Evidence map›Paper›PMID 41744311›Full record

ArticleNursing in critical care2026

Impact of a Volunteer-Delivered Spiritual Care Strategy on Preventing Post-Intensive Care Syndrome-Family in Relatives of Critically Ill ICU Patients: A Quasi-Experimental Study.

Carolina Ruiz, Leyla Alegria, Patricia Olivares, Verónica Rojas, Paulina Taboada, Daniela Manríquez, Jan Bakker, Paula Repetto

Erratum issuedAbstract read
In one paragraph

Article in Nursing in critical care, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors.

Carolina RuizDepartamento de Medicina Intensiva, Escuela de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile.
Leyla AlegriaDepartamento de Medicina Intensiva, Escuela de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile.ORCID https://orcid.org/0000-0002-0930-4452
Patricia OlivaresDepartamento de Medicina Interna, Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile.
Verónica RojasUnidad de Paciente Critico, Departamento de Medicina, Facultad de Medicina Universidad de Chile, Santiago, Chile.
Paulina TaboadaDepartamento de Medicina Interna, Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile.
Daniela ManríquezUnidad de Paciente Crítico, Complejo Asistencial Dr. Sotero del Río, Santiago, Chile.
Jan BakkerDepartamento de Medicina Intensiva, Escuela de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile.ORCID https://orcid.org/0000-0003-2236-7391
Paula RepettoEscuela de Psicología, Pontificia Universidad Católica de Chile, Santiago, Chile.

Funding

Agencia Nacional de Investigación y Desarrollo 1241769Pontificia Universidad Católica de Chile 105675/DPCC2020
6 · The paper itself

Abstract

backgroundFamily members of critically ill patients are at increased risk of developing psychological disorders after ICU discharge, a condition known as Post-Intensive Care Syndrome-Family (PICS-F). Spiritual care (SC) interventions may reduce this burden, yet are rarely studied in this context.

aimTo assess the effect of a volunteer-delivered spiritual care intervention on the prevention of PICS-F, specifically post-traumatic stress disorder (PTSD), anxiety, and depression in relatives of ICU patients. STUDY

designWe conducted a quasi-experimental pre-post intervention study in a Chilean ICU. The intervention comprised three structured spiritual care sessions delivered virtually by trained community volunteers using the FICA tool. The primary outcome was PTSD symptoms, measured with the IES-R scale. Secondary outcomes included anxiety and depression (HADS) and satisfaction with the intervention. Given the protective role of family support during ICU stays against PICS-F, a non-randomised prospective study was designed. This study aimed to prevent psychological disorders related to PICS-F by providing support to family members of critically ill patients. It was hypothesised that a systematic general spiritual care intervention compared to standard care would effectively reduce psychological disorders associated with family post-ICU syndrome within 3 months.

resultsA total of 125 family members participated (n = 64 in the control group, n = 61 in the intervention group). After the intervention, significant differences were observed in PTSD scores (OR = 0.067; CI 0.010-0.458). This was not the case for depression or anxiety. Satisfaction with the intervention was high.

conclusionsA structured spiritual care intervention delivered by trained community volunteers was feasible and associated with reduced psychological distress in ICU family members. This low-cost and scalable spiritual care intervention, delivered virtually by trained volunteers, demonstrates feasibility and acceptability in ICU settings, particularly in resource-limited contexts. RELEVANCE TO CLINICAL PRACTICE: This study demonstrates that a structured, non-denominational spiritual care intervention can significantly reduce symptoms of post-traumatic stress in family members of ICU patients. By integrating generalist spiritual support into ICU family care, delivered by trained volunteers using telehealth platforms, critical care teams can offer compassionate, accessible, and scalable support that addresses emotional and existential suffering. These findings highlight the importance of integrating spiritual care into multidisciplinary approaches to prevent PICS-F and promote holistic, family-centred care in intensive care settings.

Indexed as

humanising critical carepatient and family outcomespost‐intensive care syndrome familypsychosocial supportspirituality

Identifiers

PMID41744311
PMCPMC12937301

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LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.