A family nursing educational intervention supports nurses and families in an adult intensive care unit

Eggenberger, Sandra; Sanders, Marita

doi:10.1016/j.aucc.2016.09.002

Cited by 51 publications

(99 citation statements)

References 42 publications

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“…This study also demonstrates a collaborative approach to an implementation process when assisting clinical palliative care nurses to translate critically appraised evidence into their daily practice with families . A partnership approach used in this study has previously been emphasised in a pilot‐educational intervention study where the researcher aimed to help nurses understand the family illness experience within an adult critical care context .…”

Section: Discussionmentioning

confidence: 97%

The impact of implementing an educational intervention to enhance a family‐oriented approach in specialised palliative home care: A quasi‐experimental study

Petursdottir

Haraldsdottir

Svavarsdóttir

2018

Scandinavian Caring Sciences

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Rationale Healthcare providers’ beliefs, attitudes, experiences and knowledge, which guide the care they deliver, are the key factors influencing the quality of palliative care. Education and coaching innovation are needed to translate research outcomes and adopt evidence‐based nursing care into practice. Objectives To evaluate the impact of an advanced educational and coaching programme in a family systems’ nursing approach for palliative care nurses in a home‐care setting. Methods A quasi‐experimental study using qualitative data from open‐ended questions to augment the quantitative outcome study that included a single‐group, pre‐ and post‐test design. A total population sample of nurses was recruited from a specialised palliative home care unit at a university hospital. The study utilised two self‐reported questionnaires. Results There was a statistically significant increase in the nurses’ critical appraisal of clinical nursing practice related to family nursing after participation in the educational programme than before. No statistical difference was found in items related to nurses’ experience of the interaction and reciprocity in the nurse–family relationship after participation in the programme than compared to before or in nurses’ cancer‐related beliefs. However, there was an overall significant positive change found in attitudes towards families in the total score of the Family Practice Scale. Nurses were also more positive about the further development of their knowledge and skills in advanced family nursing evident in the qualitative data. Conclusion An advanced educational intervention programme was successful in improving the nurses’ knowledge, skills, satisfaction and confidence in relation to applied family nursing approach within the context of caring for families affected by advanced/final stage cancer. However, further refinement of the implementation process is needed to enhance family care improvement and the nurses’ professional development in advanced family nursing in specialised palliative care.

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Section: Discussionmentioning

confidence: 97%

The impact of implementing an educational intervention to enhance a family‐oriented approach in specialised palliative home care: A quasi‐experimental study

Petursdottir

Haraldsdottir

Svavarsdóttir

2018

Scandinavian Caring Sciences

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“…This could possibly be related to the increasing interest in the situation of significant others, who often adopt an informal caregiver role (Benzein, Olin, & Persson, ) and experience stress (Persson & Benzein, ). Nurses can become a source of comfort that helps the family endure and try to minimise the caregiver burden, focusing on the needs and quality of life of these families (Eggenberger & Sanders, ). Accordingly, interventions are needed that support both the individual patient and the family as a unit to minimise their experiences of distress and to focus on the resources within the family to support their health and well‐being (Benzein et al, ; Persson & Benzein, ; Wright & Leahey, ).…”

Section: Discussionmentioning

confidence: 99%

“…Training and thereby developing skills in family system nursing encourages empathic understanding (Eggenberger & Sanders, ) and strengthens nurses' beliefs in their own skills, which motivates them to overcome family system nursing challenges in their daily clinical practice (Broekema et al, ; Duhamel et al, ). Training and implementation strategies are important in order to disseminate family‐focused practice into clinical settings (Svavarsdottir, Sigurdardottir, Konradsdottir, & Tryggvadottir, ), although nurses feel challenged when they must work differently than they are used to (Voltelen et al, ).…”

Section: Discussionmentioning

confidence: 99%

Nurses' attitudes regarding the importance of families in nursing care: A cross‐sectional study

Østergaard

Clausen

Agerskov

et al. 2020

Journal of Clinical Nursing

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Aims and objectives To investigate attitudes towards family involvement in care among a broad sample of Danish nurses from all sectors and healthcare settings. Background Evidence suggests that nurses hold both supportive and less supportive attitudes about involvement of family members in the care of patients, and the existing findings are limited to specific healthcare contexts. Design A cross‐sectional study adhering to the Strengthening the Reporting of Observational Studies in Epidemiology for reporting observational studies. Methods Using snowball sampling, the Families' Importance in Nursing Care‐Nurses' Attitudes questionnaire was initially administered to a broad, convenience sample of Danish registered nurses through social media: Facebook interest groups and the homepage of the Danish Family Nursing Association. These nurses were encouraged to send the invitation to participate in their network of nursing colleagues. Complete data sets from 1,720 nurses were available for analysis. Results In general, the nurses considered the family as important in patient care. Nurses who held master's and doctorate degrees scored significantly higher than nurses with a basic nursing education. Nurses who had had experience with illness within their own families tended to score higher on the family as a conversational partner subscale than those without this experience. Nurses with the longest engagement within hospital settings scored significantly lower than those with the longest engagement within primary health care and/or psychiatry. Conclusions Families are considered important in nursing care. Younger nurses with a basic education, short‐term engagement at a hospital and no experiences with illness within their own families were predictors of less supportive attitudes towards including the family in nursing care. Relevance to clinical practice Clinical leaders and managers should promote education on the importance of active family involvement in patient care in clinical practice and undergraduate education. More focus on collaboration with families in the hospital setting is needed.

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“…Nurses with more critical care experience and those with a doctoral degree were more supportive of family engagement. In a study testing the effects of a family nursing educational intervention, Eggenberger and Sanders 30 found that nurses had more confidence, knowledge, and family skills after participating in a 4-hour workshop addressing family experiences with critical illness. Thus, nursing experience and opportunities to learn about foundational elements of family care are vital for establishing relationships with family members and encouraging family caregiver participation.…”

Section: Discussionmentioning

confidence: 99%

“…2 A close examination of ICU family culture, staffing decisions, patient acuity, and other work environmental factors is required to develop solutions to alleviate time constraints and promote a milieu that supports family engagement in critical care. 20,22,30,33 More research using objective measures of patient safety and care quality is needed to examine the benefits and potential risks of family involvement.…”

Section: Discussionmentioning

confidence: 99%

Factors Influencing Active Family Engagement in Care Among Critical Care Nurses

Hetland

Hickman

McAndrew

et al. 2017

AACN Advanced Critical Care

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Critical care nurses are vital to promoting family engagement in the intensive care unit. However, nurses have varying perceptions about how much family members should be involved. The Questionnaire on Factors That Influence Family Engagement was given to a national sample of 433 critical care nurses. This correlational study explored the impact of nurse and organizational characteristics on barriers and facilitators to family engagement. Study results indicate that (1) nurses were most likely to invite family caregivers to provide simple daily care; (2) age, degree earned, critical care experience, hospital location, unit type, and staffing ratios influenced the scores; and (3) nursing workflow partially mediated the relationships between the intensive care unit environment and nurses' attitudes and between patient acuity and nurses' attitudes. These results help inform nursing leaders on ways to promote nurse support of active family engagement in the intensive care unit.Keywords critical care; family caregivers; family-centered nursing; family engagement An increasing number of Americans require treatment in the intensive care unit (ICU), and a proportional increase in family caregivers will assume caregiving responsibilities that can have persistent negative effects on their health and overall quality of life. [1][2][3][4][5][6] The conventional ICU care paradigm has primarily targeted the informational needs of family Breanna Hetland is Postdoctoral Fellow, Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, OH (bdh66@case.edu). HHS Public AccessAuthor manuscript AACN Adv Crit Care. Author manuscript; available in PMC 2017 September 07. Author Manuscript Author ManuscriptAuthor Manuscript Author Manuscript caregivers of the critically ill, but has not addressed how to actively engage caregivers in other aspects of the ICU experience such as symptom assessment and the direct provision of care. [7][8][9][10] Although critical care research, policy, and practice guidelines 9,10 increasingly recognize family caregivers as part of a larger patient-provider interaction during critical illness, the literature on family caregiver engagement in this context mainly focuses on passive forms of involvement such as family presence, communication, and decisionmaking. Few studies address family caregivers' active contributions to patient care. 7,8,[11][12][13][14][15][16][17][18] Patient and family engagement are defined as active partnerships among health care providers, patients, and families. 7 Identifying effective ways to implement patient and family engagement is paramount to improving the patient and family experience as well as improving safety, quality, and delivery of care. [7][8][9] In the ICU, critical care nurses are the frontline providers of life-sustaining care and key staff members in promoting patient and family engagement. However, the literature provides evidence that critical care nurses express resistance to involving family caregivers because of misconception...

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A family nursing educational intervention supports nurses and families in an adult intensive care unit

Cited by 51 publications

References 42 publications

The impact of implementing an educational intervention to enhance a family‐oriented approach in specialised palliative home care: A quasi‐experimental study

The impact of implementing an educational intervention to enhance a family‐oriented approach in specialised palliative home care: A quasi‐experimental study

Nurses' attitudes regarding the importance of families in nursing care: A cross‐sectional study

Factors Influencing Active Family Engagement in Care Among Critical Care Nurses

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