The following is a summary of “Establishing consensus on patient- and family-centered care in adult intensive care units: A Delphi survey,” published in the December 2024 issue of Critical Care by Bohart et al.
Researchers conducted a retrospective study to establish the consensus among intensive care unit (ICU) experts on specific patient- and family-centered care statements for adults and relatives in the ICU.
They carried out a 3-round Delphi survey involving ICU healthcare professionals from 23 ICUs in Denmark. In round 1, participants answered 20 open-ended questions based on existing evidence. Responses were analyzed to develop close-ended statements rated on a 5-point Likert scale, from very important to not important at all. Consensus in rounds 2 and 3 was defined as ≥75% of participants rating a statement as necessary.
The results showed that 69 professionals participated, including 38 nurses, 24 physicians, and 4 occupational and physiotherapists. Response rates were 96%, 90%, and 72% for the 1st, 2nd, and 3rd rounds, respectively. Round 1 generated over 3000 statements, condensed into 82. After rounds 2 and 3, 47 statements achieved consensus as necessary.
Investigators concluded the 47 essential statements emphasized interdisciplinary approaches for systematic information sharing and consultations with patients and family members to address individual needs during the ICU stay.
Source: sciencedirect.com/science/article/pii/S0883944124003460