Intensive and Critical Care Nursing最新文献

{"title":"Single-use vs. reusable products for six respiratory procedures in an intensive care unit: A retrospective evaluation of plastic waste implications","authors":"Alberto Lucchini ,&nbsp;Giancarla Nava ,&nbsp;Marta Villa ,&nbsp;Matteo Cesana ,&nbsp;Stefano Citterio ,&nbsp;Davide Ausili ,&nbsp;Marco Giani ,&nbsp;Emanuele Rezoagli ,&nbsp;Stefano Bambi","doi":"10.1016/j.iccn.2025.104327","DOIUrl":"10.1016/j.iccn.2025.104327","url":null,"abstract":"<div><h3>Objective</h3><div>Intensive care units (ICUs) are recognised as carbon “hotspots” within hospitals due to their reliance on resource-intensive technologies. This study aimed to compare reusable and disposable products used for six common respiratory procedures in an Italian ICU to determine the potential for reducing plastic waste generation and the carbon footprint associated with plastic waste incineration.</div></div><div><h3>Methods</h3><div>We performed a retrospective evaluation in a 10-bed ICU over 12 months. The comparison between reusable and single-use devices was based on theoretical calculations: each device was weighed with a precision scale, and annual totals were estimated by multiplying individual device weights by the number of procedures recorded in the clinical information system. CO₂e emissions were calculated using the European Environment Agency emission factor of 2.9 kg CO₂e per kg of plastic waste incinerated.</div></div><div><h3>Results</h3><div>Reusable or low-waste products generated an estimated 143.50 kg of plastic waste, compared with 501.64 kg from single-use devices. Using reusable strategies could have potentially reduced plastic waste by 358.14 kg and avoided approximately 1038.60 kg CO₂e over one year of respiratory procedures, equivalent to approximately 4258 km driven by an average gasoline-powered passenger vehicle.</div></div><div><h3>Conclusion</h3><div>Reusable and low-waste alternatives can substantially reduce plastic waste and the carbon footprint associated with incinerating plastic from disposable ICU respiratory care products. Critical care nurses are well positioned to integrate these sustainable strategies into everyday clinical practice.</div></div><div><h3>Implications for clinical practice</h3><div>Implementing reusable equipment and low-waste alternatives can become part of standard care pathways, aligning clinical excellence with environmental sustainability. These findings support the integration of sustainability into everyday nursing decisions and institutional policies in critical care settings in the future.</div></div>","PeriodicalId":51322,"journal":{"name":"Intensive and Critical Care Nursing","volume":"93 ","pages":"Article 104327"},"PeriodicalIF":4.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145883464","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of complementary therapies on chronic obstructive pulmonary disease patient outcomes treated with noninvasive ventilation: A systematic review","authors":"Dilara Ülke Çelik,&nbsp;Meral Gün","doi":"10.1016/j.iccn.2026.104340","DOIUrl":"10.1016/j.iccn.2026.104340","url":null,"abstract":"<div><h3>Background</h3><div>COPD patients receiving noninvasive ventilation (NIV) face many physiological and psychosocial problems. The impact of complementary therapies on NIV adherence and symptom management in COPD patients is not sufficiently addressed.</div></div><div><h3>Objective</h3><div>This systematic review was conducted to examine the effectiveness of complementary therapies used in COPD patients receiving NIV on clinical symptoms and health outcomes.</div></div><div><h3>Methods</h3><div>A systematic review was designed based on PRISMA-P (Preferred Reporting Items for Systematic review and Meta-Analysis Protocols) criteria. The literature search was conducted in the “PubMed, Cochrane, Scopus, Web of Science, Google Scholar” databases. Studies were selected by determining inclusion and exclusion criteria according to the PICOT method. Studies were evaluated using the Joanna Briggs Institute (JBI) critical assessment lists.</div></div><div><h3>Results</h3><div>Five randomized controlled trials were included in the systematic review, which included a total of 338 COPD patients receiving NIV. Most studies have found that complementary therapies significantly reduce anxiety and dyspnea levels. Significant improvements were observed in physical capacity and quality of life.</div></div><div><h3>Conclusions</h3><div>Complementary therapies may offer potential benefits for clinical symptoms and health outcomes in patients receiving NIV, including anxiety, dyspnea, physical capacity and quality of life. However, the findings are limited by substantial heterogeneity and methodological shortcomings among the included studies. Well-designed, controlled clinical trials are needed to provide more definitive evidence regarding the effects of complementary therapies in this population.</div></div><div><h3>Implications for Clinical Practice</h3><div>The current evidence remains insufficient to support the routine incorporation of complementary therapies into critical care practice for patients with COPD receiving NIV. Further high-quality studies are required to guide nursing practice and support the integration of complementary therapies into holistic care.</div></div>","PeriodicalId":51322,"journal":{"name":"Intensive and Critical Care Nursing","volume":"93 ","pages":"Article 104340"},"PeriodicalIF":4.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146000129","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Dual role caregivers in critical care nursing: Matrescence and workforce sustainability","authors":"Adrianna Lorraine Watson,&nbsp;Brooklynn Nelson,&nbsp;Grace Houston","doi":"10.1016/j.iccn.2026.104334","DOIUrl":"10.1016/j.iccn.2026.104334","url":null,"abstract":"<div><h3>Aims</h3><div>To interpret the lived experience of matrescence (becoming a mother) among critical care nurse-mothers during maternity leave and the transition back to clinical practice.</div></div><div><h3>Methods</h3><div>An interpretive phenomenological design was used, guided by Heidegger’s hermeneutics and Patricia Benner’s framework. A purposive sample of 54 U.S. critical care nurse-mothers was recruited through a national nursing organization. Semi-structured Zoom interviews were analyzed.</div></div><div><h3>Findings</h3><div>Four emergent main themes captured the intersection of becoming a mother with high-acuity nursing practice: (1) Cognitive Recalibration, subjectively experienced as a “slowed” thinking followed by perceptions of increased ability to mutlitask in caregiving roles; (2) Emotional Labor and Guilt, an ongoing negotiation between professional composure and maternal presence; (3) Becoming What They Believe, the internalization of cultural myths of maternal decline amid limited perceptions of organizational support; and (4) Empathy Reframed Through Motherhood, in which nurse-mothers described expanded compassion, patience, and advocacy that enriched critical care practice.</div></div><div><h3>Conclusions</h3><div>Becoming a dual-role caregiver as a critical care nurse-mother reshapes identity through the interplay of professional, emotional, and cognitive transformation. When this developmental transition is acknowledged and supported, it strengthens nurses’ confidence and sense of purpose; when ignored, it can contribute to strain and attrition.</div></div><div><h3>Implications for Clinical Practice and Policy</h3><div>Recognizing matrescence as a normal phase of professional development can guide leadership practices that value, rather than penalize, dual-role caregivers. Implementing flexible scheduling, equitable parental-leave policies, and supportive reintegration programs can help sustain nurse well-being, strengthen team culture, and promote a more sustainable critical care nursing workforce.</div></div>","PeriodicalId":51322,"journal":{"name":"Intensive and Critical Care Nursing","volume":"93 ","pages":"Article 104334"},"PeriodicalIF":4.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145924513","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impacts of non-pharmacological interventions on post-intensive care syndrome: An umbrella review of systematic reviews and meta-analyses of randomized controlled trials","authors":"Yingying Cai,&nbsp;Xiaohe Ren,&nbsp;Chuanying Ding","doi":"10.1016/j.iccn.2025.104326","DOIUrl":"10.1016/j.iccn.2025.104326","url":null,"abstract":"<div><h3>Objectives</h3><div>To assess the effects of various non-pharmacological interventions on long-term outcomes associated with Post-Intensive Care Syndrome (PICS) in intensive care unit (ICU) survivors, based on existing systematic reviews and <em>meta</em>-analyses.</div></div><div><h3>Methods</h3><div>An umbrella review was conducted. Comprehensive searches of PubMed, Web of Science, Embase, and the Cochrane Library databases were performed up to June 2025 to identify eligible reviews. Two authors independently conducted article selection and data extraction. The methodological quality of the included studies was assessed using the AMSTAR 2 measurement tool. Results were synthesized narratively, and grouped by prevention or care focus.</div></div><div><h3>Results</h3><div>Nine systematic reviews published between 2015 and 2023 encompassing 112 randomized controlled trials and 19,996 ICU survivors were included. The interventions evaluated comprised early mobilization (three reviews), follow-up consultation (two reviews), and other non-pharmacological strategies (four reviews), including ICU diaries, exercise rehabilitation, oxygen therapy, and nurse-led interventions. Reported outcomes covered physical function (activities of daily living, exercise capacity, pulmonary function, muscle strength, and pain), psychological function (anxiety, depression, post-traumatic stress disorder [PTSD]), cognitive function, social reintegration (return to work), and quality of life. According to the evidence map, ICU diaries demonstrated a consistently beneficial effect on PTSD, while follow-up consultations yielded inconsistent results for PTSD. Early mobilization interventions produced variable improvements in physical function and quality of life across studies. Exercise rehabilitation was associated with enhanced physical performance, whereas oxygen therapy strategies showed no significant effects. Nurse-led interventions demonstrated beneficial effects on anxiety and depression. Overall, 78% of the assessed outcomes were rated as low or very low certainty due to methodological heterogeneity and limited sample sizes.</div></div><div><h3>Conclusions</h3><div>Current evidence on non-pharmacological interventions for PICS remains heterogeneous and of generally low certainty. These findings highlight the urgent need for high-quality, adequately powered randomized studies to establish the effectiveness of these interventions and guide evidence-based PICS management.</div></div><div><h3>Implications for clinical practice</h3><div>Clinical practice should emphasize integrated, transitional care pathways that combine ICU diary–based psychological support with individualized mobilization and rehabilitation programs. Establishing standardized core outcome sets and improving methodological rigor in intervention trials will be key to advancing evidence-informed PICS management.</div></div>","PeriodicalId":51322,"journal":{"name":"Intensive and Critical Care Nursing","volume":"93 ","pages":"Article 104326"},"PeriodicalIF":4.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145883462","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Patient and family-centered interdisciplinary rounds and patient satisfaction: A controlled intervention study","authors":"Brigitte S. Cypress,&nbsp;Rida Gharzeddine","doi":"10.1016/j.iccn.2026.104347","DOIUrl":"10.1016/j.iccn.2026.104347","url":null,"abstract":"<div><h3>Objectives</h3><div>Interdisciplinary rounds are a core component of care delivery in intensive care units (ICUs), supporting communication, coordination, and shared decision-making. Although patient- and family-centered interdisciplinary rounds (PFCC-IR) are recommended, evidence linking PFCC-IR to patients’ satisfaction with nursing care remains limited, as prior research has focused largely on family perceptions. This study evaluated the effect of family engagement during ICU interdisciplinary rounds on patient satisfaction with nursing care.</div></div><div><h3>Methods</h3><div>A quasi-experimental, two-group pre–post design was conducted in adult ICUs. Patients in the intervention group had a family member participate in interdisciplinary rounds, whereas control patients received standard care without family involvement. Using convenience sampling, 150 patients were enrolled (75 per group). Satisfaction was measured pre- and post-intervention using the <em>Patient Satisfaction with Nursing Care Quality Questionnaire</em>, which demonstrated high internal consistency. Linear mixed-effects regression examined group differences over time, adjusting for age, gender, marital status, and number of rounds attended.</div></div><div><h3>Results</h3><div>Participants had a mean age of 63.4 years; 41% were male, and 41% were married. Satisfaction scores changed minimally in the control group (mean difference = 0.76, p = 0.20). In contrast, the intervention group demonstrated significant improvement following family engagement during rounds (mean difference = –47.4, p &lt; 0.001). Linear mixed-effects analysis confirmed a significant treatment effect (time × group interaction = –47.43, p &lt; 0.001).</div></div><div><h3>Conclusions</h3><div>Engaging family members during ICU interdisciplinary rounds was associated with significantly improved patient satisfaction with nursing care. These findings support the Society for Critical Care Medicine’s clinical practice guidelines recommending that families be offered the option to be present and engaged during ICU rounds.</div></div><div><h3>Implications for Practice</h3><div>Integrating structured family participation into ICU interdisciplinary rounds is a feasible, nursing-led strategy to enhance communication and patient-centered care. Institutions should implement clear policies and workflows to support family engagement.</div></div>","PeriodicalId":51322,"journal":{"name":"Intensive and Critical Care Nursing","volume":"93 ","pages":"Article 104347"},"PeriodicalIF":4.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146076761","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The future of music and arts in medicine and health","authors":"Madison Givens ,&nbsp;Michelle Shin ,&nbsp;Joseph Schlesinger","doi":"10.1016/j.iccn.2025.104273","DOIUrl":"10.1016/j.iccn.2025.104273","url":null,"abstract":"","PeriodicalId":51322,"journal":{"name":"Intensive and Critical Care Nursing","volume":"93 ","pages":"Article 104273"},"PeriodicalIF":4.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145623523","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Parents’ perception of family-centered care in the pediatric intensive care unit: a systematic review of qualitative studies","authors":"Alessandra Rodrigues Dias Lessa ,&nbsp;Cátia Regina Machado ,&nbsp;Caroline Abud Drumond Costa ,&nbsp;Jos Latour","doi":"10.1016/j.iccn.2026.104338","DOIUrl":"10.1016/j.iccn.2026.104338","url":null,"abstract":"<div><h3>Objectives</h3><div>To identify parents’ perception of Family-Centered Care in the PICU.</div></div><div><h3>Methods</h3><div>Systematic review of qualitative studies with searches in Pubmed, CINAHL, Embase, Web of Science, PsycINFO, Scielo and Google Scholar. The evaluation of the methodological quality of the included studies was carried out using the Qualitative Evaluation and Review Instrument of the JBI. Data were extracted using the standardized data extraction tool JBI. Data synthesis was performed according to the JBI metaaggregation approach. The confidence level for each synthesized finding was established based on ConQual.</div></div><div><h3>Results</h3><div>1230 articles resulted from the search in the databases. After analysis and exclusions, 28 studies remained. The methodological quality of the included studies was moderate to high. 25 studies were included in the <em>meta</em>-aggregation, resulting in 133 findings, 22 categories, and six synthesized findings. The confidence index of the findings was moderate to high. In most of the findings, the parents perceived and valued the welcoming of the team, the clear and honest information, support and encouragement to participate in the care. The change in the parental role is a factor that impacts the parents’ coping.</div></div><div><h3>Conclusions</h3><div>Parents’ perceptions highlight the importance of Family-Centered Care (FCC) in the pediatric ICU for promoting welcoming, active participation, and reduced family anxiety. Consistent implementation of FCC contributes to better outcomes for children, families, and healthcare professionals, emphasizing the need for strategies to overcome barriers and foster more humanized and equitable care.</div></div><div><h3>Implications for clinical practice</h3><div>For care to be truly family-centered, it is essential to invest in the continuous training of professionals and in the implementation of policies that promote the active involvement of family members. Adaptations to the physical environment are crucial to ensure privacy and a welcoming environment, respecting the particularities and needs of each family.</div></div>","PeriodicalId":51322,"journal":{"name":"Intensive and Critical Care Nursing","volume":"93 ","pages":"Article 104338"},"PeriodicalIF":4.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146100961","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Implementation and sustainability of an innovative ICU e-diary","authors":"Louise Rose ,&nbsp;Amy Welch ,&nbsp;Kemi Okelana ,&nbsp;Fardusa Hassan ,&nbsp;Chloe Apps ,&nbsp;Kate Brooks ,&nbsp;Erin Law ,&nbsp;Andrew Slack ,&nbsp;Katie Susser ,&nbsp;Joel Meyer","doi":"10.1016/j.iccn.2025.104266","DOIUrl":"10.1016/j.iccn.2025.104266","url":null,"abstract":"<div><h3>Objectives</h3><div>To characterise e-diary implementation exploring ICU staff uptake, family member engagement, perceived barriers/facilitators and perceived acceptability/feasibility and sustained use over time.</div></div><div><h3>Methods</h3><div>Service innovation and evaluation study of an e-diary (aTouchAway™, Aetonix, Canada) for patients with ≥ 2 days anticipated ICU stay. We implemented (Jan2022-Aug2022) in four ICUs (52 beds) across two UK hospitals. We conducted a one-day pre-implementation paper-diary snapshot audit. Implementation strategies included a dedicated implementation officer, repeated education, dedicated resources, completion reminders, live demonstrations, and e-diary completion prizes. We collected data on commencement rates, barriers/facilitators, and feasibility/acceptability using Acceptability and Feasibility of Intervention Measure (AIM/FIM) questionnaires. To assess sustained use, we completed three one-day audits (June2023), with subsequent monthly audits (Dec2023-Dec2024).</div></div><div><h3>Results</h3><div>Pre-implementation, 7/35 (20%) patients had a paper diary. During the implementation phase the monthly mean (SD) e-diary commencement rate was 65% (23%) with 380 patients having 1242 diary entries (nurses 807; therapists (physio/occupational/speech) 146; family members 289). We received 35/110 staff questionnaires (response rate 32%). Most perceived the e-diary easy to access (74%) and use (63%). Similar proportions perceived it less (20%) or more (26%) time consuming than paper diaries. Facilitators included reduced environmental impact, negligible loss, family participation, guaranteed legibility, data security, and easy accessibility. Barriers comprised need for login and education; difficulty for less technologically-competent families; and inability to personalise with pictures. Mean (SD) AIM and FIM scores were 16.6 (1.67) and 16.0 (1.9).</div><div>In the sustainability phase, our snapshot audit (June2023) found a commencement rate of 63%, with a mean (SD) monthly commencement rate of 45.6% (16.7%).</div></div><div><h3>Conclusions</h3><div>We developed a bespoke e-diary with moderate yet sustained implementation success. We identified facilitators to be harnessed by other centres considering e-diary implementation. Although some barriers are non-modifiable, strategies can support family members to engage.</div></div><div><h3>Implications for clinical practice</h3><div>For centres considering e-diary adoption, they appear an acceptable alternative with facilitators that can be harnessed to promote adoption but barriers that need consideration.</div></div>","PeriodicalId":51322,"journal":{"name":"Intensive and Critical Care Nursing","volume":"93 ","pages":"Article 104266"},"PeriodicalIF":4.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145468050","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Microaspiration dynamics and “bio-inoculum intensity”: Deciphering the clinical paradox of tapered cuffs – Response to Chen et al.","authors":"Suwen Li,&nbsp;Xing Xin,&nbsp;Chenxin Ye,&nbsp;Gendi Lu","doi":"10.1016/j.iccn.2025.104320","DOIUrl":"10.1016/j.iccn.2025.104320","url":null,"abstract":"","PeriodicalId":51322,"journal":{"name":"Intensive and Critical Care Nursing","volume":"93 ","pages":"Article 104320"},"PeriodicalIF":4.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145839448","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Interventions to enhance family centred care in the neonatal intensive care unit: A scoping review","authors":"Emma Yeomans ,&nbsp;Ashleigh E. Butler ,&nbsp;Rod W. Hunt ,&nbsp;Beverley Copnell","doi":"10.1016/j.iccn.2025.104313","DOIUrl":"10.1016/j.iccn.2025.104313","url":null,"abstract":"<div><h3>Objectives</h3><div>To map the current literature on interventions designed to enhance Family Centred Care (FCC) in Neonatal Intensive Care Units (NICUs) and identify gaps in the existing literature.</div></div><div><h3>Methods</h3><div>Following Arksey and O’Malley’s scoping review framework, a comprehensive search was conducted on November 10th, 2023, and updated on the 20th May 2025. Four databases were searched: Medline via OVID, CINAHL via EBSCO-Host, OVID Embase and PROQUEST. Studies were included if they described interventions targeting FCC in NICUs. Two reviewers independently conducted the screening at both phases with conflicts resolved by a third reviewer.</div></div><div><h3>Results</h3><div>The review identified 31 studies outlining 26 interventions, categorised into four categories: Family centred care bundles; Educational interventions; Communication interventions; and Environmental interventions. Study participants included mothers, fathers, families, and healthcare workers, often restricted to specific languages and cultures. Most outcome measures predominantly reflected the perspectives of mothers and nurses. Many interventions were associated with improvement in family engagement and satisfaction. However, evidence was limited on long-term neonatal and parental outcomes and sustainability of the FCC practices. While some interventions, such as Family Integrated Care (FiCare) and The Close Collaboration Program, have been extensively studied, others have been examined only to a limited extent.</div></div><div><h3>Conclusions</h3><div>This review investigated interventions to enhance FCC in the NICU. The findings highlighted a range of interventions designed to improve family experiences and neonatal outcomes. This review underscores the need for standardised implementation studies on FCC interventions in NICUs. While numerous interventions successfully increased parental involvement and positively influenced staff perspectives, their effectiveness often hinges on the implementation strategies employed, as well as the support from institutions and healthcare providers.</div></div><div><h3>Implications for clinical practice</h3><div>Understanding FCC interventions implemented worldwide will broaden the application of FCC within the NICU. Further investigation into these interventions across various NICUs is necessary, involving diverse family members and healthcare professionals in assessing outcomes.</div></div>","PeriodicalId":51322,"journal":{"name":"Intensive and Critical Care Nursing","volume":"93 ","pages":"Article 104313"},"PeriodicalIF":4.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145797024","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}