{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,13]],"date-time":"2026-03-13T16:32:47Z","timestamp":1773419567704,"version":"3.50.1"},"reference-count":40,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2025,7,11]],"date-time":"2025-07-11T00:00:00Z","timestamp":1752192000000},"content-version":"vor","delay-in-days":10,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2025,7,1]],"date-time":"2025-07-01T00:00:00Z","timestamp":1751328000000},"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>Preventing post\u2010traumatic stress disorder (PTSD) symptoms in family members of intensive care unit (ICU) patients underscores the importance of patient\u2013family interactions. The COVID\u201019 pandemic restricted direct visits, prompting video calls as an alternative.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To examine the association between video calls and the development of PTSD symptoms in family members of patients admitted to a COVID\u201019 ICU.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design<\/jats:title>\n                    <jats:p>\n                      This mixed\u2010methods study was conducted at a single facility in Tokyo. Video calls were introduced in August 2020 and were used based on family preferences. Using quantitative data obtained from a questionnaire postal survey and the qualitative analysis of free\u2010text responses, family members of severe COVID\u201019 ICU patients from July 2020 to June 2022 completed self\u2010administered questionnaires, including the Impact of Event Scale\u2010Revised (IES\u2010R) and open\u2010ended questions regarding the patient's ICU stay. Multivariate logistic regression analysis assessed the association between video calls and PTSD symptoms (IES\u2010\n                      <jats:italic>R<\/jats:italic>\n                      \u2009&gt;\u200924). Free\u2010text responses were analysed using text mining techniques.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Out of the 97 eligible families, 68 participated. Video calls were not significantly associated with a reduction in PTSD symptoms. Among those who experienced video calls, text analysis showed that participants with PTSD symptoms more frequently used words related to \u201cdoctors,\u201d whereas those without symptoms more often mentioned \u201cnurses.\u201d<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Video calls did not significantly reduce PTSD symptoms in family members of ICU patients with severe COVID\u201019. However, the presence of bedside nurses during video calls may help foster a sense of connection and support.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Relevance to Clinical Practice<\/jats:title>\n                    <jats:p>When implementing video calls (i.e., virtual visitation), active involvement and compassionate presence of bedside nurses may enhance the emotional quality of communication. Structured approaches that support nurse\u2010family interaction may contribute to better psychological outcomes for families.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/nicc.70114","type":"journal-article","created":{"date-parts":[[2025,7,11]],"date-time":"2025-07-11T10:15:17Z","timestamp":1752228917000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Exploring Video Calls and\n                    <scp>PTSD<\/scp>\n                    Symptoms in Family Members of Severe\n                    <scp>COVID<\/scp>\n                    \u201019 Patients Post\u2010\n                    <scp>ICU<\/scp>\n                    Discharge: A Mixed\u2010Methods Study"],"prefix":"10.1111","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1055-9794","authenticated-orcid":false,"given":"Ayako","family":"Noguchi","sequence":"first","affiliation":[{"name":"Intensive Care Unit Institute of Science Tokyo Hospital  Tokyo Japan"},{"name":"Department of Disaster and Critical Care Nursing, Track of Nursing Innovation Science Graduate School of Health Care Sciences Institute of Science Tokyo  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nobuyuki","family":"Nosaka","sequence":"additional","affiliation":[{"name":"Intensive Care Unit Institute of Science Tokyo Hospital  Tokyo Japan"},{"name":"Department of Intensive Care Medicine Graduate School of Medical and Dental Sciences Institute of Science Tokyo  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Akiko","family":"Mizoe","sequence":"additional","affiliation":[{"name":"Department of Nursing Institute of Science Tokyo Hospital  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takashi","family":"Takeuchi","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Neurosciences Graduate School of Medical and Dental Sciences, Institute of Science Tokyo  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kenji","family":"Wakabayashi","sequence":"additional","affiliation":[{"name":"Intensive Care Unit Institute of Science Tokyo Hospital  Tokyo Japan"},{"name":"Department of Intensive Care Medicine Graduate School of Medical and Dental Sciences Institute of Science Tokyo  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,7,11]]},"reference":[{"key":"e_1_2_18_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/ams2.939"},{"key":"e_1_2_18_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/ams2.926"},{"key":"e_1_2_18_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/CCM.0000000000002169"},{"key":"e_1_2_18_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2021.104100"},{"key":"e_1_2_18_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrc.2022.154050"},{"key":"e_1_2_18_7_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2022.2017"},{"key":"e_1_2_18_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.16993"},{"key":"e_1_2_18_9_1","doi-asserted-by":"publisher","DOI":"10.1513\/AnnalsATS.202012-1500OC"},{"key":"e_1_2_18_10_1","doi-asserted-by":"publisher","DOI":"10.1177\/10499091211006914"},{"key":"e_1_2_18_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.16117"},{"key":"e_1_2_18_12_1","doi-asserted-by":"publisher","DOI":"10.1513\/AnnalsATS.202006-729OC"},{"key":"e_1_2_18_13_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjspcare-2020-002633"},{"key":"e_1_2_18_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/nicc.12783"},{"key":"e_1_2_18_15_1","volume-title":"Trauma\u2010Informed Care in Behavioral Health Services","author":"Center for Substance Abuse T. 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