Strategies to Increase Family Presence in the Critical Care Unit (CrCU)
CCCF ePoster library. Ferreira D. Oct 26, 2015; 114749; P52
Ms. Danielle Ferreira
Ms. Danielle Ferreira
Login now to access Regular content available to all registered users.

You may also access this content "anytime, anywhere" with the Free MULTILEARNING App for iOS and Android
Rate & Comment (0)

Topic: Quality Assurance/Quality Improvement Project

Strategies to Increase Family Presence in the Critical Care Unit (CrCU)

Danielle Ferreira, M. Au, M. Bitton

Critical Care Unit, North York General Hospital, Toronto, Canada | Critical Care Unit, North York General Hospital, Toronto, Canada | Critical Care Unit, North York General Hospital, Toronto, Canada


Introducing the principles of patient and family centred care (PFCC) and increasing family presence in critical care can facilitate care, improve efficiency, enhance the patient and family experience and improve outcomes.


The interprofessional team in the Critical Care Unit (CrCU) at North York General Hospital (NYGH) aimed to identify and implement opportunities for the integration of PFCC into daily care practices by partnering with patients and their families. The goal was to increase family presence and participation in their care. By increasing family presence, the CrCU aimed to decrease length of stay, increase patient and family self-care and improve knowledge leading to reduced readmission rates, and improved patient, family, and staff satisfaction.


An interprofessional PFCC working group, including a family advisor identified opportunities for improvement and developed action plans for implementation. A pre-implementation survey was completed by 65% of CrCU staff, measuring their baseline understanding and perceptions of the implementation of PFCC. The results revealed that staff felt visiting hours should not be restricted (71%)and that PFCC implementation would lead to increased patient and family satisfaction (89%) and increased staff satisfaction (78%). Based on the results and the opportunities identified for integrating PFCC into the CrCU practice, the Plan-Do-Study-Act methodology was utilized to evaluate each PFCC initiative. Education was also provided to all staff on communication techniques that aligned with PFCC principles and supported staff with the integration of the PFCC initiatives. Surveys and peer evaluations were utilized to measure successes and challenges of the implemented initiatives.


Based on these results, successfully implemented initiatives included: 1) family participation in daily interprofessional rounds, 2) family participation in nursing report, 3) elimination of visiting hour restrictions, 4) information brochures for families about the critical care environment. Post-implementation surveys demonstrated involvement of families on interprofessional rounds increased both family (100%) and staff (92%) satisfaction. Eighty percent of staff completed the communication modules. Eighty-five percentage of family interactions in nursing report were reported as successful and no concerns or delays were identified by the staff. Overall the integration of PFCC in the CrCU has been successful and as a result, the CrCU is committed to continue to partner with patients and families to deliver safe, high quality, and patient and family centred care.


Family presence and engagement in the NYGH Critical Care Unit has established an environment that fosters partnerships with patients and families and improves their overall experience. As well, this initiative has increased staff, patient and family satisfaction with the care experience.


Brumbaugh, B., & Sodomka, P. (2009, August). Patient- and family-centered care – The impact on patient safety and satisfaction: A comparison study of intensive care units at an academic medical center. Presented at The 4th International Conference on Patient- and Family-Centered Care: Partnerships for Quality and Safety, Philadelphia, PA.

MCG Center for Patient- and Family-Centered Care (CPFCC)

Institute for Patient and Family Centered Care. (2013) Changing Hospital “Visiting” Policies and Practices: Supporting Family Presence and Participation. Retrieved from:

Institute for Patient and Family Centred Care (IPFCC).

    This eLearning portal is powered by:
    This eLearning portal is powered by MULTIEPORTAL
Anonymous User Privacy Preferences

Strictly Necessary Cookies (Always Active)

MULTILEARNING platforms and tools hereinafter referred as “MLG SOFTWARE” are provided to you as pure educational platforms/services requiring cookies to operate. In the case of the MLG SOFTWARE, cookies are essential for the Platform to function properly for the provision of education. If these cookies are disabled, a large subset of the functionality provided by the Platform will either be unavailable or cease to work as expected. The MLG SOFTWARE do not capture non-essential activities such as menu items and listings you click on or pages viewed.

Performance Cookies

Performance cookies are used to analyse how visitors use a website in order to provide a better user experience.

Save Settings