU School of Medicine, an affiliate faculty, FCME, IU Health, a core faculty, IUPUI RESPECT Center, and a scientist, Regenstrief Institute, Inc. Greg A. Sachs is a scientist, IU Center for Aging Research, Regenstrief Institute, Inc, chief, Division of General Internal Medicine and Geriatrics, IU School of Medicine, and co-director, IUPUI RESPECT Center. Christopher M. Callahan is a scientist, IU Center for Aging Research, Regenstrief Institute, Inc, and a professor of medicine, IU School of Medicine. Gabriel T. Bosslet is an assistant professor of clinical medicine, IU School of Medicine, an affiliate faculty, FCME, IU Health, and a core faculty, IUPUI RESPECT Center. James E. Slaven is a biostatistician, Department of Biostatistics, IU School of Medicine. Susan M. Perkins is a core faculty, IUPUI RESPECT Center and a professor, Department of Biostatistics, IU School of Medicine. Susan E. Hickman is a senior affiliate faculty, FCME, IU Health, co-director, IUPUI RESPECT Center, and a professor, IU School of Nursing. Kianna Montz is a research coordinator and Emily Burke is a research specialist, IU Center for Aging Research, Regenstrief Institute, Inc.
Greg A SachsAlexia M. Torke is a scientist, Indiana University (IU) Center for Aging Research, Regenstrief Institute, Inc, an associate professor, IU School of Medicine, fellowship director, Charles Warren Fairbanks Center for Medical Ethics (FCME), IU Health, and a core faculty, IU Purdue University Indianapolis (IUPUI) Research in Palliative and End of Life Communication and Training (RESPECT) Center, Indianapolis, Indiana. Lucia D. Wocial is a nurse ethicist, FCME, IU Health, a core faculty, IUPUI RESPECT Center, and an adjunct assistant professor, IU School of Nursing, Indianapolis, Indiana. Shelley A. Johns is an assistant professor, IU School of Medicine, an affiliate faculty, FCME, IU Health, a core faculty, IUPUI RESPECT Center, and a scientist, Regenstrief Institute, Inc. Greg A. Sachs is a scientist, IU Center for Aging Research, Regenstrief Institute, Inc, chief, Division of General Internal Medicine and Geriatrics, IU School of Medicine, and co-director, IUPUI RESPECT Center. Christopher M. Callahan is a scientist, IU Center for Aging Research, Regenstrief Institute, Inc, and a professor of medicine, IU School of Medicine. Gabriel T. Bosslet is an assistant professor of clinical medicine, IU School of Medicine, an affiliate faculty, FCME, IU Health, and a core faculty, IUPUI RESPECT Center. James E. Slaven is a biostatistician, Department of Biostatistics, IU School of Medicine. Susan M. Perkins is a core faculty, IUPUI RESPECT Center and a professor, Department of Biostatistics, IU School of Medicine. Susan E. Hickman is a senior affiliate faculty, FCME, IU Health, co-director, IUPUI RESPECT Center, and a professor, IU School of Nursing. Kianna Montz is a research coordinator and Emily Burke is a research specialist, IU Center for Aging Research, Regenstrief Institute, Inc.
Christopher M CallahanAlexia M. Torke is a scientist, Indiana University (IU) Center for Aging Research, Regenstrief Institute, Inc, an associate professor, IU School of Medicine, fellowship director, Charles Warren Fairbanks Center for Medical Ethics (FCME), IU Health, and a core faculty, IU Purdue University Indianapolis (IUPUI) Research in Palliative and End of Life Communication and Training (RESPECT) Center, Indianapolis, Indiana. Lucia D. Wocial is a nurse ethicist, FCME, IU Health, a core faculty, IUPUI RESPECT Center, and an adjunct assistant professor, IU School of Nursing, Indianapolis, Indiana. Shelley A. Johns is an assistant professor, IU School of Medicine, an affiliate faculty, FCME, IU Health, a core faculty, IUPUI RESPECT Center, and a scientist, Regenstrief Institute, Inc. Greg A. Sachs is a scientist, IU Center for Aging Research, Regenstrief Institute, Inc, chief, Division of General Internal Medicine and Geriatrics, IU School of Medicine, and co-director, IUPUI RESPECT Center. Christopher M. Callahan is a scientist, IU Center for Aging Research, Regenstrief Institute, Inc, and a professor of medicine, IU School of Medicine. Gabriel T. Bosslet is an assistant professor of clinical medicine, IU School of Medicine, an affiliate faculty, FCME, IU Health, and a core faculty, IUPUI RESPECT Center. James E. Slaven is a biostatistician, Department of Biostatistics, IU School of Medicine. Susan M. Perkins is a core faculty, IUPUI RESPECT Center and a professor, Department of Biostatistics, IU School of Medicine. Susan E. Hickman is a senior affiliate faculty, FCME, IU Health, co-director, IUPUI RESPECT Center, and a professor, IU School of Nursing. Kianna Montz is a research coordinator and Emily Burke is a research specialist, IU Center for Aging Research, Regenstrief Institute, Inc.
Gabriel T BossletAlexia M. Torke is a scientist, Indiana University (IU) Center for Aging Research, Regenstrief Institute, Inc, an associate professor, IU School of Medicine, fellowship director, Charles Warren Fairbanks Center for Medical Ethics (FCME), IU Health, and a core faculty, IU Purdue University Indianapolis (IUPUI) Research in Palliative and End of Life Communication and Training (RESPECT) Center, Indianapolis, Indiana. Lucia D. Wocial is a nurse ethicist, FCME, IU Health, a core faculty, IUPUI RESPECT Center, and an adjunct assistant professor, IU School of Nursing, Indianapolis, Indiana. Shelley A. Johns is an assistant professor, IU School of Medicine, an affiliate faculty, FCME, IU Health, a core faculty, IUPUI RESPECT Center, and a scientist, Regenstrief Institute, Inc. Greg A. Sachs is a scientist, IU Center for Aging Research, Regenstrief Institute, Inc, chief, Division of General Internal Medicine and Geriatrics, IU School of Medicine, and co-director, IUPUI RESPECT Center. Christopher M. Callahan is a scientist, IU Center for Aging Research, Regenstrief Institute, Inc, and a professor of medicine, IU School of Medicine. Gabriel T. Bosslet is an assistant professor of clinical medicine, IU School of Medicine, an affiliate faculty, FCME, IU Health, and a core faculty, IUPUI RESPECT Center. James E. Slaven is a biostatistician, Department of Biostatistics, IU School of Medicine. Susan M. Perkins is a core faculty, IUPUI RESPECT Center and a professor, Department of Biostatistics, IU School of Medicine. Susan E. Hickman is a senior affiliate faculty, FCME, IU Health, co-director, IUPUI RESPECT Center, and a professor, IU School of Nursing. Kianna Montz is a research coordinator and Emily Burke is a research specialist, IU Center for Aging Research, Regenstrief Institute, Inc.
James E SlavenAlexia M. Torke is a scientist, Indiana University (IU) Center for Aging Research, Regenstrief Institute, Inc, an associate professor, IU School of Medicine, fellowship director, Charles Warren Fairbanks Center for Medical Ethics (FCME), IU Health, and a core faculty, IU Purdue University Indianapolis (IUPUI) Research in Palliative and End of Life Communication and Training (RESPECT) Center, Indianapolis, Indiana. Lucia D. Wocial is a nurse ethicist, FCME, IU Health, a core faculty, IUPUI RESPECT Center, and an adjunct assistant professor, IU School of Nursing, Indianapolis, Indiana. Shelley A. Johns is an assistant professor, IU School of Medicine, an affiliate faculty, FCME, IU Health, a core faculty, IUPUI RESPECT Center, and a scientist, Regenstrief Institute, Inc. Greg A. Sachs is a scientist, IU Center for Aging Research, Regenstrief Institute, Inc, chief, Division of General Internal Medicine and Geriatrics, IU School of Medicine, and co-director, IUPUI RESPECT Center. Christopher M. Callahan is a scientist, IU Center for Aging Research, Regenstrief Institute, Inc, and a professor of medicine, IU School of Medicine. Gabriel T. Bosslet is an assistant professor of clinical medicine, IU School of Medicine, an affiliate faculty, FCME, IU Health, and a core faculty, IUPUI RESPECT Center. James E. Slaven is a biostatistician, Department of Biostatistics, IU School of Medicine. Susan M. Perkins is a core faculty, IUPUI RESPECT Center and a professor, Department of Biostatistics, IU School of Medicine. Susan E. Hickman is a senior affiliate faculty, FCME, IU Health, co-director, IUPUI RESPECT Center, and a professor, IU School of Nursing. Kianna Montz is a research coordinator and Emily Burke is a research specialist, IU Center for Aging Research, Regenstrief Institute, Inc.
Susan M PerkinsAlexia M. Torke is a scientist, Indiana University (IU) Center for Aging Research, Regenstrief Institute, Inc, an associate professor, IU School of Medicine, fellowship director, Charles Warren Fairbanks Center for Medical Ethics (FCME), IU Health, and a core faculty, IU Purdue University Indianapolis (IUPUI) Research in Palliative and End of Life Communication and Training (RESPECT) Center, Indianapolis, Indiana. Lucia D. Wocial is a nurse ethicist, FCME, IU Health, a core faculty, IUPUI RESPECT Center, and an adjunct assistant professor, IU School of Nursing, Indianapolis, Indiana. Shelley A. Johns is an assistant professor, IU School of Medicine, an affiliate faculty, FCME, IU Health, a core faculty, IUPUI RESPECT Center, and a scientist, Regenstrief Institute, Inc. Greg A. Sachs is a scientist, IU Center for Aging Research, Regenstrief Institute, Inc, chief, Division of General Internal Medicine and Geriatrics, IU School of Medicine, and co-director, IUPUI RESPECT Center. Christopher M. Callahan is a scientist, IU Center for Aging Research, Regenstrief Institute, Inc, and a professor of medicine, IU School of Medicine. Gabriel T. Bosslet is an assistant professor of clinical medicine, IU School of Medicine, an affiliate faculty, FCME, IU Health, and a core faculty, IUPUI RESPECT Center. James E. Slaven is a biostatistician, Department of Biostatistics, IU School of Medicine. Susan M. Perkins is a core faculty, IUPUI RESPECT Center and a professor, Department of Biostatistics, IU School of Medicine. Susan E. Hickman is a senior affiliate faculty, FCME, IU Health, co-director, IUPUI RESPECT Center, and a professor, IU School of Nursing. Kianna Montz is a research coordinator and Emily Burke is a research specialist, IU Center for Aging Research, Regenstrief Institute, Inc.
Susan E HickmanAlexia M. Torke is a scientist, Indiana University (IU) Center for Aging Research, Regenstrief Institute, Inc, an associate professor, IU School of Medicine, fellowship director, Charles Warren Fairbanks Center for Medical Ethics (FCME), IU Health, and a core faculty, IU Purdue University Indianapolis (IUPUI) Research in Palliative and End of Life Communication and Training (RESPECT) Center, Indianapolis, Indiana. Lucia D. Wocial is a nurse ethicist, FCME, IU Health, a core faculty, IUPUI RESPECT Center, and an adjunct assistant professor, IU School of Nursing, Indianapolis, Indiana. Shelley A. Johns is an assistant professor, IU School of Medicine, an affiliate faculty, FCME, IU Health, a core faculty, IUPUI RESPECT Center, and a scientist, Regenstrief Institute, Inc. Greg A. Sachs is a scientist, IU Center for Aging Research, Regenstrief Institute, Inc, chief, Division of General Internal Medicine and Geriatrics, IU School of Medicine, and co-director, IUPUI RESPECT Center. Christopher M. Callahan is a scientist, IU Center for Aging Research, Regenstrief Institute, Inc, and a professor of medicine, IU School of Medicine. Gabriel T. Bosslet is an assistant professor of clinical medicine, IU School of Medicine, an affiliate faculty, FCME, IU Health, and a core faculty, IUPUI RESPECT Center. James E. Slaven is a biostatistician, Department of Biostatistics, IU School of Medicine. Susan M. Perkins is a core faculty, IUPUI RESPECT Center and a professor, Department of Biostatistics, IU School of Medicine. Susan E. Hickman is a senior affiliate faculty, FCME, IU Health, co-director, IUPUI RESPECT Center, and a professor, IU School of Nursing. Kianna Montz is a research coordinator and Emily Burke is a research specialist, IU Center for Aging Research, Regenstrief Institute, Inc.
Kianna MontzAlexia M. Torke is a scientist, Indiana University (IU) Center for Aging Research, Regenstrief Institute, Inc, an associate professor, IU School of Medicine, fellowship director, Charles Warren Fairbanks Center for Medical Ethics (FCME), IU Health, and a core faculty, IU Purdue University Indianapolis (IUPUI) Research in Palliative and End of Life Communication and Training (RESPECT) Center, Indianapolis, Indiana. Lucia D. Wocial is a nurse ethicist, FCME, IU Health, a core faculty, IUPUI RESPECT Center, and an adjunct assistant professor, IU School of Nursing, Indianapolis, Indiana. Shelley A. Johns is an assistant professor, IU School of Medicine, an affiliate faculty, FCME, IU Health, a core faculty, IUPUI RESPECT Center, and a scientist, Regenstrief Institute, Inc. Greg A. Sachs is a scientist, IU Center for Aging Research, Regenstrief Institute, Inc, chief, Division of General Internal Medicine and Geriatrics, IU School of Medicine, and co-director, IUPUI RESPECT Center. Christopher M. Callahan is a scientist, IU Center for Aging Research, Regenstrief Institute, Inc, and a professor of medicine, IU School of Medicine. Gabriel T. Bosslet is an assistant professor of clinical medicine, IU School of Medicine, an affiliate faculty, FCME, IU Health, and a core faculty, IUPUI RESPECT Center. James E. Slaven is a biostatistician, Department of Biostatistics, IU School of Medicine. Susan M. Perkins is a core faculty, IUPUI RESPECT Center and a professor, Department of Biostatistics, IU School of Medicine. Susan E. Hickman is a senior affiliate faculty, FCME, IU Health, co-director, IUPUI RESPECT Center, and a professor, IU School of Nursing. Kianna Montz is a research coordinator and Emily Burke is a research specialist, IU Center for Aging Research, Regenstrief Institute, Inc.
Emily S BurkeAlexia M. Torke is a scientist, Indiana University (IU) Center for Aging Research, Regenstrief Institute, Inc, an associate professor, IU School of Medicine, fellowship director, Charles Warren Fairbanks Center for Medical Ethics (FCME), IU Health, and a core faculty, IU Purdue University Indianapolis (IUPUI) Research in Palliative and End of Life Communication and Training (RESPECT) Center, Indianapolis, Indiana. Lucia D. Wocial is a nurse ethicist, FCME, IU Health, a core faculty, IUPUI RESPECT Center, and an adjunct assistant professor, IU School of Nursing, Indianapolis, Indiana. Shelley A. Johns is an assistant professor, IU School of Medicine, an affiliate faculty, FCME, IU Health, a core faculty, IUPUI RESPECT Center, and a scientist, Regenstrief Institute, Inc. Greg A. Sachs is a scientist, IU Center for Aging Research, Regenstrief Institute, Inc, chief, Division of General Internal Medicine and Geriatrics, IU School of Medicine, and co-director, IUPUI RESPECT Center. Christopher M. Callahan is a scientist, IU Center for Aging Research, Regenstrief Institute, Inc, and a professor of medicine, IU School of Medicine. Gabriel T. Bosslet is an assistant professor of clinical medicine, IU School of Medicine, an affiliate faculty, FCME, IU Health, and a core faculty, IUPUI RESPECT Center. James E. Slaven is a biostatistician, Department of Biostatistics, IU School of Medicine. Susan M. Perkins is a core faculty, IUPUI RESPECT Center and a professor, Department of Biostatistics, IU School of Medicine. Susan E. Hickman is a senior affiliate faculty, FCME, IU Health, co-director, IUPUI RESPECT Center, and a professor, IU School of Nursing. Kianna Montz is a research coordinator and Emily Burke is a research specialist, IU Center for Aging Research, Regenstrief Institute, Inc.
Indiana University Health · USIndiana University – Purdue University Indianapolis · US
Funding
Indiana Clinical and Translational Sciences InstituteUL1TR001108 · NCATS · INDIANA UNIVERSITY INDIANAPOLIS · PI DENNE, SCOTT C., SHEKHAR, ANANTHA · 2013 to 2017
$23.3MTRANSLATION RESEARCH ON CHRONIC DISEASE SELF-MANAGEMENTP30AG024967 · NIA · INDIANA UNIV-PURDUE UNIV AT INDIANAPOLIS · PI CALLAHAN, CHRISTOPHER M · 2004 to 2013
$3.2MResearch and Training for Behavioral Oncology InterventionsK05CA175048 · NCI · INDIANA UNIVERSITY INDIANAPOLIS · PI CHAMPION, VICTORIA LEE · 2014 to 2018
$484kNCATS NIH HHS UL1 TR001108NCI NIH HHS K05 CA175048NIA NIH HHS P30 AG024967
Abstract
backgroundCommunication problems between family surrogates and intensive care unit (ICU) clinicians have been documented, but few interventions are effective. Nurses have the potential to play an expanded role in ICU communication and decision making.
objectivesTo conduct a pilot randomized controlled trial of the family navigator (FN), a distinct nursing role to address family members' unmet communication needs early in an ICU stay.
methodsAn interprofessional team developed the FN protocol. A randomized controlled pilot intervention trial of the FN was performed in a tertiary referral hospital's ICU to test the feasibility and acceptability of the intervention. The intervention addressed informational and emotional communication needs through daily contact by using structured clinical updates, emotional and informational support modules, family meeting support, and follow-up phone calls.
resultsTwenty-six surrogate/patient pairs (13 per study arm) were enrolled. Surrogates randomized to the intervention had contact with the FN on 90% or more of eligible patient days. All surrogates agreed that they would recom mend the FN to other families. Open-ended comments from both surrogates and clinicians were uniformly positive.
conclusionsHaving a fully integrated nurse empowered to facilitate decision making is a feasible intervention in an ICU and is well-received by ICU families and staff. A larger randomized controlled trial is needed to demonstrate impact on important outcomes, such as surrogates' well-being and decision quality.
Indexed as
FamilyIntensive Care UnitsProfessional-Family RelationsProxyCritical Care NursingFemaleHealth CommunicationHumansMaleMiddle AgedNurse's RolePilot Projects
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