A qualitative study of factors that influence active family involvement with patient care in the ICU: Survey of critical care nurses

Hetland, Breanna; McAndrew, Natalie S.; Perazzo, Joseph; Hickman, Ron Lee

doi:10.1016/j.iccn.2017.08.008

Cited by 85 publications

(102 citation statements)

References 31 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The importance of flexible family visitation has been recommended (Khaleghparast et al ., ). In addition, family participation in direct patient care has been documented (Brown et al ., ; Hetland et al ., ).…”

Section: Discussionmentioning

confidence: 97%

Critically ill patients' experiences of nursing care in the intensive care unit

Kisorio

Langley

2019

Nursing in Critical Care

View full text Add to dashboard Cite

Background: Understanding critically ill patients' experiences of nursing care is an important aspect that can improve quality of care in the intensive care unit. Aim: To elicit critically ill patients' experiences of nursing care in the adult intensive care units. Design: A qualitative descriptive design was utilized. Methods: Sixteen patients who had a predicted mortality risk of above 50% within the first 24 h of admission to the intensive care unit and had been discharged to the ward were purposively selected. The study was conducted at three academic affiliated, tertiary/quaternary specialist hospitals in South Africa. Individual semi-structured interviews were conducted with the selected participants until a point of data saturation was reached. Data were analysed using a conventional content analysis technique (Hsieh and Shannon, 2005). Lincoln and Guba's criteria for ensuring the trustworthiness of qualitative research were applied. Findings: Four major themes emerged: 'being in someone's shoes ', 'communication', 'presence' and 'religion and spirituality'. Conclusions: Even though some participants' responses reflected 'good' nursing care, the majority of the participants had negative experiences in relation to the nursing care they received while admitted in the selected intensive care units. Relevance to clinical practice: This study demonstrates critically ill patients' voices and preferences of intensive nursing care and describes some issues that require not only nurses' but also managerial improvements and interventions in order to ensure quality care and, eventually, patients' satisfaction with intensive nursing care.

show abstract

Section: Discussionmentioning

confidence: 97%

Critically ill patients' experiences of nursing care in the intensive care unit

Kisorio

Langley

2019

Nursing in Critical Care

View full text Add to dashboard Cite

show abstract

“…Thus, it is necessary to consider a wide variety of visiting methods as well as more flexible visiting hours, beyond passive visits and extension of ICU visiting hours. Given that various key factors affect the involvement of critical care family members in nursing care, including family characteristics, workload of nurses, severity of the patient's illness, safety for patients and their families, and legal issues and that nurses tend to be unaware of how to engage family members in critical care nursing [40], this research data emphasize the necessity of a paradigm shift to study the scope and types of proximity needs, the efficacy of families' active involvement in alleviating their helplessness, and standard protocols. In Korea, meeting with family caregivers are mainly conducted by doctors and nurses, but it is also needed for various medical staffs such as physiotherapists to participate in the meeting with family caregivers and educate them about the procedures that caregivers could do.…”

Section: Plos Onementioning

confidence: 99%

State anxiety, uncertainty in illness, and needs of family members of critically ill patients and their experiences with family-centered multidisciplinary rounds: A mixed model study

2020

View full text Add to dashboard Cite

This study aimed to determine whether family-centered multidisciplinary rounds could alleviate anxiety and uncertainty in illness and meet needs for critically ill patients' families. A family-centered multidisciplinary rounds protocol was developed identifying needs of critically ill patients' families, and family experiences were reviewed through in-depth interviews. A sequential mixed-methods study was utilized, combining survey data and semi-structured interviews in a tertiary medical intensive care unit in South Korea. A structured questionnaire assessed needs, anxiety, and uncertainty in illness for 50 participants. Interview data of 10 participants were analyzed using grounded theory. Assurance was the highest family need, followed by information need. Family needs differed according to gender, relationship to the patient, and length of intensive care unit stay. Participants reported family-centered multidisciplinary rounds provided a sense of relief, a chance to listen to medical staff, and a chance to provide medical staff with comprehensive information about patient care. Proximity needs were found to have a positive correlation with state anxiety, while comfort needs had a negative correlation with uncertainty in illness. Families reported family-centered multidisciplinary rounds were positive, useful experiences. Thus, standardization of family-centered multidisciplinary rounds is needed to meet families' various needs.

show abstract

“…(Wright & Bell, ). Nurses attitudes towards involving families in nursing care has been explored in different clinical settings such as paediatrics (Angelo et al, ), obstetric care (Ribeiro, Sousa, Santos, Silva, & Sousa, ), primary health care (Oliveira et al, ), mental health care (Hsiao & Tsai, ), among nurses caring for patients with psychiatric diagnoses (Sveinbjarnardottir, Svavarsdottir, & Saveman, ), in cardiovascular care (Gusdal, Josefsson, Thors Adolfsson, & Martin, ; Luttik et al, ), in surgical units (Blondal et al, ) emergency departments (Linnarsson, Benzein, & Arestedt, ), in critical care units (Hetland, Hickman, McAndrew, & Daly, ; Hetland, McAndrew, Perazzo, & Hickman, ) and among home care nurses and hospital‐employed nurses (Broekema, Luttik, Steggerda, Paans, & Roodbol, ). Generally, the studies found that nurses hold positive attitudes towards family involvement in care (Hsiao & Tsai, ; Linnarsson et al, ; Oliveira et al, ), even without special training in approaches to family inclusion (Ribeiro et al, ).…”

Section: Introductionmentioning

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

View full text Add to dashboard Cite

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.

show abstract

A qualitative study of factors that influence active family involvement with patient care in the ICU: Survey of critical care nurses

Abstract: Patient care demands, the professional practice environment and a lack of resources for families hindered nursing family caregiver involvement. Greater attention to these barriers as they relate to family caregiver involvement and clinical outcomes should be a priority in future research.

Cited by 85 publications

References 31 publications

Critically ill patients' experiences of nursing care in the intensive care unit

Critically ill patients' experiences of nursing care in the intensive care unit

State anxiety, uncertainty in illness, and needs of family members of critically ill patients and their experiences with family-centered multidisciplinary rounds: A mixed model study

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

Contact Info

Product

Resources

About