{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T12:12:11Z","timestamp":1789992731761,"version":"4.0.1"},"reference-count":49,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2024,12,1]],"date-time":"2024-12-01T00:00:00Z","timestamp":1733011200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2024,12,1]],"date-time":"2024-12-01T00:00:00Z","timestamp":1733011200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Nursing in Critical Care"],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Family\u2010led interventions have been identified as effective in many areas of care including the management of delirium. However, because of the heterogeneity and ambiguity of family\u2010led interventions, they are not consistently applied within intensive care units. A user\u2010friendly digital intervention may therefore support consistent family integration into delirium management.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To explore the feasibility and acceptability of a family member's voice reorientation intervention for delirium prevention and management in an adult intensive care unit.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design<\/jats:title>\n                    <jats:p>Parallel, convergent mixed\u2010methods pilot study was conducted in a general adult intensive care unit in the United Kingdom. Thirty participants (15 patients and 15 family members) were enrolled in the study. For the qualitative component, 17 participants (three patients, six family members and eight nurses) contributed to the evaluation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The median frequency of the family member's voice reorientation intervention was 2.3 times per day (range 3.3), and the median Richmond Agitation\u2010Sedation Scale score was \u22121 (range 2.5). Qualitative data revealed seven themes: acceptance of the intervention, communication, delirium awareness, reactions to the intervention, cognitive state, perception of the intensive care unit and psychological well\u2010being.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Nurses can involve family members in person\u2010centred care within the intensive care unit. Results from this study indicate that the family member's voice reorientation programme is feasible and acceptable and may be an effective strategy for providing ongoing orientation, reassurance and comfort to critically ill adult patients to prevent or manage delirium. A larger study is needed to evaluate its impact on delirium.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Relevance for Clinical Practice<\/jats:title>\n                    <jats:p>The family member's voice reorientation intervention offers critical care nurses a feasible, family\u2010centred approach to support delirium care in the intensive care unit. Integrating this non\u2010invasive tool into practice may enable nurses to enhance patient outcomes, reduce anxiety and strengthen collaboration between patients, families and health care professionals.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/nicc.13210","type":"journal-article","created":{"date-parts":[[2024,12,1]],"date-time":"2024-12-01T23:39:10Z","timestamp":1733096350000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["The implementation and evaluation of a family\u2010led novel intervention for delirium prevention and management in adult critically ill patients: A mixed\u2010methods pilot study"],"prefix":"10.1111","volume":"30","author":[{"given":"Gideon U.","family":"Johnson","sequence":"first","affiliation":[{"name":"School of Nursing and Midwifery Edith Cowan University  Joondalup Australia"},{"name":"Chelsea and Westminster Hospital NHS Foundation Trust  London UK"},{"name":"Florence Nightingale Faculty of Nursing, Midwifery and Palliative Care King's College London  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amanda","family":"Towell\u2010Barnard","sequence":"additional","affiliation":[{"name":"School of Nursing and Midwifery Edith Cowan University  Joondalup Australia"},{"name":"Centre for Nursing Research Sir Charles Gairdner Hospital  Nedlands Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher","family":"McLean","sequence":"additional","affiliation":[{"name":"School of Health Sciences University of Southampton  Southampton UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Beverley","family":"Ewens","sequence":"additional","affiliation":[{"name":"School of Nursing and Midwifery Edith Cowan University  Joondalup Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,12,1]]},"reference":[{"key":"e_1_2_14_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2213\u20102600(20)30552\u2010X"},{"key":"e_1_2_14_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/nicc.12857"},{"key":"e_1_2_14_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/ijn.13154"},{"key":"e_1_2_14_5_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.h2538"},{"key":"e_1_2_14_6_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.n1007"},{"key":"e_1_2_14_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/alz.12262"},{"key":"e_1_2_14_8_1","doi-asserted-by":"publisher","DOI":"10.1155\/2021\/6612187"},{"key":"e_1_2_14_9_1","doi-asserted-by":"publisher","DOI":"10.1055\/s\u20100040\u20101710572"},{"key":"e_1_2_14_10_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13054\u2010022\u201004077\u2010y"},{"key":"e_1_2_14_11_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen\u20102018\u2010024562"},{"key":"e_1_2_14_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2022.104239"},{"key":"e_1_2_14_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12028\u2010017\u20100388\u20105"},{"key":"e_1_2_14_14_1","doi-asserted-by":"publisher","DOI":"10.3390\/jpm12050760"},{"key":"e_1_2_14_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrc.2018.09.032"},{"key":"e_1_2_14_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrc.2020.08.019"},{"key":"e_1_2_14_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/nicc.12300"},{"key":"e_1_2_14_18_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12912\u2010022\u201001019\u20105"},{"key":"e_1_2_14_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2024.104888"},{"key":"e_1_2_14_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jocn.2021.11.011"},{"key":"e_1_2_14_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.colegn.2024.05.001"},{"key":"e_1_2_14_22_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.289.22.2983"},{"key":"e_1_2_14_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.aucc.2024.07.076"},{"key":"e_1_2_14_24_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11577\u2010017\u20100454\u20101"},{"key":"e_1_2_14_25_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40814\u2010016\u20100105\u20108"},{"key":"e_1_2_14_26_1","doi-asserted-by":"publisher","DOI":"10.21037\/atm.2017.04.42"},{"key":"e_1_2_14_27_1","unstructured":"Mental Capacity Act 2005. 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