Conclusion
Based on the perspectives and ideas drawn from family members of ICU
patients and ICU healthcare providers, we have developed a practical
approach to facilitate active family member participation in ICU bedside
rounds. Our study highlights the importance of 6 elements in supporting
the participation of family members in rounds: Invitation, Orientation,
Engagement, Summary, Questions, and Follow Up.
Specific
strategies for facilitating meaningful communication between family and
the healthcare team during rounds situate rounds as an important element
in the continuum of communication in the ICU. Next steps will involve
implementing, evaluating, and adapting the toolkit within local
contexts.