Evidence map›Paper›PMID 41904567›Full record

ArticleBMC nursing2026

Knowledge, attitudes, and practices towards family engagement in delirium management among intensive care unit nurses: a multicenter cross-sectional study.

Fei Yang, Meijie Zhang, Chenwei Wang, Meng Xiu, Hang Wang, Weiying Zhang

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Article in BMC nursing, 2026. 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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5 · Who and what money

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6 authors.

Fei YangDepartment of Nursing, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Meijie ZhangDepartment of Nursing, Suzhou Municipal Hospital, Suzhou, China.
Chenwei WangIntensive Care Unit, Renji Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Meng XiuSchool of Medicine, Tongji University, Shanghai, China.
Hang WangSchool of Medicine, Tongji University, Shanghai, China.
Weiying ZhangDepartment of Nursing, Shanghai East Hospital, School of Medicine, Tongji University, Shanghai, China. zhangwy_cn@126.com.

Funding

the Clinical Research Projects in the Three-Year Action Plan for Discipline Construction at Tongji University School of Medicine JS2210311the Important Weak Subject Construction Project of Shanghai Pudong New Area Health Commission PWZbr2022-04the Key Discipline Projects in the Three-Year Action Plan for Discipline Construction at Tongji University School of Medicine JS2210103
6 · The paper itself

Abstract

backgroundInvolving family members in delirium management with nurses' guidance benefits both patients and families. However, studies of nurses' beliefs and behavior about family engagement in preventing, detecting, and managing delirium remains limited.

aimsTo investigate the knowledge, attitudes, and practices (KAP) towards family engagement in delirium management among intensive care unit (ICU) nurses in China and the influencing factors.

methodsA multicenter cross-sectional survey. From October to November 2024, ICU nurses from 17 hospitals in China participated in this study. Data was collected online using a self-developed questionnaire. This questionnaire aimed to evaluate ICU nurses' KAP regarding family engagement in delirium management. Influencing factors were analyzed using Mann-Whitney U test and Kruskal-Wallis H test. Spearman correlation analysis and stratified regression analysis were conducted to assess the correlation among KAP.

resultsA total of 605 valid online questionnaires were collected, resulting in a 77.96% response rate. While ICU nurses exhibited high levels of knowledge and positive attitudes toward family engagement, with scoring rates of 80.20% and 82.85% respectively, their self-reported implementation in clinical practice remained insufficient at 72.57%. The univariate analysis showed that familiarity with the relevant guidelines and consensus, receipt of relevant training, and establishment of relevant departmental regulations were associated with ICU nurses' KAP (p < 0.05). Nurses with higher professional titles and more years of experience demonstrate more positive attitudes toward family engagement in delirium management (p < 0.05). Those with greater work experience and higher educational levels tend to exhibit better practical practices (p < 0.05). Both knowledge and attitude significantly influenced practice, with correlation coefficient of 0.561 and 0.469 respectively.

conclusionsOur results contributed to the understanding of Chinese ICU nurses' KAP about family engagement in delirium management. The results indicated that practice levels are low in comparison to knowledge and attitudes, and that knowledge and attitude were found to positively interact with practice. Therefore, the focus can be placed on improving nurses' KAP regarding family engagement in delirium management, through targeted training programs and the development of standardized regulations by ICU administrators. CLINICAL TRIAL NUMBER: Not applicable.

Indexed as

AttitudeDeliriumFamily engagementIntensive care unitsKnowledgePractice

Identifiers

PMID41904567
PMCPMC13151241

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LicenceCC BY-NC-ND
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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.