Background: Patient care in the Intensive Care Unit (ICU), not only impact on patients but also affect the families. Waiting for patients who are being treated, especially in ICU, is a mandatory culture for the people of Indonesia, especially in East Java, which is predominantly inhabited by Madurese and Javanese people who have a high level of kinship.

Aim: To explore the Family Needs of Patients in ICU with the characteristics of a high kinship relationship.

Study Design: a Mix-Method approach, which is quantitative and qualitative. The study was conducted at 5 ICU hospitals in East Java, with the majority of patients coming from Madurese and Javanese.

Results: Results of this study indicate that the essential need perceived family is the assurance (mean±SD 3.43±0.26), followed by information needs (mean±SD=3.35±0.30), proximity (mean±SD 3.12±0.51), family support (mean±SD 3.01±0.39) and the least important was comfort (mean±SD 2.88±0.41). The study also found new family needs; these are spiritual needs and the involvement of patient care in the ICU.

Conclusion: Family needs listed from the most important are the needs of assurance, followed by the information needs, proximity, family support, and the least important is comfort. The study also concluded that there was a new theme that could be added in the CCFNI domain, namely spiritual needs

Keywords: Family needs, ICU, community bounding, spiritual, CCFNI