RNQualitativeNursing in critical care2026

Close, Yet Limited: The Conditional Nature of Family Involvement in the ICU.

Ann-Charlotte Falk, Sofia Almerud Österberg, Catharina Frank

PMID 41622115

WHAT IT FOUND

ICU relatives described participation as conditional: caregivers decided when they could be involved, while relatives often had to initiate contact.

Being close, recognised as a person, and given repeated information made involvement possible.

Key findings

01Relatives described ICU participation as conditional, depending on caregivers' willingness to involve them, while relatives often had to initiate contact.

02Relatives could feel involved even at a physical distance when caregivers used phone or video to share what was happening.

03Relatives said participation was enabled when caregivers recognised them as people and gave repeated information.

STILL TO COME

How it was doneWhat they foundWhat it means for RNs

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What it does not show

The study included 12 relatives from one ICU, so the findings may not apply to other ICU settings. Most participants were women, which the authors say may reflect who visits ICU patients. Interviews were conducted face-to-face, by telephone, or by video, which could affect responses. The researchers acknowledged that their own pre-understanding could influence the analysis. The paper reports themes from interviews, not measured patient or relative outcomes.

Declared interests

The authors report no funding and no conflicts of interest.

The easy way to misread this

Do not read this as proof that involving relatives in ICU care improves patient outcomes or reduces stress. The study reported experiences from 12 relatives; it did not test an intervention or measure recovery.

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