ArticleCureus2025
Value-Concordant Decision Making in Patients on Prolonged Mechanical Ventilation: A Family-Centered Care Approach Using the Calgary Family Assessment and Intervention Models.
Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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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.
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Family-centered care (FCC) emphasizes collaboration with family members to build shared understanding and support decision-making. The Calgary Family Assessment Model (CFAM) and the Calgary Family Intervention Model (CFIM) provide a practical structure for translating this approach into family assessment, communication, and tailored family support. A man in his 60s with high cervical (C3/4) spinal cord injury required prolonged mechanical ventilation. Nurses integrated FCC with the CFAM and CFIM through structured family conferences using teach back and circular questioning, CFAM-guided assessment, CFIM interventions across cognitive, affective, and behavioral domains, and an option grid comparing home and facility care. This bedside implementation clarified the core value-time to talk freely with family-and reframed a binary "wean-then-home" assumption into parallel planning. The patient and family chose to discontinue weaning and transfer to a facility with flexible visitation, as this was the best goal, being value-concordant and safe. This integrated approach supported a nonhierarchical partnership and fostered trust, shared understanding, and effective decision making.
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