Exploring Implementation Processes of a Multicomponent Family Support Intervention in Intensive Care Units ( FICUS ) Study: A Mixed‐Methods Process Evaluation

作者：Saskia Oesch, Lotte Verweij, Marco Riguzzi, Tracy Finch, Rahel Naef · 发表于：Journal of Advanced Nursing · 年份：2024 · DOI：10.1111/jan.16544 · 被引用次数：10 · 研究领域：Family and Patient Care in Intensive Care Units、Palliative Care and End-of-Life Issues、Infant Development and Preterm Care

AIM: To investigate the experience with and progress of the implementation of a Family Support Intervention (FSI) into adult intensive care units (ICUs) as part of the cluster-randomised FICUS trial. DESIGN: A mixed-methods process evaluation using a multiple case study approach guided by the normalisation process theory. METHODS: This study took place between June 2022 and July 2023 in eight Swiss ICUs randomised to the intervention arm. A tailored implementation strategy was used to introduce the multicomponent FSI, consisting of a new family nursing role and a family care pathway, into interprofessional ICU teams. Participants were 40 ICU key clinical partners. Qualitative data were collected twice, early (3-6 months) and mid-implementation (9-12 months), using small group interviews. A questionnaire with psychometric measures (Acceptability of Intervention Measure, Feasibility of Intervention Measure, Intervention Appropriateness Measure, Normalisation Measure Development Questionnaire) was administered at mid-implementation. RITA pragmatic rapid thematic analysis and descriptive statistics were used to analyse the data. Qualitative and quantitative results were then compared across ICUs (cases). FINDINGS: Findings indicated the desired progress of the FSI integration overall and across cases, with high acceptability and appropriateness ratings but only moderate to high feasibility scores. Study-related barriers were noted in all ICUs (i.e., FSI delivery as part of a clin...