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.