Michelle Olding|Sarah McMillan|Scott Reeves|Michael N. Schmitt|Kathleen Puntillo|Simon Kitto
Patient and family involvement in adult critical and intensive care settings: a scoping review
AIDS Vancouver|University Health Network|St George's, University of London|Kingston University|University of Rochester Medical Center|University of California, San Francisco|University of Ottawa
abstract background despite international bodies calling increased patient family involvement concepts remain poorly defined within literature critical intensive care settings objective scoping review investigates extent range literature patient family involvement critical intensive care settings methodological empirical gaps identified future agenda research optimizing patient family involvement outlined methods searches medline cinahl social work abstracts psycinfo conducted englishlanguage articles published 2003 2014 retrieved articles included studies undertaken intensive care critical care setting addressed topic patient family involvement included sample adult critical care patients families andor critical care providers two reviewers extracted charted data analysed findings using qualitative content analysis findings total 892 articles screened 124 eligible analysis including 61 quantitative 61 qualitative 2 mixedmethods studies significant gap research patient involvement intensive care unit analysis identified five different components family patient involvement presence ii needs metbeing supported iii communication iv decision making v contributing care conclusion three research gaps identified require addressing scope extent nature patient involvement intensive care settings ii broader sociocultural processes shape patient family involvement iii bidirectional implications patientfamily involvement interprofessional teamwork