Evidence map›Paper›PMID 41867117›Full record

ArticleNursing in critical care2026

Feasibility and Acceptability of a Patient- and Family-Oriented Approach to Pain Assessment in the Intensive Care Unit.

Anmol Shahid, Bonnie G Sept, Stephana J Moss, Rebecca Brundin-Mather, Karla D Krewulak, Andrea Soo, Jeanna Parsons Leigh, Céline Gélinas, Kirsten M Fiest, Henry T Stelfox

Abstract 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. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. The Critical Care Pain Observation Tool for Families (CPOT-Fam).Canadian journal of pain = Revue canadienne de la douleur · 2026
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Anmol ShahidFaculty of Nursing, University of Calgary, Calgary, Alberta, Canada.ORCID https://orcid.org/0000-0001-5638-4988
Bonnie G SeptDepartment of Critical Care Medicine, Cumming School of Medicine, University of Calgary & Alberta Health Services, Calgary, Alberta, Canada.
Stephana J MossSchool of Health Administration, Faculty of Health, Dalhousie University, Halifax, Nova Scotia, Canada.ORCID https://orcid.org/0000-0002-1157-884X
Rebecca Brundin-MatherSchool of Health Administration, Faculty of Health, Dalhousie University, Halifax, Nova Scotia, Canada.
Karla D KrewulakDepartment of Critical Care Medicine, Cumming School of Medicine, University of Calgary & Alberta Health Services, Calgary, Alberta, Canada.
Andrea SooDepartment of Critical Care Medicine, Cumming School of Medicine, University of Calgary & Alberta Health Services, Calgary, Alberta, Canada.
Jeanna Parsons LeighSchool of Health Administration, Faculty of Health, Dalhousie University, Halifax, Nova Scotia, Canada.
Céline GélinasIngram School of Nursing, McGill University, and Centre for Nursing Research and Lady Davis Institute, Jewish General Hospital - CIUSSS West-Central Montreal, Montreal, Quebec, Canada.ORCID https://orcid.org/0000-0001-7948-5570
Kirsten M FiestDepartment of Critical Care Medicine, Cumming School of Medicine, University of Calgary & Alberta Health Services, Calgary, Alberta, Canada.
Henry T StelfoxFaculty of Medicine and Dentistry, University of Alberta, Edmonton, Alberta, Canada.ORCID https://orcid.org/0000-0003-1231-1490

Funding

CIHR 10013803
6 · The paper itself

Abstract

backgroundFamily caregivers (i.e., family members, close friends) may be able to help assess pain in intensive care unit (ICU) patients. However, suitable methods for family caregivers to assess pain in the ICU have yet to be identified.

aimTo evaluate the feasibility and acceptability of independently collecting patient and family caregiver assessments of patient pain and to determine agreement between pain scores. STUDY

designAdult patients who could communicate pain ratings and their family caregivers (creating patient-family caregiver dyads) from a single ICU in Calgary, Alberta, Canada were asked to simultaneously provide independent (unaware of the other's response) assessments of the patient's pain (beginning 4 January 2023) using: (1) a yes/no response on the presence of pain, (2) pain intensity on the Numerical Rating Scale, and (3) open text descriptions of pain. The feasibility of obtaining pain assessments from dyads was determined by the percent of dyads recruited compared to dyads approached. Acceptability was determined by calculating completion rates of dyads in this study. Cohen's kappa (κ) and intraclass correlation coefficients (ICC) [95% confidence intervals] were used to determine inter-dyad agreement.

resultsOf 458 patients admitted to the study ICU during the recruitment period, 45 dyads were approached for participation. Thirty-four dyads (75.6%) consented (feasibility outcome) and completed (100%) the study (acceptability outcome). Agreement was moderate between yes/no pain responses (κ = 0.45 [0.16-0.76]) and good between patient and family caregiver Numerical Pain Scale scores (ICC = 0.75 [0.56-0.87]). Of the 18 dyads who provided open text descriptions of the pain, 13 (72.2%) were similar for patients and family caregivers.

conclusionsCollecting independent, simultaneous pain assessments from patient-family caregiver dyads in the ICU appears feasible and acceptable, and family caregivers appear to provide good proxy reports of the patient's pain. RELEVANCE TO CLINICAL PRACTICE: Family caregiver involvement in pain assessment in the ICU may have the potential to complement clinical pain assessment in select contexts, particularly for patients who are unable to communicate, although further research is needed.

Indexed as

CaregiversFamilyIntensive Care UnitsPain MeasurementAdultAgedAlbertaFeasibility StudiesFemaleHumansMaleMiddle Agedcritical carefamily‐centred carefamily engagementpain assessmentpatient‐centred care

Identifiers

PMID41867117
PMCPMC13006934

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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.