A family intervention to reduce delirium in hospitalised ICU patients: A feasibility randomised controlled trial |
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| Affiliation: | 1. NHMRC Centre for Research Excellence in Nursing, Griffith University, Nathan Campus, Brisbane, Queensland, Australia;2. Menzies Health Institute Queensland, Griffith University, Nathan Campus, Brisbane, Queensland, Australia;3. School of Nursing and Midwifery, Griffith University, Nathan Campus, Brisbane, Queensland, Australia;4. Princess Alexandra Hospital Intensive Care Unit, Princess Alexandra Hospital, Brisbane, Queensland, Australia;5. School of Health in Social Science, University of Edinburgh, Edinburgh, UK;6. School of Nursing and Health Sciences, University of Dundee, Dundee, UK;7. Perth Royal Infirmary, NHS Tayside, Dundee, UK;8. Department of Psychiatry, University of Dundee, Dundee, UK;9. School of Health Sciences, City University London, London, UK;1. Ankara University, Faculty of Health Sciences, Nursing Department, Ankara, Turkey;2. Cumhuriyet University, Faculty of Health Sciences, Nursing Department, Sivas, Turkey;1. School of Medicine, Dentistry & Biomedical Sciences, Queen''s University Belfast, Northern Ireland, UK;2. School of Nursing & Midwifery, Queen''s University Belfast, Northern Ireland, UK;3. Regional Intensive Care Unit, Royal Victoria Hospital, Belfast Health and Social Care Trust, Belfast, Northern Ireland, UK;1. Cambridge University Hospitals, Addenbrooke’s Hospital, Intensive Care Unit, Hills Road, Cambridge, CB2 OQQ Cambridgeshire, UK;2. University of Hertfordshire, Department of Adult Nursing and Primary Care, School of Health and Social Work, Room 2F287 (Wright Building), College Lane, Hatfield, AL10 9AB Hertfordshire, UK;3. University of Hertfordshire, Department of Adult Nursing and Primary Care, School of Health and Social Work, Room 2F279 (Wright Building), College Lane, Hatfield, AL10 9AB Hertfordshire, UK;1. University of South Florida College of Nursing, 12901 Bruce B. Downs Blvd, MDC 22, Tampa, FL 33612-4766, USA;2. University of South Florida Morsani College of Medicine, 12901 Bruce B. Downs Blvd, MDC 19, Tampa, FL 33612-4766, USA;1. Department of Anesthesiology, Herlev Hospital, University of Copenhagen, Herlev Ringvej 75, 2730 Herlev, Denmark;2. Department of Cardiology, Intensive Care Unit, 2143, Rigshospitalet, University of Copenhagen, Blegdamsvej 9, 2100 Copenhagen, Denmark;3. The Neuroscience Centre, Rigshospitalet, University of Copenhagen, Blegdamsvej 9, 2100 Copenhagen, Denmark |
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| Abstract: | BackgroundFamily members could play an important role in preventing and reducing the development of delirium in Intensive Care Units (ICU) patients. This study sought to assess the feasibility of design and recruitment, and acceptability for family members and nurses of a family delivered intervention to reduce delirium in ICU patients.MethodA single centre randomised controlled trial in an Australian medical/surgical ICU was conducted. Sixty-one family members were randomised (29 in intervention and 32 in non-intervention group). Following instructions, the intervention comprised the family members providing orientation or memory clues (family photographs, orientation to surroundings) to their relative each day. In addition, family members conducted sensory checks (vision and hearing with glasses and hearing aids); and therapeutic or cognitive stimulation (discussing family life, reminiscing) daily. Eleven ICU nurses were interviewed to gain insight into the feasibility and acceptability of implementing the intervention from their perspective.ResultsRecruitment rate was 28% of eligible patients (recruited n = 90, attrition n = 1). Following instruction by the research nurse the family member delivered the intervention which was assessed to be feasible and acceptable by family members and nurses. Protocol adherence could be improved with alternative data collection methods. Nurses considered the activities acceptable.ConclusionThe study was able to recruit, randomise and retain family member participants. Further strategies are required to assess intervention fidelity and improve data collection. |
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| Keywords: | Critical illness Delirium Families Family-centred care Feasibilities studies Health care Intensive care units Nursing Person-centred care |
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