What does this research mean for the field?

The implementation success of a nurse-led family support intervention across Swiss ICUs is moderate to high, facilitated by organizational readiness and motivated staff, though no specific configurations of contextual determinants systematically explain differences in success across sites. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

What question did this study set out to answer?

To identify multilevel implementation determinants, patterns, and contextual configurations influencing the uptake of a tailored nurse-led family support intervention across intensive care units.

September 7, 2026Implementation Science CommunicationsOpen Access

Understanding implementation patterns of the FICUS family support intervention: a matrixed multiple case study across Swiss adult intensive care units

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Authors

SOSaskia Oesch LVLotte Verweij MRMarco Riguzzi

Discussion

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Overview

Matrixed case study reveals moderate-to-high implementation success of a family support intervention in intensive care units, highlighting shared organizational determinants across sites.

Key Points

To identify multilevel implementation determinants, patterns, and contextual configurations influencing the uptake of a tailored nurse-led family support intervention across intensive care units.
Conducted a matrixed multiple case study involving 228 staff members across eight Swiss adult intensive care units over a 25-month period (March 2022 to April 2024).
Evaluated determinants across four time points: baseline contextual analysis (T0), active implementation process evaluations (T1–T2), and summative evaluation (T3).
Assessed implementation success using the Global Normalization Measure Development (Global-NoMAD) scale (range: 0–100%).
Implementation success ranged from 60% to 80% on the Global-NoMAD scale across units, with one intensive care unit reaching high success (≥ 75%) and seven achieving moderate success (56–74%).
Primary facilitators included low cultural stress, organizational readiness, sufficient infrastructure, skilled family nurses, high intervention acceptability, and external implementation support.
Trial-related recruitment of family members acted as a consistent barrier, and cross-case comparisons revealed no site-specific determinant configurations that systematically explained differences in implementation success.

Cite This Study

Oesch et al. (2026) studied this question.

synapsesocial.com/papers/6a9e858ac3034f961570dcec https://doi.org/10.1186/s43058-026-01098-4

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September 7, 2026Implementation Science CommunicationsOpen Access

Understanding implementation patterns of the FICUS family support intervention: a matrixed multiple case study across Swiss adult intensive care units

View Full Paper

Ask AI

Bookmark

Authors

SOSaskia Oesch LVLotte Verweij MRMarco Riguzzi

Discussion

Member takes

Overview

Matrixed case study reveals moderate-to-high implementation success of a family support intervention in intensive care units, highlighting shared organizational determinants across sites.

Key Points

To identify multilevel implementation determinants, patterns, and contextual configurations influencing the uptake of a tailored nurse-led family support intervention across intensive care units.
Conducted a matrixed multiple case study involving 228 staff members across eight Swiss adult intensive care units over a 25-month period (March 2022 to April 2024).
Evaluated determinants across four time points: baseline contextual analysis (T0), active implementation process evaluations (T1–T2), and summative evaluation (T3).
Assessed implementation success using the Global Normalization Measure Development (Global-NoMAD) scale (range: 0–100%).
Implementation success ranged from 60% to 80% on the Global-NoMAD scale across units, with one intensive care unit reaching high success (≥ 75%) and seven achieving moderate success (56–74%).
Primary facilitators included low cultural stress, organizational readiness, sufficient infrastructure, skilled family nurses, high intervention acceptability, and external implementation support.
Trial-related recruitment of family members acted as a consistent barrier, and cross-case comparisons revealed no site-specific determinant configurations that systematically explained differences in implementation success.

Cite This Study

Oesch et al. (2026) studied this question.

synapsesocial.com/papers/6a9e858ac3034f961570dcec https://doi.org/10.1186/s43058-026-01098-4

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