Factors influencing active family engagement in care among critical care nurses

Breanna Hetland, Ronald Hickman, Natalie McAndrew, Barbara Daly

Research output: Contribution to journalArticle

14 Scopus citations


Critical care nurses are vital to promoting family engagement in the intensive care unit. However, nurses have varying perceptions about how much family members should be involved. The Questionnaire on Factors That Influence Family Engagement was given to a national sample of 433 critical care nurses. This correlational study explored the impact of nurse and organizational characteristics on barriers and facilitators to family engagement. Study results indicate that (1) nurses were most likely to invite family caregivers to provide simple daily care; (2) age, degree earned, critical care experience, hospital location, unit type, and staffing ratios influenced the scores; and (3) nursing workflow partially mediated the relationships between the intensive care unit environment and nurses' attitudes and between patient acuity and nurses' attitudes. These results help inform nursing leaders on ways to promote nurse support of active family engagement in the intensive care unit.

Original languageEnglish (US)
Pages (from-to)160-170
Number of pages11
JournalAACN Advanced Critical Care
Issue number2
StatePublished - Jun 1 2017



  • Critical care
  • Family caregivers
  • Family engagement
  • Family-centered nursing

ASJC Scopus subject areas

  • Emergency Medicine
  • Critical Care

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