BACKGROUND The contributions of cognitive and behavioral work of patients' family members in intensive care units remain largely unrecognized. OBJECTIVE The objective of this study was to develop a framework of outwardly observable family work, with specific focus on describing the physical space. METHODS We conducted approximately 50 hrs of naturalistic observations of family activities on a medical intensive care unit (MICU) at a large, Midwestern teaching hospital. RESULTS We created a framework of activities that include requesting, receiving, or delivering either information or action, along with examples. Further, we identified clinician and staff roles with whom families interact and characterized the physical spaces in which interactions take place. CONCLUSIONS Knowledge contribution is a proposed framework of family activities in the MICU. It has the potential to guide and be further described by future research and to inform development of human-centered family-facing interventions to support cognitive and behavioral cognitive and behavioral work.

中文翻译：

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使用自然观察捕捉重症监护室患者家属的工作。

背景重症监护病房中患者家属的认知和行为工作的贡献在很大程度上仍未得到认识。目的 本研究的目的是开发一个外部可观察的家庭工作框架，特别关注描述物理空间。方法 我们对中西部一家大型教学医院的重症监护病房 (MICU) 的家庭活动进行了大约 50 小时的自然观察。结果我们创建了一个活动框架，包括请求、接收或交付信息或操作以及示例。此外，我们还确定了与家人互动的临床医生和工作人员角色，并描述了互动发生的物理空间。结论 知识贡献是 MICU 家庭活动的拟议框架。它有可能指导未来的研究并对其进行进一步描述，并为以人为本的面向家庭的干预措施的发展提供信息，以支持认知和行为认知和行为工作。