{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T03:23:36Z","timestamp":1777865016269,"version":"3.51.4"},"reference-count":31,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2026,2,25]],"date-time":"2026-02-25T00:00:00Z","timestamp":1771977600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,2,25]],"date-time":"2026-02-25T00:00:00Z","timestamp":1771977600000},"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":[[2026,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Patient\u2010 and family\u2010centred care (PFCC) is recognised as a marker of quality in intensive care but remains challenging to operationalise in routine practice. During the COVID\u201019 pandemic, visiting restrictions prompted the rapid introduction of Family Liaison Services (FLSs) to support communication with families. However, evidence on the feasibility, acceptability, and impact of sustained, nurse\u2010led FLS models in adult Intensive Care Units (ICUs) beyond the pandemic remains limited.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To evaluate the feasibility, acceptability, and impact of a nurse\u2010led FLS.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design<\/jats:title>\n                    <jats:p>Single\u2010centre mixed\u2010methods service evaluation conducted in an 18\u2010bed quaternary cardiothoracic adult ICU in London, UK, using responses from a validated family satisfaction survey (FS\u2010ICU 24), a purpose\u2010designed staff feedback survey, and routinely collected service activity records.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Data were analysed from routinely collected service activity records (October 2021\u2013September 2025), family satisfaction survey responses collected pre\u2010implementation (2017) and post\u2010implementation (2022 and 2024), and staff feedback surveys (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200927 responses; 16% response rate). The nurse\u2010led FLS was delivered by experienced ICU nurses rotating into the role and was later integrated with post\u2010ICU follow\u2010up services. Activity data showed increasing demand, with average monthly contacts rising from 19 in 2022 to 34 in 2025. All staff respondents reported the service to be accessible and beneficial to families. Family satisfaction with the ICU experience increased following FLS implementation, particularly in relation to respect and dignity, emotional support, and communication. Free\u2010text family feedback highlighted dissatisfaction related to delayed communication, while staff described improved understanding of family needs and enhanced coordination of family support.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>A nurse\u2010led FLS was feasible, acceptable, and associated with improvements in family experience and staff perceptions of family support. Integration with post\u2010ICU follow\u2010up extended continuity of care and facilitated family involvement in service development. Future priorities include sustainable workforce planning, attention to equity in PFCC, and evaluation of longer\u2010term family outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Relevance to Clinical Practice<\/jats:title>\n                    <jats:p>A nurse\u2010led FLS offers a replicable model for embedding PFCC within adult intensive care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/nicc.70409","type":"journal-article","created":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T23:50:28Z","timestamp":1773013828000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Nurse\u2010Led Family Liaison in Adult Intensive Care: From Pandemic Innovation to an Integrated Model for Patient\u2010 and Family\u2010Centred Care"],"prefix":"10.1111","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2939-734X","authenticated-orcid":false,"given":"Rosie","family":"Cervera\u2010Jackson","sequence":"first","affiliation":[{"name":"Royal Brompton Hospital, Part of Guy's and St Thomas' NHS Foundation Trust  London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Catarina","family":"Cabral","sequence":"additional","affiliation":[{"name":"Royal Brompton Hospital, Part of Guy's and St Thomas' NHS Foundation Trust  London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marta Corona","family":"Tena","sequence":"additional","affiliation":[{"name":"Royal Brompton Hospital, Part of Guy's and St Thomas' NHS Foundation Trust  London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rhian","family":"Powell","sequence":"additional","affiliation":[{"name":"Royal Brompton Hospital, Part of Guy's and St Thomas' NHS Foundation Trust  London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anoma","family":"Gunawardena","sequence":"additional","affiliation":[{"name":"Royal Brompton Hospital, Part of Guy's and St Thomas' NHS Foundation Trust  London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,2,25]]},"reference":[{"key":"e_1_2_16_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2023.104465"},{"key":"e_1_2_16_3_1","volume-title":"Dehumanization in Intensive Care Medicine","author":"Nuti C.","year":"2025"},{"key":"e_1_2_16_4_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1511160"},{"key":"e_1_2_16_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ccm.2022.05.008"},{"key":"e_1_2_16_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/ams2.929"},{"key":"e_1_2_16_7_1","doi-asserted-by":"publisher","DOI":"10.1177\/08850666231173868"},{"key":"e_1_2_16_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrc.2024.154829"},{"key":"e_1_2_16_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ccc.2016.12.005"},{"key":"e_1_2_16_10_1","doi-asserted-by":"publisher","DOI":"10.1161\/JAHA.122.025859"},{"key":"e_1_2_16_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/CCM.0000000000006549"},{"key":"e_1_2_16_12_1","volume-title":"Patient\u2010 and Family\u2010Centered Care: Partnerships for Quality and Safety","author":"Institute for Patient\u2010 and Family\u2010Centered 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