intensiv, Table of Contents intensiv 2025; 33(05): 241-246DOI: 10.1055/a-2646-9639 Intensivpflege Familienzentrierte Pflege Angehörige als aktive Beteiligte im Weaningprozess Authors Sebastian Pölzl Recommend Article Abstract Buy Article(opens in new window) Die schrittweise Entwöhnung von erwachsenen Patient*innen von der mechanischen Beatmung ist ein kritischer Abschnitt des Intensivaufenthalts. In der Literatur wird beschrieben, dass die Einbindung von Angehörigen positive Effekte auf den Behandlungsverlauf haben kann. Dieser Beitrag beleuchtet Chancen, Herausforderungen und pflegerische Umsetzungsmöglichkeiten einer familienzentrierten Weaningpraxis. Full Text References Literatur 1 Kippnich M, Skazel T, Klingshirn H. et al Analysis of the weaning process in intensive care patients with regard to documentation and transfer to further treatment units. Med Klin Intensivmed Notfmed 2022; 118 (04) 269-276 2 Wendl G.. Der Weaningprozess – Durchführung unter Einfluss pflegerischer Expertise. Intensiv 2023; 31 (03) 148-153 3 Chartrand J, Shea B, Hutton B. et al Patient- and family-centred care transition interventions for adults: A systematic review and meta-analysis of RCTs. Int J Qual Health Care 2023; 35 (04) mzad102 4 Kydonaki K, Takashima M, Mitchell M.. Family ward rounds in intensive care: An integrative review of the literature. Int J Nurs Stud 2020; 113: 103771 5 Arvinpour E, Shariati A, Sayadi N. et al Effect of family presence on the success of weaning in intensive care units. PubMed 2022; 21 (03) 367-375 6 Safaeepour L, Nouri JM, Moradian ST. et al The effect of family-centered care on the duration of weaning from mechanical ventilation in coronary artery bypass surgery patients: A clinical trial study. Crit Care Nurs 2017; 10 (02) e10655 7 Salmani F, Moghimian M, Jouzi M.. The effect of planned presence of the family at the time of weaning on the length of weaning from mechanical ventilation in patients with brain injury admitted to intensive care units. BMC Nurs 2022; 21 (01) 328 8 Pun BT, Balas MC, Barnes-Daly MA. et al Caring for critically ill patients with the ABCDEF bundle: Results of the ICU liberation collaborative in over 15000 adults. Crit Care Med 2018; 47 (01) 3-14 9 Hochberg CH, Hager DN, Eakin MN.. Leveraging family experience to improve their engagement in the intensive care unit. Ann Am Thorac Soc 2022; 19 (04) 538-540 10 Hoffmann M, Nydahl P, Brauchle M. et al Angehörigenbetreuung auf Intensivstationen. Med Klin Intensivmed Notfmed 2022; 117 (05) 349-357 11 Schwartz AC, Dunn SE, Simon HFM. et al Making family-centered care for adults in the ICU a reality. Front Psychiatry 2022; 13: 837708 12 Wiegele M, Hermann M, Kimberger O. et al Langzeitfolgen einer Intensivtherapie. Anästhesie Nachrichten 2024; 6: 152-156 13 Hetland B, McAndrew N, Perazzo J. et al A qualitative study of factors that influence active family involvement with patient care in the ICU: Survey of critical care nurses. Intensive Crit Care Nurs 2017; 44: 67-75 14 Hwang DY, Oczkowski SJW, Lewis K. et al Society of critical care medicine guidelines on family-centered care for adult ICUs: 2024. Crit Care Med 2025; 53 (02) e465-e482 15 Davidson JE, Aslakson RA, Long AC. et al Guidelines for family-centered care in the neonatal, pediatric, and adult ICU. Crit Care Med 2016; 45 (01) 103-128 16 Teigeler B, Walther S.. Auf der Intensivstation: Patienten und Angehörige zwischen Leben, Tod und Trauma. 1. Aufl. Bern: Hogrefe; 2022 17 Villa M, Morale V, Valverde B. et al Exploring the impact of ICU diary on ICU survivors’ emotions and feelings. Dimens Crit Care Nurs 2024; 44 (01) 20-27 18 Shibata M, Miyamoto K, Shima N. et al The effect of ICU diary on psychiatric symptoms after ICU discharge among adult critically ill patients: A prospective comparative study. Acute Med Surg 2024; 11 (01) e70026 19 Yang D, Zhao M, Shi Y.. Flexible ICU visiting: Improving family outcomes while navigating implementation challenges. Intensive Crit Care Nurs 2024; 86: 103894 20 Xyrichis A, Fletcher S, Philippou J. et al Interventions to promote family member involvement in adult critical care settings: A systematic review. BMJ Open 2021; 11 (04) e042556 21 Keen A, George A, Stuck B. et al Nurse perceptions of a nurse family liaison implemented during the COVID-19 pandemic: A qualitative thematic analysis. Intensive Crit Care Nurs 2021; 70: 103185 22 Shin JW, Choi J, Tate J.. Interventions using digital technology to promote family engagement in the adult intensive care unit: An integrative review. Heart Lung 2022; 58: 166-178
