{"title":"Enhancing Family Satisfaction in Intensive Care Units Through Structured Nurse-Family Communication: Effects of the COMFORT Model.","authors":"Batoul Yazdani, Khadijeh Nasiriani, Hamidreza Salarialiabadi, Parvaneh Badrabadi, Fatemeh Bakhshi","doi":"10.1177/10748407261425200","DOIUrl":null,"url":null,"abstract":"<p><p>Families of intensive care unit (ICU) patients often experience distress and dissatisfaction with communication. Structured communication frameworks may strengthen family-centered care and improve outcomes. This quasi-experimental, nonrandomized study was conducted in five ICUs across three referral hospitals. Families of patients with reduced consciousness were recruited, with one representative per patient completing questionnaires. In the control group (<i>n</i> = 48), families received routine communication. In the intervention group (<i>n</i> = 48), 10 ICU nurses trained in COMFORT conducted daily 20-min structured sessions for 5 days. Family satisfaction was assessed on Day 5 using the FS-ICU-24, and nurse-family communication quality was measured in the intervention group on Days 1, 3, and 5 with the QUALPAC communication subscale. Families in the intervention group reported significantly higher satisfaction scores, and communication quality improved over time. Implementation of the COMFORT model enhanced family satisfaction and strengthened nurse-family communication in ICUs.</p>","PeriodicalId":50193,"journal":{"name":"Journal of Family Nursing","volume":" ","pages":"116-128"},"PeriodicalIF":2.9000,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Family Nursing","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1177/10748407261425200","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2026/3/4 0:00:00","PubModel":"Epub","JCR":"Q1","JCRName":"FAMILY STUDIES","Score":null,"Total":0}
引用次数: 0
Abstract
Families of intensive care unit (ICU) patients often experience distress and dissatisfaction with communication. Structured communication frameworks may strengthen family-centered care and improve outcomes. This quasi-experimental, nonrandomized study was conducted in five ICUs across three referral hospitals. Families of patients with reduced consciousness were recruited, with one representative per patient completing questionnaires. In the control group (n = 48), families received routine communication. In the intervention group (n = 48), 10 ICU nurses trained in COMFORT conducted daily 20-min structured sessions for 5 days. Family satisfaction was assessed on Day 5 using the FS-ICU-24, and nurse-family communication quality was measured in the intervention group on Days 1, 3, and 5 with the QUALPAC communication subscale. Families in the intervention group reported significantly higher satisfaction scores, and communication quality improved over time. Implementation of the COMFORT model enhanced family satisfaction and strengthened nurse-family communication in ICUs.
期刊介绍：
Journal of Family Nursing (JFN) is a peer-reviewed, quarterly journal of nursing research, practice, education, and policy issues, as well as empirical and theoretical analyses on the subject of family health. Its interdisciplinary, international, and collaborative perspectives examine cultural diversity and families across the life cycle. This journal is a member of the Committee on Publication Ethics (COPE).
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