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Kalhor L, Ebadi A, Mokhtari Nouri J, Nehrir B. Family-Centered Care Approach: A Systematic Review Study. J Police Med 2022; 11 (1) : e30
URL: http://jpmed.ir/article-1-1096-en.html
1- Department of Nursing, Faculty of Nursing, Baqiyatallah University of Medical Sciences, Tehran, Iran , Leila.kalhor22@gmail.com
2- Department of Nursing, Faculty of Nursing, Baqiyatallah University of Medical Sciences, Tehran, Iran
English Extended Abstract:   (1787 Views)
… [1]. Due to the lack of information related to the disease, the lack of understanding of the patient's needs and the lack of knowledge about how to care for the patient, the families of the patients do not have the necessary efficiency in providing adequate care [2]. … [3]. Education with a family-centered approach is a process in which family members are trained to increase their skills and abilities to help the sick family member [4]. ... [5, 6]. Different texts have other multiple consequences for the implementation of family-centered care including improving the psychological conditions of children and families, attachment increase, reducing the hospitalization time of patients, increasing the satisfaction of families, patients and healthcare personnel, reducing stress and restlessness, reducing negative effects of hospitalization, reducing stay in intensive care units as well as hospitals, and increasing satisfaction in the family [3, 7, 8]. A clinical trial study in France showed that improving relationships and support of family members in intensive care units can significantly reduce depression, anxiety and post-traumatic stress disorder [9]. ... [10]. In a review of parental participation in the care of hospitalized children, Power Frank stated that nurses usually have a good attitude towards parents' participation in care. However, due to the limitations of professional rules, they are reluctant to hand over some routine daily tasks [11]. With numerous advantages, this approach has been neglected in Iran, and less emphasis and attention has been paid to it. ... [12, 13].
The present study was conducted to review recent studies in the field of family-centered care approach.
This research is a review study.
The statistical population of this review study was the articles of 2000-2021 that investigated the approach of family-centered care.
Searching in Persian articles was done using the keywords family-centered approach and family-centered care and using the keywords Family-centered approach, Family-based centered, and Family-centered care in English articles. English articles were searched in Google Scholar, PubMed, Science Direct, Scopus, and Persian ones were searched in SID and Magiran databases. Repeated and unrelated cases after the initial screening were excluded from the studies in the next step. The screening criteria included the lack of relationship between the article to the topic and removing articles that were published in both Persian and English versions. All the articles containing the mentioned keywords in their titles or abstracts were included in the initial list in the next step. Then a checklist of the necessary information of the study, including the name of the author, the time of the study, the sample size, and the results of the study was prepared for the final evaluation. After reviewing the articles that met the inclusion criteria, the final articles obtained were reviewed by researchers. To select related articles, the article quality tool called Prisma Checklist was used [14] (Diagram 1).
Ethical permission was observed at all levels of the research, and no seizure was made by the researchers while conducting the research. The code of ethics related to this study was also received from Baqiyatllah University of Medical Sciences as IR.BMSU.REC.1400.05.
Among 265 articles, after searching and screening, the final analysis was done on 100 articles. Many summarized studies related to the family-centered care approach were shown in table 1. Based on this table, the different effects of the family-centered approach can be categorized in different studies. The reviewed studies included nine descriptive-cross-sectional studies, 18 quasi-experimental studies, 60 randomized clinical trial studies, and 13 qualitative research studies. The findings showed that the most important effects of the family-centered approach included increasing the quality of life, the satisfaction of patients and families, improving the clinical outcomes of newborns, reducing anxiety and stress, separating from mechanical ventilation, improving hemodynamic conditions, and increasing the participation of families. Increasing the quality of life: Among the founded studies, 6 investigated the quality of life [15-20]. According to the World Health Organization, quality of life means a person's perception of his/her life situation and attention to the culture in which he/she lives and is related to his/her goals and priorities in life which affects the physical and mental activity of the person and his/her role in society [7]. There is a belief that living well leads to a longer life. For this reason, the concept of quality of life has attracted more attention in recent decades in medical science research. Today, most health-related quality-of-life studies emphasize examining patient care outcomes. After being discharged from the hospital, these patients often experience many problems, such as pain, fatigue, intolerance to activity, sleep disorders, wound care issues, anxiety, depression, and fear of their future condition, which significantly affect their quality of life [21]. Increasing the satisfaction of patients and families: Among the obtained studies, 31 have investigated the satisfaction of patients and their families [22-50, 3]. Patient satisfaction in improving the quality of health care services is one of the most influential factors in the quality of services. Patient satisfaction is evaluated through the recent experience of patients in the hospital. Family satisfaction indicates the extent to which health professionals meet the family's needs and expectations and may be influenced by family-related factors such as attitudes toward life and death and social, cultural, and religious backgrounds as well as patient-related factors such as the severity of the disease, the hospital's infrastructure and the care process [31]. One of the keys to caring is satisfaction with the care provided. Satisfaction is essential not only for patients but also for their families [10]. Improving the clinical outcomes of newborns: Among the founded studies, 13 ones have investigated the clinical outcomes of newborns [51-62]. Underweight and premature babies are at risk and experience many physical and mental problems. Their physiological characteristics require basic care to continue life and achieve normal growth and development. One of these cases is hospitalization in the Neonatal Intensive Care Unit [63]. Since hospitalization is a stressful experience for the baby and parents, special attention has been paid to it in recent years. One of the most effective ways to prevent injuries and damages caused by hospitalization is the active involvement of parents in the care of the baby because it improves parents' ability and reduces the re-hospitalization rate [64]. Family-centered care in Intensive Care Units for newborns has caused the family to be involved in care and decision-making since the baby's birth. So parents are considered primary caregivers and cooperate with health workers [65]. Reducing anxiety and stress: Among the founded studies, 13 have investigated anxiety and stress [9, 25, 76-67]. One of the causes of severe anxiety in the family is facing life-changing conditions such as the hospitalization of one of the family members [25]. Illnesses and accidents that lead to the hospitalization of a patient in the Intensive Care Unit are usually life-threatening and lead to the anxiety of family members. Fear of the patient's death, financial concerns, role changes, and changes in daily life are sources of anxiety for the patients' families [66]. The high level of anxiety in the family of patients admitted to the Intensive Care Unit is due to factors such as not being familiar with the environment and advanced equipment of the hospital, lack of trust in the hospital staff, lack of response to treatment and dissatisfaction with care [44]. Separation from mechanical ventilation and improvement of hemodynamic conditions: Among the founded studies, six investigated hemodynamic conditions in patients with mechanical ventilation [77-82]. The process of isolating the patient from the mechanical ventilator is essential. Because if the patient does not have a stable hemodynamic condition, it will cause adverse effects for the patient. In recent years, many non-pharmacological methods have been recommended to reduce the complications of mechanical ventilation treatment. One of these methods is the family-centered care approach. Increasing the participation of families: Among the founded studies, six studies have investigated the effect of family participation [25, 59, 86-83]. The educational participation of families can provide a suitable basis for improving the clinical condition of patients. Ezzati stated that families' supportive presence and participation in the Intensive Care Unit cause positive patient recovery changes [84].
In line with the results of the present study, Qavidel and Shabani have stated in their studies that family-centered education for coronary artery bypass surgery patients has improved their quality of lives [15, 87]. In Lindenfelser's study, music therapy has been introduced as one of the approaches to family-centered care in children who spend their final life levels [17]. Wright and Ferrando stated that factors such as age, ethnicity, relationship with the patient and the number of patient visits affected the satisfaction of the companions and factors such as age, the severity of the disease, the length of the patient's stay in the hospital and invasive ventilation affected the satisfaction of the patients. [31, 45]. Heyland claims that variables related to overall satisfaction include completeness of the information received, respect for the patient and family members, and quality of health care [42]. Karlsson et al. believe that in addition to the mentioned factors, the skill of the ICU personnel and their behavior with the patient and family are important in increasing satisfaction [88]. Some researchers have stated that implementing family-centered programs have increased the satisfaction of patients and their families in the intensive care unit. Therefore, it is useful to implement this approach in the intensive care unit. [22-24, 26, 44, 45]. In general, it can be said that efforts to improve interaction and communication with families, emotional support, providing comprehensible and complete information and coordination in care, most likely lead to improvement of patient and family satisfaction and thus lead to satisfaction with the hospital, which finally, it increases the quality of service. Improvement of clinical results in infants was another effect of this method. Studies by Aliabadi and Ortenstrand have shown that family participation in the neonatal intensive care unit has reduced re-hospitalization and visits to the doctor and significantly reduced the average duration of hospitalization [59, 60]. Skene considered family-centered effects as sharing information with parents, family support, the possibility of parents' participation and improving the competence of supporting parents in care [61]. According to the results of Cooper's study, implementing this approach in the neonatal intensive care unit has made mothers feel less stressed, comfortable, aware and more confident, and more importantly, it has increased parental support in the neonatal intensive care unit by nurses [66]. Simeone et al. have concluded that the implementation of family-centered care before surgery for children with congenital heart has significantly reduced anxiety in parents by explaining the medical equipment and the treatment process [74]. Some researchers believe that this approach has reduced anxiety in the families of patients admitted to the intensive care unit [66, 68, 75]. Shoushi has also stated that this approach has reduced depression, anxiety and stress in the families of open-heart surgery patients [70]. However, Imanipour's study on the families of heart surgery patients found that informational support, orientation tour and provision of educational booklets did not reduce the anxiety of the patient on the day of discharge from the ICU [29], which is not in line with the findings of this study. Also, in Bailey's study, there was no significant relationship between informational support and family anxiety of patients admitted to the ICU [89]. Chien showed in a semi-experimental study in the intensive care unit that the anxiety level in the patient's families in the intervention group decreased compared to the control group and was associated with increased family satisfaction. However, it caused anxiety in family members [33], which is inconsistent with the study's results. It can be said that the increase in anxiety and stress resulting from this approach is because the family does not have enough information about the disease, the treatment process, the department's environment and the ward's complex equipment, and they feel anxious when they are asked for an opinion. Therefore, the participation of family members of patients hospitalized in the intensive care unit in the care program has an effective role in reducing the anxiety of family members and improving the process of caring for patients. Early separation from mechanical ventilation and improvement of hemodynamic conditions are other effects of this approach. Safaeipour stated in his thesis that family-centered care reduced the time of isolation from mechanical ventilation in patients who had coronary artery bypass surgery [77]. Some researchers have reported that the fear of the unknown caused an increase in hemodynamic indicators, including blood pressure, heartbeat, and breathing. At the same time, implementing this approach improved hemodynamic symptoms and reduced hospitalization in the intensive care unit. The reason for this could be the lower anxiety of patients in the intervention group compared to the control group [4, 80, 82]. Also, Azimi Lolati has shown that visiting family members and friends led to a decrease in a heartbeat, breathing and more oxygen saturation in patients hospitalized in CCU. Also, meeting with family and friends can improve the feeling of well-being in MI patients and reduce their anxiety [82]. Hosseini Azizi et al. stated about the effect of family support on the recovery process of concussion patients in the intensive care unit that this approach has accelerated the recovery process of the patient. Also, solving the concerns among nurses and correcting their beliefs has provided the basis for using the benefits of family presence [90].
The limitation of the study was the impossibility of accessing the full text of some articles, so they were not included in the study.
Due to the frequency of studies in this field, it is vital to conduct a meta-analysis study in this regard. It is suggested that nursing managers implement family-centered care, especially in children's and Intensive Care Units. It is also necessary that its various dimensions be studied and evaluated in universities and research centers; according to Iranian culture and society, and its hidden symptoms be identified, and the field for applying this approach in public and private medical centers be provided.
The current research showed that implementing family-centered approach increases the quality of life, and satisfaction of patients and families, improves the clinical results of newborns, reduces anxiety and stress, separates them from mechanical ventilation, and increases the participation of families. According to the findings and positive effects of this approach as a valuable and low-cost solution, it can be used as a scientific solution for more participation of patients and families in Iran's rehabilitation and treatment centers. Therefore, according to the mentioned materials, with a little expense, using different specialties, supporting the family, and involving the patient, the conditions for empowering the family can be provided
Teaching the principles of family-centered care creates group motivation, increases the quality of life, creates independence, and makes patients and families of the armed forces not dependent on health care providers.
This article results from a part of the Ph.D. dissertation in the Faculty of Nursing of Baqiyatallah University of Medical Sciences. The financial and moral support of the Research and Technology directorate of Baqiyatallah University of Medical Sciences and the Research Center of the Health and Treatment directorate of the Police Headquarters of the Islamic Republic of Iran are gratefully acknowledged for this project.
The authors state that the present study has no conflict of interest.
This article was written with the financial support of the directorate of Research and Technology of Baqiyatallah University of Medical Sciences and the Research Center of the directorate of Health and police Headquarters of the Islamic Republic of Iran.


Figure 1) The process of reviewing and selecting the articles included in the study

Information about some used articlesTable 1) 
Authors (year) Year Type of research Aim Data collection method Conclusion
Verma A et al [53] 2017 Clinical trial Investigating the effect of family-centered care on the rate of hospital infection in infants educational videos By implementing the principles of family-centered care, the rate of breastfeeding improved before the discharge
Safaeipour et al. [77] 2017 Clinical trial Determining the effect of family-centered care on the duration of isolation from mechanical ventilation in patients undergoing CABG The researcher-made tool includes: demographic information and a form related to the intubation and extubation of patients Family-centered care reduced the duration of isolation from mechanical ventilation in patients undergoing coronary surgery.
Farnia F et al. [23] 2014 Clinical trial The effect of family-centered care on family satisfaction of patients hospitalized in special adult care A researcher-made questionnaire including demographics and family satisfaction with the quality of care Family-centered care led to an increase in family satisfaction.
Lv B et al [51] 2019 semi experimental Investigating the effect of family-centered care on the clinical outcomes of low birth weight infants Parents demographic questionnaire The weight of babies and the amount of breastfeeding increased in the intervention group at the time of discharge (p<0.001).
Nohi, Karbalaizadeh and Abazari [25] 2015 Clinical trial Investigating the effect of participation and family-centered care on the anxiety of mothers of children with gastrointestinal infection Demographic information questionnaire and Spielberger standard anxiety questionnaire After the intervention, the mean score of overt anxiety significantly decreased in the test group compared to before the intervention (p>0.015).
He S-W et al. [52] 2018 Before and after intervention Evaluation of the effect of family-centered care on the clinical outcomes of premature infants Questionnaire and implementation of family-centered care interventions The study results show that family-centered care improved the clinical outcomes of preterm infants.
Shushi et al. [70] 2017 Semi-experimental Investigating the effect of family-centered care program implementation on depression, anxiety and stress of family caregivers of open heart surgery patients DASS21 questionnaire Family-centered care program reduces depression, anxiety and stress of patient caregivers
Karimi et al. [79] 2017 Clinical trial The effect of family orientation program on hemodynamic indicators Questionnaire of demographic information and clinical characteristics, hemodynamic status form and hospitalization data After the intervention, the hemodynamic indices and hospital stay in the intervention group were lower than the control group (p<0.001).
Ghavidel et al. [15] 2015 experimental and length of hospitalization in patients with coronary artery disease SF-12 quality of life questionnaire After the intervention, the quality of life scores of the test group increased significantly compared to the control group (p<0.0001).

Article number: e30
Full-Text [PDF 768 kb]   (1721 Downloads)    
Article Type: Systematic Review | Subject: Police Health
Received: 2022/04/15 | Accepted: 2022/07/31 | Published: 2022/09/26

1. Hedayati B. Effect of family-based empowerment model on the self-Efficacy of hypertensive elderly people. Salmand. 2018;13(1):86-97. [Persian]. http://dx.doi.org/10.21859/sija.13.1.86 [DOI:10.21859/sija.13.1.86]
2. Aran A, Abazari F, Farokhzadian J, Azizzadeh Forouzi M. Comparing the perception of family-centered care from the perspectives of nursing staff and mothers of hospitalized children in children's wards. Hayat. 2018;24(1):48-58. [Persian]. http://hayat.tums.ac.ir/article-1-2223-en.html .
3. Bastani F, Abadi TA, Haghani H. Effect of Family-centered Care on Improving Parental Satisfaction and Reducing Readmission among Premature Infants: A Randomized Controlled Trial. J Clin Diagn Res. 2015;9(1):Sc04-8. [Persian]. DOI: 10.7860/jcdr/2015/10356.5444. [DOI:10.7860/JCDR/2015/10356.5444] [PMID] [PMCID]
4. Dehghan Nayeri N, Mohammadi S, Pedram Razi S, Kazemnejad A. Adherence of family caregivers of patients with stroke to rehabilitation regimen. Hayat. 2012;18(1):30-41[Persian]. https://hayat.tums.ac.ir/browse.php?a_id=36&sid=1&slc_lang=en
5. Mitchell ML, Kean S, Rattray JE, Hull AM, Davis C, Murfield JE, et al. A family intervention to reduce delirium in hospitalised ICU patients: A feasibility randomised controlled trial. Intensive Crit Care Nurs. 2017;40:77-84. Doi: 10.1016/j.iccn.2017.01.001. [DOI:10.1016/j.iccn.2017.01.001] [PMID]
6. Carl J. Family-centered practices : Birth through High School. 2002. [DOI:10.1177%2F00224669020360030401]
7. Hinkle LJ, Bosslet GT, Torke AM. Factors associated with family satisfaction with end-of-life care in the ICU: a systematic review. Chest. 2015;147(1):82-93. DOI: 10.1378/chest.14-1098. [DOI:10.1378/chest.14-1098] [PMID]
8. Fumagalli S, Boncinelli L, Lo Nostro A, Valoti P, Baldereschi G, Di Bari M, et al. Reduced cardiocirculatory complications with unrestrictive visiting policy in an intensive care unit: results from a pilot, randomized trial. Circulation. 2006;113(7):946-52. DO: 10.1161/circulationaha.105.572537. [DOI:10.1161/CIRCULATIONAHA.105.572537] [PMID]
9. Lautrette A, Darmon M, Megarbane B, Joly L, Chevret S, Adrie C, et al. A Communication Strategy and Brochure for Relatives of Patients Dying in the ICU. New Eng J Med. 2007;356:469-78. DOI: 10.1056/NEJMoa063446. [DOI:10.1056/NEJMoa063446] [PMID]
10. Bayatmanesh H, Zagheri Tafreshi M, Mnoochehri H, Akbarzadeh Baghban A. Evaluation of patient-related nursing care with standards in intensive care unit (ICU). Armaghane danesh. 2017;22(3):375-89. [Persian]. https://armaghanj.yums.ac.ir/browse.php?a_id=1752&sid=1&slc_lang=en
11. Power N, Franck L. Parent participation in the care of hospitalized children: a systematic review. J Adv Nurs. 2008;62(6):622-41. DOI: 10.1111/j.1365-2648.2008.04643.x [DOI:10.1111/j.1365-2648.2008.04643.x] [PMID]
12. Valizadeh F, Ghasemi S. Medical staff attitude toward parents' participation in the care of their hospitalized children. J Hayat. 2008;14(1):69-76. [Persian]. https://hayat.tums.ac.ir/browse.php?a_id=157&sid=1&slc_lang=en
13. Bamm EL, Rosenbaum P. Family-centered theory: origins, development, barriers, and supports to implementation in rehabilitation medicine. Arch Physic Med. 2008;89(8):1618-24. DOI: 10.1016/j.apmr.2007.12.034 [DOI:10.1016/j.apmr.2007.12.034] [PMID]
14. Asar S, Jalalpour S, Ayoubi F, Rahmani MR, Rezaeian M. PRISMA; Preferred reporting items for systematic reviews and meta-analyses. J Rafsanjan Uni Med Sci. 2016;15(1):68-80. [Persian]. http://journal.rums.ac.ir/article-1-3021-en.html
15. Ghavidel A, Farokhnezhad-Afshar P, Bakhshandeh H, Ghorbanpour F. Effect of family-centered education on the quality of life patients after coronary artery bypass graft surgery. Cardiovasc Nurs J. 2015;4(2):6-13 [Persian]. https://journal.icns.org.ir/browse.php?a_id=313&sid=1&slc_lang=en
16. Ebrahimi L, Aein F, Ali Akbari F, Deris F, A K. Evaluation of effect of family-centered intervention by SMS on quality of life of patients with acute myocardial infarction. J Clin Nurs Midwifery. 2019;8(1):318-26. [Persian]. http://jcnm.skums.ac.ir/article-1-1143-en.html
17. Lindenfelser K, Hense C, McFerran K. Music therapy in pediatric palliative care: Family-centered care to enhance quality of life. Am J hospice palliat care. 2011;29:219-26. DOI: 10.1177/1049909111429327. [DOI:10.1177/1049909111429327] [PMID]
18. Hartnick C, Diercks G, De Guzman V, Hartnick E, Van Cleave J, Callans K. A quality study of family-centered care coordination to improve care for children undergoing tracheostomy and the quality of life for their caregivers. Int J Pediatr Otorhinolaryngol. 2017;99:107-10. [DOI:10.1378/chest.14-1098] [PMID]
19. sargazi shad t, kerman saravi f, navidian a. Effect of the Family-centered empowerment model on quality of life and self-efficacy in adolescents with type 1 Diabetes referring to the Ali Asghar's clinic in Zahedan , 2016. Iran J Endocrinol Metab. 2018;19(5):330-9. [Persian]. http://ijem.sbmu.ac.ir/article-1-2276-en.html
20. Aslan A, M E. The role of patient and family-centered care in coronary artery bypass graft surgery. Irean J Cardiovasc Nurs. 2018;7(2):68-78. [Persian]. https://www.sid.ir/en/Journal/ViewPaper.aspx?ID=835248
21. Seyam S, Heidarnia AR, Tavafian S. Quality of life and factors related to it in cardiovascular patients after heart surgery. J Birjand Uni Med Sci. 2013;19(0):33-41. http://journal.bums.ac.ir/index.php?slc_lang=en&sid=1
22. Yousefi H, Karami A, Moeini M, Ganji H. Effectiveness of nursing interventions based on family needs on family satisfaction in the neurosurgery intensive care unit. Iran J Nurs Midwifery Res. 2012;17:296-300. [Persian]. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3702150/
23. Farnia F, Fooladi L, Nasiriani KH, MH L. Effectiveness of family-centered care on family satisfaction in intensive care units. Hakim Health Sys Res. 2014;17(4):306-12. [Persian]. https://www.semanticscholar.org/paper/Effectiveness-of-Family-Centered-Care-on-Family-in-Farnia-Fooladi/9ee65399f34000d8df095dcb6e80a57f80a977cf
24. Kohi T, Obogo M, Mselle L. Perceived needs and level of satisfaction with care by family members of critically ill patients at Muhimbili National hospital intensive care units Tanzania. BMC Nurs. 2016;15. https://doi.org/10.1186/s12912-016-0139-5 [DOI:10.1186%2Fs12912-016-0139-5] [PMID] [PMCID]
25. Nouhi E, Karbalaizadeh M, Abazari F. The effect of mothers' participation and the family-centered care on mother's anxiety with children suffering from gastrointestinal infections: a randomized clinical trial. J Clin Nurs Midwifery. 2015;3(4):47-55. [Persian]. http://jcnm.skums.ac.ir/article-1-168-en.html
26. Abvali A, Peyrovi H, Moradi-Moghaddam O, Gohari M. Effect of support program on satisfaction of family members of ICU Patients. J Client-Centered Nurs Care. 2015;1(1):29-36. [Persian]. https://jccnc.iums.ac.ir/article-1-24-en.html
27. Imanipour M, Heidari Z, Seyedfatemi N, Haghani H. Effectiveness of informational support on anxiety among family carers of patients undergone open heart surgery. Hayat. 2012;18(3):33-43. [Persian]. https://hayat.tums.ac.ir/browse.php?a_id=21&sid=1&slc_lang=en
28. 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(6) 543-52quiz 53. [DOI:10.4037/ajcc2009226] [PMID]
29. Pagnamenta A, Bruno R, Gemperli A, Chiesa A, Previsdomini M, Corti F, et al. Impact of a communication strategy on family satisfaction in the intensive care unit. Acta anaesthesiologica Scandinavica. 2016;60:800-9. DOI: 10.1111/aas.12692 [DOI:10.1111/aas.12692] [PMID]
30. Arofiati F, Apriliyanti P. The family satisfaction on nursing services at the intensive care unit. J Med Sci. 2021;9(4):61-4. https://doi.org/10.3889/oamjms.2021.5776 [DOI:10.3889/oamjms.2021.5776 .]
31. Ferrando P, Gould DW, Walmsley E, Richards-Belle A, Canter R, Saunders S, et al. Family satisfaction with critical care in the UK: a multicentre cohort study. BMJ Open. 2019;9(8):e028956. DOI: 10.1136/bmjopen-2019-028956 [DOI:10.1136/bmjopen-2019-028956] [PMID] [PMCID]
32. Haave RO, Bakke HH, Schröder A. Family satisfaction in the intensive care unit, a cross-sectional study from Norway. BMC emergency medicine. 2021;21(1):20. DOI: 10.1186/s12873-021-00412-8 [DOI:10.1186/s12873-021-00412-8] [PMID] [PMCID]
33. Chien W-T, Chiu YL, Lam L-W, Ip W-Y. Effects of a needs-based education programme for family carers with a relative in an intensive care unit: A quasi-experimental study. Int J Nurs S1tud. 2006;43:39-50. DOI: 10.1016/j.ijnurstu.2005.01.006 [DOI:10.1016/j.ijnurstu.2005.01.006] [PMID] [PMCID]
34. Dodek P, Wong H, Heyland D, Cook D, Rocker G, Kutsogiannis D, et al. The relationship between organizational culture and family satisfaction in critical care. Crit Care Med. 2012;40:1506-12. DOI: 10.1097/CCM.0b013e318241e368 [DOI:10.1097/CCM.0b013e318241e368] [PMID]
35. Wall R, Curtis J, Cooke C, Engelberg R. Family satisfaction in the ICU - Differences between families of survivors and nonsurvivors. Chest. 2007;132:1425-33. DOI: 10.1378/chest.07-0419. [DOI:10.1378/chest.07-0419] [PMID]
36. Henrich N, Dodek P, Heyland D, Cook D, Rocker G, Kutsogiannis D, et al. Qualitative analysis of an intensive care unit family satisfaction survey. Crit Care Med. 2011;39:1000-5. DOI: 10.1097/CCM.0b013e31820a92fb. [DOI:10.1097/CCM.0b013e31820a92fb] [PMID]
37. Holanda Peña MS, Talledo NM, Ots Ruiz E, Lanza Gómez JM, Ruiz Ruiz A, García Miguelez A, et al. Satisfaction in the Intensive Care Unit (ICU). Patient opinion as a cornerstone. Med Intensiva. 2017;41 2:78-85. [DOI:10.1016/j.medin.2016.06.007] [PMID]
38. Mosleh S, Alja'afreh M, Lee A. Patient and family/friend satisfaction in a sample of Jordanian Critical Care Units. Intensive Crit Care Nurs. 2015;31(6):366-74. Doi: 10.1016/j.iccn.2015.04.004 [DOI:10.1016/j.iccn.2015.04.004] [PMID]
39. Stricker K, Kimberger O, Brunner L, Rothen H. Patient satisfaction with care in the intensive care unit: Can we rely on proxies? Acta Anaesthesiol Scand. 2011;55:149-56. [DOI:10.1111/j.1399-6576.2010.02293.x] [PMID]
40. Padilla Fortunatti C, Rojas N. Families on adult intensive care units: Are they really satisfied? A literature review. Aust Crit Care. 2018;31:318-24. doi: 10.1016/j.aucc.2017.08.003. [DOI:10.1016/j.aucc.2017.08.003] [PMID]
41. Stricker K, Kimberger O, Schmidlin K, Zwahlen M, Mohr U, Rothen H. Family satisfaction in the intensive care unit: What makes the difference? Intensive Care Med. 2009;35:2051-9. Doi: 10.1007/s00134-009-1611-4. [DOI:10.1007/s00134-009-1611-4] [PMID]
42. Heyland D, Tranmer J. Measuring family satisfaction with care in the Intensive Care Unit: the development of a questionnaire and preliminary results. J Crit Care. 2002;16:142-9. Doi: 10.1053/jcrc.2001.30163. [DOI:10.1053/jcrc.2001.30163] [PMID]
43. Schwarzkopf D, Behrend S, Skupin H, Westermann I, Riedemann N, Pfeifer R, et al. Family satisfaction in the intensive care unit: A quantitative and qualitative analysis. Intensive Care Medicine. 2013;39(6):1071-9. [DOI:10.1007/s00134-013-2862-7] [PMID]
44. Mitchell M, Coyer F, Kean S, Stone R, Murfield J, Dwan T. Patient, family-centred care interventions within the adult ICU setting: An integrative review. Aust Crit Care. 2016;29(4):179-93. [DOI:10.1016/j.aucc.2016.08.002] [PMID]
45. Wright SE, Walmsley E, Harvey SE, Robinson E, Ferrando-Vivas P, Harrison DA, et al. Family-reported experiences evaluation (FREE) study: a mixed-methods study to evaluate families' satisfaction with adult critical care services in the NHS. Southampton (UK): NIHR J. 2015. https://doi.org/10.3310/hsdr03450 [DOI:10.3310/hsdr03450 .] [PMID]
46. Lewis-Newby M, Curtis J, Martin D, Engelberg R. Measuring family satisfaction with care and quality of dying in the intensive care unit: Does patient age matter? J Palliat Med. 2011;14:1284-90. Doi: 10.1089/jpm.2011.0138 [DOI:10.1089/jpm.2011.0138] [PMID] [PMCID]
47. Rothen H, Stricker K, Heyland D. Family satisfaction with critical care: Measurements and messages. Curr Opin Crit Care. 2010;16. Doi: 10.1097/MCC.0b013e32833e9718. [DOI:10.1097/MCC.0b013e32833e9718] [PMID]
48. Sundararajan K, Sullivan T, Sullivan T, Chapman M. Determinants of family satisfaction in the intensive care unit. Anaesthesia Intensive Care. 2012;40:159-65. Doi: 10.1177/0310057x1204000120. [DOI:10.1177/0310057X1204000120] [PMID]
49. Awdish RL, Buick D, Kokas M, Berlin H, Jackman C, Williamson C, et al. A communications bundle to improve satisfaction for critically ill patients and their families: A prospective, Cohort pilot study. J Pain Symptom Manage. 2017;53(3):644-6. [DOI:10.1016/j.jpainsymman.2016.08.024] [PMID]
50. Frivold G, Slettebø Å, Heyland DK, Dale B. Family members' satisfaction with care and decision-making in intensive care units and post-stay follow-up needs-a cross-sectional survey study. Nursing Open. 2018;5(1):6-14. [DOI:10.1002/nop2.97] [PMID] [PMCID]
51. Lv B, Gao X-r, Sun J, Li T-t, Liu Z-y, Zhu L-h, et al. Family-centered care improves clinical outcomes of very-low-birth-weight infants: A Quasi-Experimental study. Front Pediatr. 2019;7:138. [DOI:10.3389/fped.2019.00138] [PMID] [PMCID]
52. He S-W, Xiong Y-E, Zhu L-H, Lv B, Gao X-R, Xiong H, et al. Impact of family integrated care on infants' clinical outcomes in two children's hospitals in China: a pre-post intervention study. Italian J Pediatr. 2018;44(1):65. Doi: 10.1186/s13052-018-0506-9 [DOI:10.1186/s13052-018-0506-9] [PMID] [PMCID]
53. Verma A, Maria A, Pandey RM, Hans C, Verma A, Sherwani F. Family-centered care to complement care of sick newborns: A randomized controlled trial. India Pediatr. 2017;54(6):455-9. doi: 10.1007/s13312-017-1047-9. [DOI:10.1007/s13312-017-1047-9] [PMID]
54. Yu YT, Hsieh WS, Hsu CH, Lin YJ, Lin CH, Hsieh S, et al. Family-centered care improved neonatal medical and neurobehavioral outcomes in preterm infants: Randomized controlled trial. Phys Ther. 2017;97(12). DOI:1158-68. 10.1093/ptj/pzx089. [DOI:10.1093/ptj/pzx089] [PMID]
55. 55 -He SW, Xiong YE, Zhu LH, Lv B, Gao XR, Xiong H, et al. Impact of family integrated care on infants' clinical outcomes in two children's hospitals in China: a pre-post intervention study. Italian J Pediatr. 2018;44(1):65. Doi: 10.1186/s13052-018-0506-9. [DOI:10.1186/s13052-018-0506-9] [PMID] [PMCID]
56. 56 -Örtenstrand A, Westrup B, Broström EB, Sarman I, Åkerström S, Brune T, et al. The stockholm neonatal family centered care study: Effects on length of stay and infant morbidity. Pediatrics. 2010;125(2):e278-e85. doi: 10.1542/peds.2009-1511. [DOI:10.1542/peds.2009-1511] [PMID]
57. 57 -Bhutta Z, Khan I, Salat S, Raza F, Ara H. Reducing length of stay in hospital for very low birthweight infants by involving mothers in a stepdown unit: An experience from Karachi (Pakistan). BMJ. 2004;329:1151-5. Doi: 10.1136/bmj.329.7475.1151. [DOI:10.1136/bmj.329.7475.1151] [PMID] [PMCID]
58. 58 -Browne JV, Talmi A. Family-based intervention to enhance infant-parent relationships in the neonatal intensive care unit. J Pediatr Psychol. 2005;30(8):667-77. doi:. 10.1093/jpepsy/jsi053. [DOI:10.1093/jpepsy/jsi053] [PMID]
59. -Aliabadi T, Bastani F, Haghani H. Effect of mothers' participation in preterm infants' care in NICU on readmission rates. Hayat. 2011;17(2):71-7. [Persian]. http://hayat.tums.ac.ir/article-1-65-en.html
60. 60 -Franck L, Kriz R, Bisgaard R, Cormier D, Joe P, Miller P, et al. Comparison of family centered care with family integrated care and mobile technology (mFICare) on preterm infant and family outcomes: A multi-site quasi-experimental clinical trial protocol. BMC Pediatr. 2019;19:1-10. Doi:10.1186/s12887-019-1838-3 [DOI:10.1186/s12887-019-1838-3] [PMID] [PMCID]
61. Skene C, Gerrish K, Price F, Pilling E, Bayliss P, Gillespie S. Developing family-centred care in a neonatal intensive care unit: An action research study. Intensive Crit Care Nurs. 2019;50:54-62. Doi: 10.1016/j.iccn.2018.05.006. [DOI:10.1016/j.iccn.2018.05.006] [PMID]
62. Cooper LG, Gooding JS, Gallagher J, Sternesky L, Ledsky R, Berns SD. Impact of a family-centered care initiative on NICU care, staff and families. J Perinatol. 2007:27(2):S32-7. doi: 10.1038/sj.jp.7211840. [DOI:10.1038/sj.jp.7211840] [PMID]
63. De Rouck S, Leys M. Information needs of parents of children admitted to a neonatal intensive care unit: a review of the literature (1990-2008). Patient Educ Couns. 2009;76(2):159-73. [DOI:10.1016/j.pec.2009.01.014] [PMID]
64. Doyle LW, Ford G, Davis N. Health and hospitalistions after discharge in extremely low birth weight infants. Semin Neonatol. 2003;8(2):137-45. Doi: 10.1016/s1084-2756(02)00221-x. [DOI:10.1016/S1084-2756(02)00221-X]
65. Johnson BH, Abraham MR, Parrish RN. Designing the neonatal intensive care unit for optimal family involvement. Clinics Perinatol. 2004;31(2):353-82. [DOI:10.1016/j.clp.2004.04.008] [PMID]
66. Golaghaie F, Hekmatpou D, Vafaie M, Rafeie M, Rafiei F. Effect of a family-centered clinical intervention on the anxiety of family members of the patients hospitalized in critical care units. J Gorgan Univ Med Sci. 2016;18(3):7-13. [Persian]. http://goums.ac.ir/journal/browse.php?a_id=2830&sid=1&slc_lang=en
67. Day A, Haj-Bakri S, Lubchansky S, Mehta S. Sleep, anxiety and fatigue in family members of patients admitted to the intensive care unit: A questionnaire study. Crit Care. 2013;17(3):R91. Doi: 10.1186/cc12736. [DOI:10.1186/cc12736] [PMID] [PMCID]
68. Sadeghi Z, Payami M, MoosaviNasab SN. Effect of family participation in ICU patients care on family's anxiety level. Prev Care Nurs Midwife J. 2013;2(2):10-7. https://zums.ac.ir/nmcjournal/browse.php?a_id=45&sid=1&slc_lang=en
69. Milan M, F N. The effect of family-centered care educational program on Performance of mothers of premature infants hospitalized in neonatal intensive care unit. Iran J Pediatr Nurs. 2019;5(2):37-43. [Persian]. https://jpen.ir/browse.php?a_id=294&slc_lang=en&sid=1&printcase=1&hbnr=1&hmb=1
70. Shoushi F, Jannati Y, Mousavinasab N-A, Shafipour V. The impact of family centered care on depression, anxiety and stress of family caregivers of patients undergoing open heart surgery. Iran J Rehabil Res Nurs. 2017;3(2):53-60. [Persian]. http://ijrn.ir/browse.php?a_code=A-10-27-66&sid=1&slc_lang=en
71. KHalilzadeh H, KHorsandi F, Feizi A, KHalkhali H. The effect of family-centerde care on anxiety of hospitalized childs parents with urinery tract infection pediatric ward of shahid motahary medical training center in urmia in 2012. Nurs Midwife J. 2013;11(1). [Persian]. https://unmf.umsu.ac.ir/browse.php?a_id=1213&sid=1&slc_lang=fa
72. Koohi M, Bagheri-Nesami M, Esmaeili R, Mousavinasab N, Hosseini H. Effect of family participation in primary care provision to reduce pain anxiety among burn ICU patients. J Mazandaran Univ Med Sci. 2017;26(146):88-99. http://jmums.mazums.ac.ir/browse.php?a_id=9644&sid=1&slc_lang=en
73. Sadeghi Z, Payami M, Mousavi N. The effect of family participation in the care of a patient admitted to the intensive care unit on the family. Nurs Midwife J. 2010;2(2):10-17. [Persian]. https://zums.ac.ir/nmcjournal/article-1-45-en.pdf
74. Simeone S, Pucciarelli G, Perrone M, Rea T, Gargiulo G, Dell'Angelo G, et al. Comparative analysis: Implementation of a pre-operative educational intervention to decrease anxiety among parents of children with congenital heart disease. J Pediatr Nurs. 2017;35:144-8. Doi: 10.1016/j.pedn.2017.01.008. [DOI:10.1016/j.pedn.2017.01.008] [PMID]
75. Chien WT, Chiu YL, Lam LW, Ip WY. Effects of a needs-based education programme for family carers with a relative in an intensive care unit: a quasi-experimental study. Int J Nurs Stud. 2006;43(1):39-50. Doi: 10.1016/j.ijnurstu.2005.01.006. [DOI:10.1016/j.ijnurstu.2005.01.006] [PMID] [PMCID]
76. ZakerimoghadamA M, Ghiasvandian S, Salahshoor P, Kazemnezhad A. The effect of suportive nursing program on depression,anxiety and stress of family members of patients during coronary artery bypass graft (CABG)surgery. Iran J Cardiovasc Nurs. 2014;3(1):50-8. [Persian]. https://journal.icns.org.ir/browse.php?a_id=136&sid=1&slc_lang=en
77. Safaeepour L, Mokhtari Nouri J, Moradian ST, Saied Ghiasi SM. The effect of family-centered care on the duration of weaning from mechanical ventilation in coronary artery bypass surgery patients: A clinical trial study. Iran J Crit Care Nurse. 2017;10(2):1-7. [Persian]. https://www.sid.ir/en/journal/ViewPaper.aspx?id=548097 [DOI:10.5812/ccn.10655]
78. Zand S, Asgari P, Bahramnezhad F, Rafiei F. The effect of two educational methods (family- centered and patient-centered) multimedia software on dysrhythmia of patients after acute myocardial infarction. J Health Hygiene. 2016;7:7-17. [Persian]. https://www.sid.ir/en/Journal/ViewPaper.aspx?ID=507148
79. Karimi V, Hanifi N, Bahraminezhad N, Faghihzadeh S. Impact of family-centered orientation program on hemodynamic indices and hospitalization duration in coronary artery disease patients. Med Surg Nurs J. 2017;5(4):15-21. https://www.researchgate.net/publication/343212636_Impact_of_Family-Centered_Orientation_Program_on_Hemodynamic_Indices_and_Hospitalization_Duration_in_Coronary_Artery_Disease_Patients
80. Dehghni H, Dehghani K, Nasiriani K, Banaderakhshan H. The effect of familiarization with cardiac surgery proces on the anxiety of patients undergoing coronary artery bypass graft surgery . modern care journal. 2013;10(4):257-63. [Persian]. https://www.sid.ir/en/Journal/ViewPaper.aspx?ID=377945
81. Hanifi N, Bahraminejad N, Idea Dadgaran SA, Ahmadi F, Khani M, Haghdoost Oskouie SF. Effect of orientation program on hemodynamic variables of patients undergoing heart catheterization. Hayat. 2011;17(3):38-48. https://hayat.tums.ac.ir/browse.php?a_id=53&sid=1&slc_lang=en
82. Azimi Lolaty H, Bagheri-Nesami M, Shorofi S, Golzarodi T, Charati J. 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(3):147-51. [DOI:10.1016/j.ctcp.2014.03.002] [PMID]
83. Heyland D, Davidson J, Skrobik Y, Ordons ARd, Scoy LJV, Day A, et al. Improving partnerships with family members of ICU patients: study protocol for a randomized controlled trial. Trials. 2018;19(1):3. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5753514/ [DOI:10.1186/s13063-017-2379-4] [PMID] [PMCID]
84. Ezati N. The effect of family support presence on the recovery of female patients with heart disease. J Woman Stud Family 2018;11(41):121-36. [Persian]. https://jwsf.tabriz.iau.ir/m/article_667300.html?lang=en
85. Azoulay E, Pochard F, Chevret S, Arich C, Brivet F, Brun F, et al. Family participation in care to the critically ill: Opinions of families and staff. Intens Care Medi. 2003;2:1498-504. Doi: 10.1007/s00134-003-1904-y [DOI:10.1007/s00134-003-1904-y] [PMID]
86. Mackie B, Mitchell M, Marshall P. The impact of interventions that promote family involvement in care on adult acute-care wards: An integrative review. Collegian. 2018;25(1):131-40. [DOI:10.1016/j.colegn.2017.01.006]
87. Shabani R, Mozaffari M, Heidari Moghadam R, Shirmohamadi T, Vafaee R. Effect of cardiac rehabilitation program on quality of life in patients with myocardial infarction in Hamadan. Res Med. 2013;36(5):117-22. http://pejouhesh.sbmu.ac.ir/article-1-1120-en.html
88. Karlsson C, Tisell A, Engström Å, Andershed B. Family members' satisfaction with critical care: a pilot study. Nurs Crit Care. 2011;16(1):11-8. [DOI:10.1111/j.1478-5153.2010.00388.x] [PMID]
89. Bailey JJ, Sabbagh M, Loiselle CG, Boileau J, McVey L. Supporting families in the ICU: a descriptive correlational study of informational support, anxiety, and satisfaction with care. Intensive Crit Care Nurs. 2010;26(2):114-22. [DOI:10.1016/j.iccn.2009.12.006] [PMID]
90. Hoseini Azizi T, Hasanzadeh F, Esmaily H, Ehsaee M, Masoudynia M. The effect of familys supportive presence on the recovery of patients with brain injury in intensive care unit: A randomised clinical trial. Nurs Midwife J. 2014;11(12):977-87. [Persian]. https://unmf.umsu.ac.ir/article-1-1753-en.pdf

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