{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T05:10:12Z","timestamp":1791609012537,"version":"4.3.4"},"reference-count":26,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"9","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["Circ: Cardiovascular Quality and Outcomes"],"published-print":{"date-parts":[[2023,9]]},"abstract":"<jats:sec>\n                    <jats:title>BACKGROUND:<\/jats:title>\n                    <jats:p>Cardiovascular and critical care professional societies recommend incorporating family engagement practices into routine clinical care. However, little is known about current family engagement practices in contemporary cardiac intensive care units (CICUs).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS:<\/jats:title>\n                    <jats:p>We implemented a validated 12-item family engagement practice survey among site investigators participating in the Critical Care Cardiology Trials Network, a collaborative network of CICUs in North America. The survey includes 9 items assessing specific engagement practices, 1 item about other family-centered care practices, and 2 open-ended questions on strategies and barriers concerning family engagement practice. We developed an engagement practice score by assigning 1 point for each family engagement practice partially or fully adopted at each site (max score 9). We assessed for relationships between the engagement practice score and CICU demographics.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS:<\/jats:title>\n                    <jats:p>All sites (N=39; 100%) completed the survey. The most common family engagement practices were open visitation (95%), information and support to families (85%), structured care conferences (n=82%), and family participation in rounds (77%). The median engagement practice score was 5 (interquartile range, 4). There were no differences in engagement practice scores by geographic region or CICU type. The most commonly used strategies to promote family engagement were family presence during rounds (41%), communication (28%), and family meetings (28%). The most common barriers to family engagement were COVID-related visitation policies (38%) and resource limitations (13%).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSIONS:<\/jats:title>\n                    <jats:p>Family engagement practices are routinely performed in many CICUs; however, considerable variability exists. There is a need for strategies to address the variability of family engagement practices in CICUs.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1161\/circoutcomes.123.010084","type":"journal-article","created":{"date-parts":[[2023,8,4]],"date-time":"2023-08-04T05:00:18Z","timestamp":1691125218000},"update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":13,"title":["Family Engagement in the Adult Cardiac Intensive Care Unit: A Survey of Family Engagement Practices in the Cardiac Critical Care Trials Network"],"prefix":"10.1161","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9790-1232","authenticated-orcid":true,"given":"Michael","family":"Goldfarb","sequence":"first","affiliation":[{"name":"Division of Cardiology, Jewish General Hospital, McGill University, Montreal, Quebec, Canada (M.G.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carlos","family":"Alviar","sequence":"additional","affiliation":[{"name":"Leon H. Charney Division of Cardiology, NYU Langone Medical Center, New York (C.A.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0366-5492","authenticated-orcid":true,"given":"David","family":"Berg","sequence":"additional","affiliation":[{"name":"TIMI Study Group, Cardiovascular Division, Department of Medicine, Brigham and Women\u2019s Hospital and Harvard Medical School, Boston, MA (D.B., D.M.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jason","family":"Katz","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of Cardiology, Duke University, Durham, NC (J.K.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9869-1839","authenticated-orcid":true,"given":"Ran","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Medicine, Heart, Vascular and Thoracic Institute, Cleveland Clinic Foundation, OH (R.L.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8722-0182","authenticated-orcid":true,"given":"Shuangbo","family":"Liu","sequence":"additional","affiliation":[{"name":"Section of Cardiology, Department of Medicine, Max Rady College of Medicine, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Canada (S.L.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Theresa","family":"Maitz","sequence":"additional","affiliation":[{"name":"Department of Medicine, Lehigh Valley Health Network, Allentown, PA (T.M.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7144-5280","authenticated-orcid":true,"given":"Mitchell","family":"Padkins","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Medicine, Mayo Clinic, Rochester, MN (M.P.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rajnish","family":"Prasad","sequence":"additional","affiliation":[{"name":"Wellstar Center for Cardiovascular Care, Wellstar Kennestone Regional Medical Center, Marietta, GA (R.P.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4358-6534","authenticated-orcid":true,"given":"Robert","family":"Roswell","sequence":"additional","affiliation":[{"name":"Lenox Hospital, Northwell Health, New York (R.R.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kevin","family":"Shah","sequence":"additional","affiliation":[{"name":"University of Utah Health Sciences Center, Salt Lake City (K.S.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8798-2024","authenticated-orcid":true,"given":"Andrea","family":"Thompson","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Division of Cardiovascular Medicine, University of Michigan, Ann Arbor (A.T.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6688-828X","authenticated-orcid":true,"given":"Sean","family":"van Diepen","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Department of Critical Care Medicine, Department of Medicine, University of Alberta, Edmonton, Canada (S.v.D.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1054-4410","authenticated-orcid":true,"given":"Sammy","family":"Zakaria","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD (S.Z.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9589-5382","authenticated-orcid":true,"given":"David","family":"Morrow","sequence":"additional","affiliation":[{"name":"TIMI Study Group, Cardiovascular Division, Department of Medicine, Brigham and Women\u2019s Hospital and Harvard Medical School, Boston, MA (D.B., D.M.)."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1513\/AnnalsATS.201301-006PS"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1097\/CCM.0000000000002169"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-319-94337-4"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1177\/08850666231173868"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ccc.2016.12.005"},{"key":"e_1_3_3_7_2","unstructured":"American Thoracic Society. 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