Table 1 How to implement family care while being at the patient’s bedside

Selection of a close family member based on the closest proximity to the patient in consultation with the family

Training of two nurses to train the family to attend the patient’s bedside

Preparing the family to enter the department (familiarization with the department - familiarization with equipment and devices, etc.) and familiarization with the rules of the ICUs

Family training for intervention by trained nurses (2-hour session)

1- Teaching the time of entering and leaving the ward and the presence of the family on time

2- Being a close family member for 7 days

3- Washing hands upon entering the ward and before doing anything for the patient (medical hand washing training)

4- How to communicate with the patient during 30 to 45 minutes

 - Greeting the patient and calling the patient by her name

 - Introducing yourself to the patient to be repeated several times

 - Making close contact with the patient, such as touching the face and skin contact with the patient and kissing the patient

 - Talking about the condition of other family members

 - Talking about the patient’s condition and what devices are connected to the patient.

 - Sit the patient down with the permission of the relevant nurse

 - Encourage the patient to breathe slowly and deeply

 - If the patient is conscious, encourage the patient to cough and swallow saliva

 - Encouraging the patient to hold his breath and let it out slowly in case of spontaneous breathing with the device

 - During the weaning of the patient from the device, continuous family communication with the patient and encouragement to breathe deeply and cough and expectorate

 - Sit the patient down and help the nurse for the patient’s respiratory physiotherapy

 - Making the patient perform incentive spirometry with the device

 5- After finishing 45 minutes, kiss the patient goodbye and tell the patient about the time of the next appointment