Aktualisierung der Leitlinie „Family-Centered Care for Adult ICUs“

Die Society of Critical Care Medicine (SCCM) aktualisierte im Februar 2025 ihre Leitlinie zur familienzentrierten Intensivversorgung. Die Empfehlungen decken zentrale Aspekte von Familienbeteiligung, Bedürfnisunterstützung, Kommunikation und Teamressourcen ab und sollen Angehörigen eine bedeutsame Rolle im Genesungsprozess eröffnen. Für den deutschsprachigen Raum ist besonders relevant, dass die Inhalte weitgehend mit den Kriterien des DGF-Zertifikats „Angehörigenfreundliche Intensivstation“ übereinstimmen, während der Besuch von Kindern in der aktuellen Version keine Erwähnung findet – ein Aspekt, der in den DACH-Ländern als besonders wichtig angesehen wird.

• Literatur

• 1 Hwang DY, Oczkowski SJW, Lewis K. et al SCCM guidelines on family-centered care for adult ICUs: 2024. Crit Care Med 2025; e465-e482
• 2 Davidson JE, Aslakson RA, Long AC. et al Guidelines for family-centered care in the neonatal, pediatric, and adult ICU. Crit Care Med 2017; 45: 103-128
• 3 Hoffmann M, Nydahl P, Brauchle M. et al Angehörigenbetreuung auf Intensivstationen. Med Kli Intensivmed Notfmed 2022; 117: 349-357
• 4 Gunnlaugsdóttir T, Jónasdóttir RJ, Björnsdóttir K. et al How can family members of patients in the intensive care unit be supported? A systematic review of qualitative reviews, meta-synthesis, and novel recommendations for nursing care. Int J Nurs Stud Adv 2024; 7: 100251
• 5 Kumpf O, Assenheimer M, Bloos F. et al Quality indicators in intensive care medicine for Germany – fourth edition 2022. Ger Med Sci 2023; 21: 1-27
• 6 Ely EW. The ABCDEF Bundle: Science and philosophy of how ICU liberation serves patients and families. Crit Care Med 2017; 45: 321-330
• 7 Moraes FDS, Marengo LL, Moura MDG. et al ABCDE and ABCDEF care bundles: A systematic review of the implementation process in intensive care units. Medicine (Baltimore) 2022; 101: e29499
• 8 Dayton K, Lindroth H, Engel HJ. et al Creating a culture of an awake and walking intensive care unit: In-hospital strategies to mitigate post-intensive care syndrome. Crit Care Clin 2025; 41: 121-140
• 9 Rogge A, Naeve-Nydahl M, Nydahl P. et al Ethische Entscheidungsempfehlungen zu Besuchsregelungen im Krankenhaus während der COVID-19-Pandemie. Med Klin Intensivmed Notfmed 2021; 116: 415-420
• 10 Pun BT, Badenes R, Heras La Calle G. et al Prevalence and risk factors for delirium in critically ill patients with COVID-19 (COVID-D): A multicentre cohort study. Lancet Respir Med 2021; 9: 239-250
• 11 Abdul Halain A, Tang LY, Chong MC. et al Psychological distress among the family members of intensive care unit (ICU) patients: A scoping review. J Clin Nurs 2022; 31: 497-507
• 12 Parsons Leigh J, Krewulak KD, Zepeda N. et al Patients, family members and providers perceive family-administered delirium detection tools in the adult ICU as feasible and of value to patient care and family member coping: A qualitative focus group study. Can J Anaesth 2021; 68: 358-366
• 13 Schofield R, Dibb B, Coles-Gale R. et al The experience of relatives using intensive care diaries: A systematic review and qualitative synthesis. Int J Nurs Stud 2021; 119: 103927
• 14 Guyatt G, Akl EA, Oxman A. et al Synthesis, grading, and presentation of evidence in guidelines: Article 7 in integrating and coordinating efforts in COPD guideline development. An official ATS/ERS workshop report. Proc Am Thorac Soc 2012; 9: 256-261
• 15 Higgins JPT, Green S. Cochrane handbook for systematic reviews of interventions version 5.1.0. In: Cochrane Handbook. The Cochrane Collaboration; 2011. Abgerufen am 25.08.2025 unter: t1p.de/q8os5
• 16 Hwang DY, Zhang Q, Andrews A. et al The initial impact of the coronavirus disease 2019 pandemic on ICU family engagement: Lessons learned from a collaborative of 27 ICUs. Crit Care Explor 2021; 3: e0401
• 17 Nassar Junior AP, Besen B, Robinson CC. et al Flexible versus restrictive visiting policies in ICUs: A systematic review and meta-analysis. Crit Care Med 2018; 46: 1175-1180
• 18 Li J, Fan Y, Luo R. et al Family involvement in preventing delirium in critically ill patients: A systematic review and meta-analysis. Int J Nurs Stud 2025; 161: 104937
• 19 Kynoch K, Chang A, Coyer F. et al The effectiveness of interventions to meet family needs of critically ill patients in an adult intensive care unit: A systematic review update. JBI Database System Rev Implement Rep 2016; 14: 181-234
• 20 Calderone A, Debay V, Goldfarb MJ. Family presence on rounds in adult critical care: A scoping review. Crit Care Explor 2022; 4: e0787
• 21 Joo Y, Jang Y, Kwon OY. Contents and effectiveness of patient- and family-centred care interventions in adult intensive care units: A systematic review. Nurs Crit Care 2024; 29: 1290-1302
• 22 Jabre P, Tazarourte K, Azoulay E. et al Offering the opportunity for family to be present during cardiopulmonary resuscitation: 1-year assessment. Intensive Care Med 2014; 40: 981-987
• 23 Toronto CE, LaRocco SA. Family perception of and experience with family presence during cardiopulmonary resuscitation: An integrative review. J Clin Nurs 2019; 28: 32-46
• 24 Pignatiello G, Hickman Jr. RL, Hetland B. End-of-life decision support in the ICU: Where are we now?. West J Nurs Res 2018; 40: 84-120
• 25 Deffner T, Münch U, Riessen R. et al [Psychosocial care for relatives in the ICU: framework concept]. Med Klin Intensivmed Notfmed 2022; 117: 600-606
• 26 Huang W, Gao Y, Zhou L. et al Effects of ICU diaries on psychological disorders and sleep quality in critically ill patients and their family members: A systematic review and meta-analysis. Sleep Med 2024; 122: 84-91
• 27 Cox CE, White DB, Hough CL. et al Effects of a personalized web-based decision aid for surrogate decision makers of patients with prolonged mechanical ventilation: A randomized clinical trial. Ann Intern Med 2019; 170: 285-297
• 28 Naya K, Sakuramoto H, Aikawa G. et al Intensive care unit interventions to improve quality of dying and death: Scoping review. BMJ Support Palliat Care 2024;
• 29 Torke AM, Varner-Perez SE, Burke ES. et al Effects of spiritual care on well-being of intensive care family surrogates: A clinical trial. J Pain Symptom Manage 2023; 65: 296-307
• 30 Rashid M. Two decades (1993–2012) of adult intensive care unit design: A comparative study of the physical design features of the best practice examples. Crit Care Nurs Q 2014; 37: 3-32
• 31 Van Keer RL, Deschepper R, Huyghens L. et al Challenges in delivering bad news in a multi-ethnic intensive care unit: An ethnographic study. Patient Educ Couns 2019; 102: 2199-2207
• 32 Zante B, Camenisch SA, Schefold JC. Interventions in post-intensive care syndrome-family: A systematic literature review. Crit Care Med 2020; 48: e835-e840
• 33 Wysham NG, Mularski RA, Schmidt DM. et al Long-term persistence of quality improvements for an intensive care unit communication initiative using the VALUE strategy. J Crit Care 2014; 29: 450-454
• 34 Downar J, McNaughton N, Abdelhalim T. et al Standardized patient simulation versus didactic teaching alone for improving residents’ communication skills when discussing goals of care and resuscitation: A randomized controlled trial. Palliat Med 2017; 31: 130-139
• 35 Gálvez-Herrer M, Via-Clavero G, Ángel-Sesmero JA. et al Psychological crisis and emergency intervention for frontline critical care workers during the COVID-19 pandemic. J Clin Nurs 2022; 31: 2309-2323
• 36 Heras La Calle G, Oviés Á A, Tello VG. A plan for improving the humanisation of intensive care units. Intensive Care Med 2017; 43: 547-549
• 37 Brauchle M, Deffner T, Brinkmann A. et al Besuche von minderjährigen Angehörigen in der Intensiv- und Notfallmedizin. Med Klin Intensivmed Notfmed 2023;
• 38 Waydhas C, Brod T, Deininger M. et al Interprofessionelle Handlungsfelder der Pflegefachpersonen in der Klinischen Akut- und Notfallmedizin. Dtsch Med Wochenschr 2024; 149: 904-911
• 39 Brauchle M, Deffner T, Nydahl P. Ten recommendations for child-friendly visiting policies in critical care. Intensive Care Med 2023; 49: 341-344
• 40 Rowland A, Boulanger C, Dalton L. Supporting the bereaved child in the adult ICU: A narrative review. Intensive Care Med 2025;
• 41 Kien C, Griebler U, Schultes MT. et al Psychometric testing of the German versions of three implementation outcome measures. Glob Implement Res Appl 2021; 1: 183-194