ICU sedation, delirium & recovery
A randomised controlled trial of a nurse facilitator to promote communication for family members of critically ill patients
Authors' conclusion
This study does not support the use of facilitators for family members of ICU patients.
Study context
- Population
- Patients > 18 years with expected intensive care unit (ICU) LOS > 2 days and chronic life-limiting illness, and their family members; five ICUs in Francepatients and family members
- Participants
- 385 patients
- Comparison
- Nurse facilitator vs Standard communication
- Primary endpoint
- Evolution of family symptoms of depression (Hospital Anxiety and Depression Scale (HADS) depression subscale, linear mixed effects model)
- Follow-up
- 6 months
Methodological detailsmulticentre, Follow-up at 1, 3 and 6 months completed by 284 (74%), 264 (68.6%) and 260 (67.5%) family members
- Multicentre
- Follow-up at 1, 3 and 6 months completed by 284 (74%), 264 (68.6%) and 260 (67.5%) family members
Primary result
As reported in the abstract
- Intervention vs Control: P = 0.91
Secondary outcomes
| Outcome | Estimate |
|---|---|
| Symptoms of depression at 6 monthsIntervention vs Control · no significant difference | 0.53 (95% CI - 0.48; 1.55) |
Formal meetings between ICU team and family
- Significantly more formal meetings with the intervention (1 [1-3] vs 2 [1-4])
- P < 0.001
HADS-Anxiety, Impact of Event Scale-6, goal-concordant care, QUAL-E
- No significant differences in secondary outcomes
Original publication
A randomised controlled trial of a nurse facilitator to promote communication for family members of critically ill patients. Intensive Care Med. Published 4 April 2024. doi:10.
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