1. How do we facilitate family involvement in ICU care and decision-making, and how do we convince clinical staff that this involvement is of sufficient benefit to outweigh the accompanying burden of coordinating this involvement?

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Why does this problem persist?

1) Traditional ICU care has generally limited visiting hours and access

2) Family involvement is often seen as a burden on clinicians’ time and attention, and a practical obstacle to providing patient care

3) Clinicians may be reluctant to work under the scrutiny of more real-time family presence

4) Families are often not educated on their roles in the care process and decision-making