Family ENgagement in Intensive Care Environments (FENICE): A quasi-experimental study protocol


Submitted: 19 March 2020
Accepted: 27 May 2020
Published: 23 December 2020
Abstract Views: 685
PDF: 378
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Authors

  • Matteo Danielis Department of Clinical Sciences and Community Health, University of Milan, Milan; Department of Medical Sciences, University of Udine, Udine, Italy.
  • Alvisa Palese Department of Medical Sciences, University of Udine, Udine, Italy.
  • Stefano Terzoni School of Nursing, San Paolo Hospital, Milan, Italy.
  • Anne Destrebecq Department of Biomedical Sciences for Health, University of Milan, Milan, Italy.

Even if health care professionals should take into account the active involvement of families in Intensive Care Units (ICUs), little research that investigates family member’s contributions to care and includes its outcomes on both the family itself and the patient care, is available. The aim of this research project is to assess the effects of a family engagement program on family members’ satisfaction and on patients’ well-being and quality of life. A quasiexperimental study with two non-randomized groups (94 per each group) will be performed in two general ICUs of an Academic Italian Hospital. The intervention will be carried out in a single ICU and it consists of family members’ involvement in the care of their loved ones by means of bed physical exercises and simple care tasks. Participants will be evaluated through manifold outcomes: family satisfaction, assessed with the FS-ICU tool within 48 hours after ICU discharge; patients’ sense of well-being, measured with a visual analogue scale within 30 minutes after the time period of a visit; and the quality of life, investigated with the SF- 12 questionnaire within the first 48 hours after admission to ICU, at three and six months after ICU discharge by telephone. From July 2020, 188 subjects are going to be enrolled throughout the year. The latest data will be collected in December 2021 to allow the completion of the follow-ups of all participants. First, this study constitutes a significant step in a research agenda aimed at deepening the nursing sensitive outcomes in ICUs and the quality of hospital care. Secondly, the results of this study might have the potential to provide a better understanding of how families may modify patients’ outcomes and whether family members would benefit from an involvement program.


Blackwood B, Albarran JW, Latour JM. Research priorities of adult intensive care nurses in 20 European countries: a Delphi study. J Adv Nurs 2011;67:550-62. DOI: https://doi.org/10.1111/j.1365-2648.2010.05512.x

Haines KJ. Engaging Families in Rehabilitation of People Who Are Critically Ill: An Underutilized Resource. Phys Ther 2018;98:737-44. DOI: https://doi.org/10.1093/ptj/pzy066

Olding M, McMillan SE, Reeves S, et al. Patient and family involvement in adult critical and intensive care settings: a scoping review. Health Expect 2016;19:1183-202. DOI: https://doi.org/10.1111/hex.12402

Burns KEA, Misak C, Herridge M, et al. Patient and Family Engagement in the ICU Untapped Opportunities and Underrecognized Challenges. Am J Respir Crit Care Med 2018;198:310-9. DOI: https://doi.org/10.1164/rccm.201710-2032CI

Au SS, des Ordons ALR, Leigh JP, et al. A Multicenter Observational Study of Family Participation in ICU Rounds. Crit Care Med 2018;46:1255-62. DOI: https://doi.org/10.1097/CCM.0000000000003193

Stelson EA, Carr BG, Golden KE, et al. Perceptions of family participation in intensive care unit rounds and telemedicine: a qualitative assessment. Am J Crit Care 2016;25:440-7. DOI: https://doi.org/10.4037/ajcc2016465

Stickney CA, Ziniel SI, Brett MS, Truog RD. Family Participation during Intensive Care Unit Rounds: Attitudes and Experiences of Parents and Healthcare Providers in a Tertiary Pediatric Intensive Care Unit. J Pediatr 2014;164:402-+. DOI: https://doi.org/10.1016/j.jpeds.2013.09.037

Mitchell M, Chaboyer W, Burmeister E, Foster M. Positive effects of a nursing intervention on family-centered care in adult critical care. Am J Crit Care 2009;18:543-52. DOI: https://doi.org/10.4037/ajcc2009226

Black P, Boore JRP, Parahoo K. The effect of nurse-facilitated family participation in the psychological care of the critically ill patient. J Adv Nurs 2011;67:1091-101. DOI: https://doi.org/10.1111/j.1365-2648.2010.05558.x

Burns KEA, Devlin JW, Hill NS. Patient and Family Engagement in Designing and Implementing a Weaning Trial A Novel Research Paradigm in Critical Care. Chest 2017;152:707-11. DOI: https://doi.org/10.1016/j.chest.2017.06.028

Dotolo D, Nielsen EL, Curtis JR, Engelberg RA. Strategies for Enhancing Family Participation in Research in the ICU: Findings From a Qualitative Study. J Pain Symptom Manage 2017;54:226-+. DOI: https://doi.org/10.1016/j.jpainsymman.2017.03.004

Huffines M, Johnson KL, Naranjo LLS, et al. Improving Family Satisfaction and Participation in Decision Making in an Intensive Care Unit. Crit Care Nurse 2013;33:56-68. DOI: https://doi.org/10.4037/ccn2013354

Oczkowski SJW, Mazzetti I, Cupido C, Fox-Robichaud AE. The offering of family presence during resuscitation: a systematic review and meta-analysis. J Int Care 2015;3:11. DOI: https://doi.org/10.1186/s40560-015-0107-2

Minton C, Batten L, Huntington A. The impact of a prolonged stay in the ICU on patients' fundamental care needs. J Clin Nurs 2018;27:2300-10. DOI: https://doi.org/10.1111/jocn.14184

Castellan C, Sluga S, Spina E, Sanson G. Nursing diagnoses, outcomes and interventions as measures of patient complexity and nursing care requirement in Intensive Care Unit. J Adv Nurs 2016;72:1273-86. DOI: https://doi.org/10.1111/jan.12913

Maas ML, Johnson M, Moorhead S. Classifying nursing-sensitive patient outcomes. Image J Nurs Sch 1996;28:295-301. DOI: https://doi.org/10.1111/j.1547-5069.1996.tb00377.x

Frivold G, Slettebo A, Heyland DK, Dale B. Family members' satisfaction with care and decision-making inintensive care units and post-stay follow-up needs-a cross-sectional survey study. Nurs Open 2018;5:6-14. DOI: https://doi.org/10.1002/nop2.97

Schulz KF, Altman DG, Moher D, Grp C. CONSORT 2010 Statement: updated guidelines for reporting parallel group randomised trials. Trials 2010;11:8. DOI: https://doi.org/10.1186/1745-6215-11-32

Abvali A, Peyrovi H, Moradi-Moghaddam O, Gohari M. Effect of Support Program on Satisfaction of Family Members of ICU Patients. J Client Nurs Care. 2015;vol.1.

Othman H, Subramanian P, Ali NAM, et al. The Effect of Information Booklets on Family Members' Satisfaction with Decision Making in an Intensive Care Unit of Malaysia. J Young Pharm 2016;8:128-32. DOI: https://doi.org/10.5530/jyp.2016.2.13

Faul F, Erdfelder E, Lang AG, Buchner A. G*Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behav Res Methods 2007;39:175-91. DOI: https://doi.org/10.3758/BF03193146

Wall RJ, Engelberg RA, Downey L, et al. Refinement, scoring, and validation of the Family Satisfaction in the Intensive Care Unit (FS-ICU) survey. Critl Care Med 2007;35:271-9. DOI: https://doi.org/10.1097/01.CCM.0000251122.15053.50

Heyland DK, Tranmer JE, Kingston Gen Hosp ICURW. Measuring family satisfaction with care in the intensive care unit: The development of a questionnaire and preliminary results. J Crit Care 2001;16:142-9. DOI: https://doi.org/10.1053/jcrc.2001.30163

Lolaty HA, Bagheri-Nesami M, Shorofi SA, et al. The effects of family-friend visits on anxiety, physiological indices and well-being of MI patients admitted to a coronary care unit. Complement Ther Clin Pract 2014;20:147-51. DOI: https://doi.org/10.1016/j.ctcp.2014.03.002

Apolone G, Mosconi P. The Italian SF-36 Health Survey: Translation, validation and norming. J Clin Epidemiol 1998;51:1025-36. DOI: https://doi.org/10.1016/S0895-4356(98)00094-8

Hofhuis JG, Spronk PE, Van Stel HF, et al. Quality of life before intensive care unit admission is a predictor of survival. Crit Care 2007;11:7. DOI: https://doi.org/10.1186/cc5970

Ware JE, Kosinski M, Keller SD. A 12-item short-form health survey - Construction of scales and preliminary tests of reliability and validity. Medical Care 1996;34:220-33. DOI: https://doi.org/10.1097/00005650-199603000-00003

Danielis, M., Palese, A., Terzoni, S., & Destrebecq, A. (2020). Family ENgagement in Intensive Care Environments (FENICE): A quasi-experimental study protocol. Emergency Care Journal, 16(3). https://doi.org/10.4081/ecj.2020.8972

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