Acute care nurses' views on family participation and collaboration in fundamental care

Mackie, Benjamin R.; Marshall, Andrea P.; Mitchell, Marion

doi:10.1111/jocn.14185

Cited by 44 publications

(63 citation statements)

References 81 publications

(92 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Establishing positive and trusting therapeutic relationships with patients and their families facilitates PFCC practices . Therefore, nurses must be mindful of the expectations patients and families have about their relationship and change their behaviour to align with the PFCC core principles .…”

Section: Discussionmentioning

confidence: 99%

“…To identify the barriers and facilitators linked to the family participation in the adult acute care setting, it is necessary to explore these issues with a focus on patients and families. We previously considered and explored nurses’ perspectives in a parallel study . The aim of this study was to explore, from the perspective of patients and family members within an adult acute care ward: (a) their beliefs and attitudes towards family participation in patient care and (b) staff behaviours that support or hinder family participation in patient care.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Patient and family members’ perceptions of family participation in care on acute care wards

Mackie

Mitchell

Marshall

2018

Scandinavian Caring Sciences

Self Cite

View full text Add to dashboard Cite

Background Hospital leaders, policymakers and healthcare professionals are realising the benefits of delivering care that promotes family participation because it is known to enhance the quality of care, and improve patient satisfaction. Aim The aim of this study was to explore, from the perspective of patients and family members within an adult acute care ward: (a) their beliefs and attitudes towards family participation in patient care and (b) staff behaviours that support or hinder family participation in patient care. Design and methods A naturalistic approach with an exploratory sequential design was used in a medical assessment and planning unit of a regional referral hospital in Australia. Purposeful maximum variation sampling was used to recruit patients and family members who differed in age, ethnicity, relationship to patient and gender. Observer‐as‐participant observation data and semi‐structured interviews were undertaken. Following separate inductive content analysis, data were triangulated. Results Thirty‐two patients and 26 family members were recruited. Thirty hours of observational data were gathered. Eighteen patients and 15 family members were interviewed. Analysis uncovered two contrasting categories: (a) disconnected communication and (b) family influence quality. Conclusion The findings of our study demonstrated that most patients and families perceived staff communication as disconnected and inadequate, which constrained them from engaging in care processes or decision‐making. However, when family felt empowered and participated in patient care, the quality of health care was enhanced. Healthcare professionals can use these findings to make informed evidence‐based changes to the way they practice and communicate to ensure family participation in patient care is optimised in the acute care setting.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Patient and family members’ perceptions of family participation in care on acute care wards

Mackie

Mitchell

Marshall

2018

Scandinavian Caring Sciences

Self Cite

View full text Add to dashboard Cite

show abstract

“…Therefore, the responsibility lies with the clinicians to prevent such risks from arising. However, underlying beliefs, attitudes, and contexts may either support or obstruct patients' participation (43), thus making it more di cult to prevent adverse events. The absence of CPGs guiding a comprehensive patient assessment may be a sign of system failure in EMS and EDs.…”

Section: Discussionmentioning

confidence: 99%

Quality Evaluation of Clinical Practice Guidelines for Comprehensive Patient Assessment in Emergency Care: A National Cross-sectional Survey

Falchenberg¹,

Andersson²,

Sundström³

et al. 2020

Preprint

View full text Add to dashboard Cite

Background Clinical practice guidelines (CPGs) provide guidance for emergency care clinicians to perform patient assessments. Neglecting CPGs may lead to incomplete or fragmented assessments and cause ad-verse events. However, it is important for CPGs to be evidence based, and patient assessments must be conducted in such a manner that high levels of patient safety can be achieved. The aim of this study was to explore and evaluate the quality of emergency medical services (EMS) and emer-gency departments (EDs) CPGs for comprehensive patient assessments. Methods A national cross-sectional design was used, and the listed managers from 97 organizations (25 EMS and 72 EDs) were contacted, covering all 20 Swedish county councils. Fifteen guidelines were ap-praised using the validated Appraisal of Guidelines for Research & Evaluation II (AGREE II) tool. Results The results revealed that none of the CPGs outlined a comprehensive patient assessment. The main characteristic of the CPGs was their focus on the medical assessment of patients with life-threatening conditions, mostly based on initial assessment and the A-E principle (airway, breathing, circulation, disability, and exposure). According to the AGREE II analysis, the overall quality of the guidelines was poor. CPGs lacked scientific support, underlying evidence, descriptions of how that evidence was collected, and explanations of the criteria used for CPG development. Conclusions This research indicated that there were no Swedish CPGs with comprehensive patient assessments in emergency care and that the foundation for evidence-based CPGs for comprehensive patient assessments was weak.

show abstract

“…In the intensive care unit (ICU), effective communication between the health care provider (HCP) and family is paramount to support surrogate or shared decision-making [1] and to individualise patient care [2]. Despite its importance in health care standards and policy, the quality of communication with families in the ICU is regarded as suboptimal [3].…”

Section: Introductionmentioning

confidence: 99%

Application of the READY framework supports effective communication between health care providers and family members in intensive care

Mackie

Mitchell

Schults

2021

Australian Critical Care

Self Cite

View full text Add to dashboard Cite

Effective communication between intensive care health care providers and family is crucial to support surrogate or shared decision-making and to individualise care. Despite its importance in health care standards and policy, the quality of communication with families in intensive care is regarded as suboptimal. Furthermore, an intensive care admission is an extremely stressful event for families, which may impact their understanding and subsequent decision-making. Communicating with family members is a routine practice in intensive care; however, health care providers often receive no formal communication training. To date, family-focused communication interventions in intensive care have targeted end-of-life care and are not generalisable across all types of familyehealth care provider communication interactions. Mugweni et al. recently reported the results of a multiprofessional training intervention involving 26 health care professionals to improve the delivery of different news to families during pregnancy and at birth. A critique of this article has been undertaken to inform routine communication with critically ill family members and optimise the delivery of care in intensive care units.

show abstract

Acute care nurses' views on family participation and collaboration in fundamental care

Abstract: Nurses can use these findings to make informed evidence-based changes to the way they practice and communicate with families to ensure fundamental care is delivered.

Cited by 44 publications

References 81 publications

Patient and family members’ perceptions of family participation in care on acute care wards

Patient and family members’ perceptions of family participation in care on acute care wards

Quality Evaluation of Clinical Practice Guidelines for Comprehensive Patient Assessment in Emergency Care: A National Cross-sectional Survey

Application of the READY framework supports effective communication between health care providers and family members in intensive care

Contact Info

Product

Resources

About