Health Research, Vol. 4, Issue 3, Sep  2020, Pages 8-25; DOI:

Analyzing the Concept of Family-centered Care in ICU: Rodgers Evolutionary Approach

Health Research, Vol. 4, Issue 3, Sep  2020, Pages 8-25.


Forough Rafiee 1 , Mohammad Taghipour 2 , Sima Hashemi 3*

1 Department of Nursing, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran

2 Young Researchers and Elites club, Science and Research Branch, Islamic Azad University, Tehran, Iran

3 Department of Nursing and Midwifery, Shoushtar Faculty of Medical Sciences, Shoushtar, Iran

Received: 8 April 2020; Accepted: 15 June 2020; Published: 12 July 2020

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Background and objective: Family centered care is an innovative approach to design, implement and evaluate the health care implemented through a reciprocal participation of providers of the carers, patients, and families. Recognizing and paying attention to the families who have a patient in an ICU is an essential part of nurses’ responsibilities. The present study is aimed at clarifying the concept of family centered care and shedding more light into its specifications, outcomes, and results in nursing. Methodology: The study was carried out using Rodgers Evolutionary concept analysis approach. Published papers between 1997 and 2018 on family centered care in nursing ICU patients were searched in ScienceDirect, Pub Med, Proquest, Google Scholar, Cochrane, IranMedex, Magiran, and SID. The keywords used in the search were “family centered care, ICU patients, barriers, and executive approaches” and the Farsi equivalents. Findings: The key points of family centered care were respecting family members, dynamic and flexible care, giving honest information to family for decision making, cooperating at all care levels of the medical system, proper planning to cooperate with patients and families, and giving family members in optimal patient care. Conclusion: Taking into account the critical condition of patients in ICUs, family centered care is one of the ways to give the family members a role in making decision about the cares provided to the patient. This leads to a higher satisfaction in the family members. Given the unique structure of ICUs, the executive barriers of family cntered care should be taken into account by the policy makers in nursing profession.


Concept Analysis, Family centered Care, Nursing, Rodgers Evolutionary Approach


© 2017 by the authors. Licensee International Technology and Science Press Limited. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


[1] Nobahar, M. Exploration nursing care process in intensive cardiac care unit: Grounded theory. Journal of Qualitative Research in Health Sciences, 2015, 4, 99-111.

[2] Hetland, B.; Mcandrew, N.; Perazzo, J.; Hickman, R. A qualitative satudy of factors that influence active family involvement with patient care in the ICU: Survey of critical care nurses. Intensive and Critical Care Nursing, 2018, 44, 67-75.

[3] Vida, S. Healing presence: Experiences and perceptions of cardiac intensive care patients concerning the nurse presence. Medical - Surgical Nursing Journal, 2015, 3, 177-184.

[4] Day, A.; Haj-Bakri, S.; Lubchansky, S.; Mehta, S. Sleep, anxiety and fatigue in family members of patients admitted to the intensive care unit: a questionnaire study. Critical Care, 2013, 17, R91.

[5] Hart, A.; Hardia, S.; Townsend, A.; Ramsey, S.; Mahrle-Henson, A. Critical care visitation: nurse and family preference. Dimensions of Critical Care Nursing, 2013, 32, 289-299.

[6] Furan, M.; Zakaria, S. Challenges in the implementation of strategies to increase communication and enhance patient and family centered care in the ICU. Med Intensiva, 2017,  41, 365-367.

[7] Mitchell, M.; Chaboyer, W. Family Centred Care- A way to connect patients, families and nurses in critical care: A qualitative study using telephone interviews. Intensive and Critical Care Nursing, 2010, 26, 154-160.

[8] Millenson, M.; Shapiro, E.; Greenhouse, P;. Digioia III, A. Patient-and family-centered care: a systematic approach to better ethics and care. AMA journal of ethics, 2016, 18, 49-55.

[9] Geller, G.; Branyon, E.; Forbes, L.; Topazian, R.; Weir, B.; Carrese, J.;  Beach, M.; Sugarman, J. Icu-Respect: an index to assess patient and family experiences of respect in the intensive care unit. Journal of critical care, 2016, 36, 54-59.

[10] Pelazza, B; Simon, I.R; Freitas, E.; Silva, B.; Silva, M. Nursing visit and doubts expressed by families in the intensive care unit. Acta Paulista de Enfermagem, 2015, 28, 60-65.

[11] Dolatyari, A.; Sharififar, S.; Zareiyan, A.; Tadrisi, D. Family satisfaction with care in the intensive care unit: Results of a multiple center study in selected military hospitals. Military Caring Sciences Journal, 2014, 1, 18-26.

[12] Khaleghparast, S; Joolaee, S. Visiting hours in Intensive Care Units: Is the time for change. Cardiovasc Nurs J, 2013, 2, 62-8.

[13] Davidson, J.; Powers, K.; Hedayat, K.; Tieszen, M.;  Kon, A.; Shepard, E.;  Spuhler, V.; Todres, I.; Levy, M.; Barr, J. Clinical practice guidelines for support of the family in the patient-centered intensive care unit: American College of Critical Care Medicine Task Force 2004–2005. Critical care medicine, 2007, 35, 605-622.

[14] Hoseini, A.T.; Hasanzadeh, F.; Ehsaee, M.; Eesmaily, H.; Khoshbakht, S. The Impact of Patient’s Families Supportive Presence on the Attitudes of Intensive Care Unit Nurses in this Unit. J Rafsanjan Univ Med Sci, 2013, 12, 719-32.

[15] Henneman, E.; Cardin, S. Family-centered critical care: a practical approach to making it happen. Critical care nurse, 2002, 22, 12-19.

[16] Farnia, F.; Fooladi, L.; Nasiriani, K.; Lotfi, M. Effectiveness of family-centered care on family satisfaction in intensive care units. Hakim Health Sys Res, 2015, 17, 306-12.

[17] Taghipour, M.; Seraj, F.; Amir, H.M.; Farahani, K.S. Risk analysis in the management of urban construction projects from the perspective of the employer and the contractor. International Journal of organization Leadership, 2015, 4, 356-373.

[18] Rezvani, B.M.; Taghipour, M. Identification and Management of Risks in Construction Projects. American Journal of Civil Engineering, 2015, 3(5), 170-177.

[19] Taghipour, M.; Mahboobi, M.; Nikoeifar, A.; Soofi, M.E. Analysing the Effects of Physical Conditions of the Workplace on Employee’s Productivity (Including Case Study). International Journal of Environmental Protection and Policy, 2015, 3(4), 111-119..

[20] Baghipour, S.F.; Bozorgi, A.A.; Mououdi, M.A.; Taghipour, M. Modeling of Nurses’ shift Work schedules According to Ergonomics: A case study in Imam sajjad (As) Hospital of Ramsar. Journal of Ergonomics, 2016, 4(1), 1-12.

[21] Taghipour, M.; Mehrnaz, B.; Khodarezaei, M.; Farid, F. Supply Chain Performance  Evaluation  in IN The  IT Industry. International Journal of  Recent Research and Applied Studies, 2015, 23(2), 144-156.

[22] Taghipour, M.; Vosough, A.; Kazemi, N.; Ahitabar, P. The Study of the Application of Risk Management in the Operation and Maintenance of Power Plant Projects. International Journal of Business Management, 2018, 3(3), 98- 110.

[23] Mahboobi, M.; Taghipour, M.; Azadeh, M. Assessing Ergonomic Risk Factors Using Combined Data Envelopment Analysis and Conventional Methods for an Auto Parts Manufacturer. Work-A Journal of Prevention Assessment Rehabilitation (accepted), 2020.

[24] Taghipour, M.; Shabrang, M.; Habibi, M.H; Shamami, N. Assessment and Analysis of  Risk Associated with the Implementation of Enterprise Resource Planning (ERP) Project Using FMEA Technique (Including Case-Study). Management, 2020, 3(1), 29-46.

[25] Taghipour, M.; Hoseinpour, Z.; Mahboobi, M.; Shabrang, M.; Lashkarian, T. Construction projects risk management by risk allocation approach using PMBOK standard. Journal of Applied Environmental and Biological Sciences, 2015, 5(12), 323-329.

[26] Taghipour, M.; Kheirkhahan, H.; Mahboobi, M.; Mohammadi, M. Evaluation of the Relationship between Occupational Accidents and Usage of Personal Protective Equipment in an Auto Making Unit. International Journal of Innovative Research in Science. Engineering and Technology, 2015, 4(9), DOI: 10.15680/IJIRSET.2015.0409141.

[27] Taghipour, M.; Seraj, F.; Seraj, M. Necessity Analysis and Optimization of Implementing Projects with The Integration Approach of Risk Management and Value Engineering. Journal of Economics and Management, 2015, 5(1), 330-346.

[28] Taghipour, M.; Shamami, N.; Lotfi, A.; Parvaei, M.S. Evaluating Project Planning and Control System in Multi-project Organizations under Fuzzy Data Approach Considering Resource Constraints(Case Study: Wind Tunnel Construction Project). Management, 2020, 3(1), 29-46.

[29] Taghipour, M.; Sharifzadeh, S.; Seraj, F. Risk assessment and analysis of the state DAM  construction projects using FMEA technique. Engineering, 2015, 4(2), 195-203, Corpus ID: 110496771.

[30] Taghipour, M.; Mahboobi, M.; Gharagozlou, H. The Impact of ICT on Knowledge Sharing Obstacles in Knowledge Management Process (Including Case-Study). Iranian Journal of Information processing and Management, 2016, 31(4), 1049-1074.

[31] Taghipour, M.; Saffari, K.; Sadri, N. Assessment of the Relationship Between Knowledge Managment Implementation and Managers Skills (Case Study: Reezmoj System Company in Iran). Science Journal of Business and Management, 2016, 4, 114-120.

[32] Taghipour, M.; Nokhbefallah, M.; Nosrati, F.; Yaghoubi, J.; Nazemi, S. Evaluation of the effective variables of the value engineering in services(Qazvin post center case study). Journal of Applied Enviromental and Bilogical Science, 2015, 5(12), 319-322.

[33] Taghipour, M.; Seraj, F.; Amin, M.; Changiz, D.M. Evaluating CCPM method versus CPM in multiple petrochemical projects. Management, 2020, 3(3), 1-20.

[34] Taghipour, M.; Soofi, M.E.; Mahboobi, M.; Abdi, J. Application of Cloud Computing in System Management in Order to Control the Process. Management, 2020, 3(3), 34-55.

[35] Khodakhah, J.L; Kasrayee, F.; Khodakhah, J.S; Taghipouret, M. The Analysis of Effect Colour Psychology on Environmental Graphic in Childeren Ward at Medical Centers. Psychology and Behavioral Sciences, 2016, 5(2), 51-61.

[36] Payamani, F.; Nazari, A.;  Miri, M.; Ghadiran, B.F; Taghipour, M. The study of MS patieents life style referred to MS Association (Tehran City, 2008). International Journal of Medical Research&Health Science( IJMRHS), 2016, 5(1), 230-234.

[37] Salsal, M.;  Fakhremovahhedi, A.; Cheraghi, M. Grounded Theory Researchin Medical Sciences (Philosophy and Applied Principles) . 2006, Tehran, Boshra.

[38] Lor, M.;  Crooks, N.; Tuczek, A. A proposed model of person-, family-, and culture-centered nursing care. Nursing outlook, 2016, 64, 352-366.

[39] Kingsinger, V. 2015. Family Centered Care in ICU Settings.

[40] Freitas, K.; Kimura, M.; Ferreira, K. Family members needs at intensive care units: comparative analysis between a public and a private hospital. Revista latino-americana de enfermagem, 2007, 15, 84-92.

[41] Abvali, H.; Peyrovi, H.; Moradi-Moghaddam, O.; Gohari, M. Effect of support program on satisfaction of family members of ICU patients. Journal of Client-Centered Nursing Care, 2015, 1, 29-36.

[42] Johnson, B.;  Abraham, M.;  Conway, J.;  Simmons, L.; Edgman-Levitan, S.; Sodomka, P.; Ford, D. Partnering with patients and families to design a patient-and family-centered health care system. Institute for Patient-and Family-Centered Care and Institute for Healthcare Improvemen, 2008.

[43] Sevim, C.; Betul, A.; Cisem, E.;  Yasemin, K.;  Zuhal, U.; Funda, V. Views of nurses and patients’ relatives on visits to intensive care patients. International journal of Medical Investigation, 2013, 2, 219-25.

[44] Mcnamara, N. The meaning of the experience for ICU nurses when a family member is critically ill: A hermeneutic phenomenological study. Auckland University of Technology, 2007.

[45] Sadeghi, Z. The effect of family cooperation on the care of the patient hospitalized in critical care unit on family anxiety. Nursing & Midwifery CareJournal, 2012,  2, 10-17.

[46] Burr, G. The family and critical care nursing: a brief review of the literature. Australian Critical Care, 1997, 10, 124-127.

[47] Vahedin-Azimi, A.; Alhani, F.; Goharimogddam, K.;  Madani, S.; Naderi, A.; Hajiesmaeili, M. Effect of family-centered empowerment model on the quality of life in patients with myocardial infarction: A clinical trial study. Journal of Nursing Education, 2015, 4, 8-21.

[48] Dhillon, A.; Tardini, F.; Bittner, E.; Schmidt, U.; Allain, R.; Bigatello, L. Benefit of using a “bundled” consent for intensive care unit procedures as part of an early family meeting. Journal of critical care, 2014, 29, 919-922.

[49] Borhani, F.; Loghmani, L.; Abaszadeh, A.; Mahmoodi, M. Communication barriers between staff member with family member intensive care unit: A grounded theory study. Annals of Tropical Medicine and Public Health, 2017, 10, 1552.

[50] Marion, M.; Chaboyer, W.; Burmeister, E.; Foster, M. Positive effects of a nursing intervention on family-centered care in adult critical care. American Journal of Critical Care, 2009, 18, 543-552. 

[51] Mcconnell, B.; Moroney, T. Involving relatives in ICU patient care: critical care nursing challenges. Journal of clinical nursing, 2015, 24, 991-998.

[52] Twibell, R.; Craig, S.; Siela, D.; Simmonds, S.; Thomas, C. Being there: inpatients’ perceptions of family presence during, resuscitation and invasive cardiac procedures. American Journal of Critical Care, 2015, 24, e108-e115.