A survey of the attitudes and perceptions of multidisciplinary team members towards family presence at bedside rounds in the intensive care unit

Abstract

We found significant differences among the attitudes of health care providers towards family presence at bedside rounds with RNs, especially more experienced RNs, expressing the greatest reservation. Qualitative research is required to explore perceived and actual barriers to family member presence at rounds.

The Role of Patient-Centered Care in Nursing

“…The following tenants are suggestions to consider. [28][29][30][31][32][33][34][35][36] Give patients and families a choice in engaging in rounds. Have nurses provide introductions (eg, night shift introduces the day shift nurse and staff).…”

Perceptions of Family Participation in Intensive Care Unit Rounds and Telemedicine: A Qualitative Assessment

“…Critical care rounding is a socially complex process involving patients, their family members, nurses, advanced practitioners, resident physicians, and attending physicians. Barriers to successful implementation can include provider resistance [10][11][12] and the competing time commitments and financial constraints of family members.…”

Impact of critical illness news on the family: hermeneutic phenomenological study

“…In the need for constant intervention and monitoring, the access allowed is far from that expected. It is verified that this perception of the family is echoed in the scientific evidence produced, and three indicators are related to the context: the statistical indices associated with these contexts reveal high rates of mortality and morbidity; everything is highly instrumented and unknown; and access to the unit and the sick person is very restricted (9,21) . They find in the perception of instability and threat to life an extreme need for immediate information.…”

“…It is found that he is resigned to waiting, with more or less tolerance, receiving the first information at the moment when he has access to the unit (25) . He intends through the continuous presence to unveil the prognosis and to understand the situation as soon as possible (9) . The family stresses that the need for information addresses the present and what is expected in the near future (22) .…”

“…The present moment is important, but necessarily the future experience and the sequelae that may emerge from it. Knowing that the moment of admission to the hospitalization context, is a major crisis, and the unfamiliar environment of the ICU can condition an effective interaction with the team members (9)(10) . In the context of hospitalization the communication that it establishes, between nurses and family, emerges in an explicit or implicit way to the human interaction.…”