ArticleNursing in critical care2025
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.
Article in Nursing in critical care, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 2 of them syntheses that pooled it.
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Who cites it
9 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Effects of digital communication tools on patients, family members and health care professionals in adult ICUs: a mixed-methods systematic review.Critical care (London, England) · 2026Pooled it
- The Effects of Family Voice Intervention on Delirium in Adult Critical Care Patients: A Systematic Review and Meta-Analysis.Nursing in critical care · 2025Pooled it
- From the ICU Bedside: Applying the Transnational Clinical Academic Doctorate Lens to a Clinically Embedded PhD Journey.Journal of advanced nursing · 2026Review
- Delirium awareness and care practices among Western European healthcare professionals: a survey.European geriatric medicine · 2026Article
- The Effect of Family Voice Interventions on Delirium Incidence and Duration in Adult ICU Patients: A Systematic Review and Meta-Analysis.Nursing in critical care · 2026Observational
- Unraveling family resilience patterns in ICU first-episode stroke: a latent profile analysis.Frontiers in psychology · 2026Article
- Methodological Insights From Evaluating a Family Member's Voice Reorientation Programme: An Interpretive Descriptive Approach.Nursing open · 2025Article
- Empowering Young Adults as Agents of Household Dietary Change: Findings From a Pilot Study Involving a Digital, Family-Led Sodium Reduction Intervention in Singapore.Current developments in nutrition · 2025Article
- 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 · 2025Article
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
backgroundFamily-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.
aimTo 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
designParallel, 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.
resultsThe 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.
conclusionNurses 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.
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