Declaration
Ethical Approval and Consent to participate: Ethical approval for Phases I and II was attained under REB15-1891. Phase III was conducted as a quality improvement project as per ARECCI guidelines and as set forth in the Helsinki Declaration.
Authors’ contributions: Each of the study authors has made significant contributions to the manuscript. Selena Au, Amanda Roze des Ordons, and Tom Stelfox are critical care physicians with the University of Calgary and were all responsible for study conception, protocol design, and data interpretation. Kenneth Blades is a qualitative researcher with the University of Calgary’s Ward of the 21st Century Research & Innovation Centre with an MA in sociology, and contributed to methodological design, data collection, data analysis, and manuscript preparation. Selena Au, Amanda Roze des Ordons, and Kenneth Blades analyzed and coded qualitative interview and focus group data. All authors were responsible for iterative manuscript writing, critical review for intellectual content and have approved the final version to be published.
Acknowledgements: We would like to acknowledge all ICU family members and healthcare providers who have leant their experience and expertise to this body of work. Additionally we would like to thank Kyla Brown and Jenny Kelly for their research assistance, Kara Plotnikoff and Carmen Hiploylee for their assistance in figure and supplemental material configuration, and Miranda Kavalench for administrative support.
Figure 1. Key structures and processes foundational to patient and family centered rounds are summarized as a toolkit with 6 key practices.