Families on adult intensive care units: Are they really satisfied? A literature review

Fortunatti, Cristóbal Padilla; Silva, Noelia Rojas

doi:10.1016/j.aucc.2017.08.003

Cited by 19 publications

(15 citation statements)

References 67 publications

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“…Satisfaction levels in our sample were high, but within the ranges reported in other studies [38,39]. Our hypothesis about the relationship between family satisfaction with intensive care and psychological distress was confirmed.…”

Section: Discussionsupporting

confidence: 86%

Factors influencing post-ICU psychological distress in family members of critically ill patients: a linear mixed-effects model

Naef

Felten

Ernst

2021

BioPsychoSocial Med

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Background Adverse responses to critical illness, such as symptoms of depression, anxiety or posttraumatic stress, are relatively common among family members. The role of risk factors, however, remains insufficiently understood, but may be important to target those family members most in need for support. We therefore examined the association of patient-, family member- and care-related factors with post-ICU psychological distress in family members in a general population of critical ill patients. Methods We conducted a prospective, single-centre observational study in a twelve-bed surgical ICU in a 900-bed University Hospital in Switzerland. Participants were family members of patients treated in ICU who completed the Family Satisfaction in ICU-24 Survey, the Hospital Anxiety Depression Scale, Impact of Event Scale-Revised-6, and a demographic form within the first 3 months after their close other’s ICU stay. Data were analysed using linear mixed-effects models, with depression, anxiety, and posttraumatic stress as outcome measures. Results A total of 214 family members (53% return rate) returned a completed questionnaire. We found that higher levels of satisfaction were significantly associated with lower levels of depression, anxiety and posttraumatic stress. There was no statistically significant association between family member characteristics and any measure of psychological distress. Among the included patient characteristics, younger patient age was associated with higher levels of depression, and patient death was associated with higher levels of depression and posttraumatic stress. Conclusions Our results suggest that satisfaction with ICU care is strongly associated with family well-being post-ICU. Family members of younger patients and of those who die seem to be most at risk for psychological distress, requiring specific support, whereas family member characteristics may have less relevance.

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Section: Discussionsupporting

confidence: 86%

Factors influencing post-ICU psychological distress in family members of critically ill patients: a linear mixed-effects model

Naef

Felten

Ernst

2021

BioPsychoSocial Med

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“…Satisfaction levels in our sample were high, but within the ranges reported in other studies (38,39). Our hypothesis about the relationship between family satisfaction with intensive care and psychological distress was con rmed.…”

Section: Discussionsupporting

confidence: 84%

Factors Influencing Post-icu Psychological Distress in Family Members of Critically Ill Patients: A Linear Mixed-effects Model

Naef

Felten

Ernst

2020

Preprint

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Background: Adverse responses to critical illness, such as symptoms of depression, anxiety or posttraumatic stress, are relatively common among family members. The role of risk factors, however, remains insufficiently understood, but may be important to target those family members most in need for support. We therefore examined the association of patient-, family member- and care-related factors with post-ICU psychological distress in family members in a general population of critical ill patients.Methods: We conducted a prospective, single-centre observational study in a twelve-bed surgical ICU in a 900-bed University Hospital in Switzerland. Participants were family members of patients treated in ICU who completed the Family Satisfaction in ICU-24 Survey, the Hospital Anxiety Depression Scale, Impact of Event Scale-Revised-6, and a demographic form within the first three months of their close other’s ICU stay. Data were analysed using linear mixed-effects models, with depression, anxiety, and posttraumatic stress as outcome measures. Results: A total of 214 family members (53% return rate) returned a completed questionnaire. We found that higher levels of satisfaction were significantly associated with lower levels of depression, anxiety and posttraumatic stress. There was no statistically significant association between family member characteristics and any measure of psychological distress. Among the included patient characteristics, younger patient age was associated with higher levels of depression and anxiety, and patient death was associated with higher levels of depression and posttraumatic stress.Conclusions: Our results suggest that satisfaction with ICU care is strongly associated with family well-being post-ICU. Family members of younger patients and of those who die seem to be most at risk for psychological distress, requiring specific support, whereas family member characteristics may have less relevance.

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“…Critical care unit and Intensive care units are interchangeable for this study. Critically sick patient is a patient admitted in an intensive care unit (ICU) of a hospital and who is not in ICU only for monitoring purpose in anticipation of a life threatening disease condition [9,10]. To be considered a critically sick one, the patient should be placed on at least one medical intervention.…”

Section: Inclusion and Exclusion Criteriamentioning

confidence: 99%

“…Literatures on families of ICU patients identified many health related challenges and issues such as lack of communication among family members, feelings of overriding threat including vulnerability and uncertainty, intense emotions, disruption of home routines, poor nutritional intake, changes in relationships, role conflict, and physical illnesses especially among patients' children [6,10,11].…”

Section: Introductionmentioning

confidence: 99%

A phenomenological study on the lived experiences of families of ICU patients, Addis Ababa, Ethiopia

2020

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Background Family-centered care of ICU patients is increasingly recommended as it is believed to have effect on family members’ psychosocial status and patient outcomes. Defining the nature and extent of families’ involvement in a given health care environment for different stakeholders is a challenge. Understanding the lived experiences of families of ICU patients would help strategize on how to better engage family members for improved ICU care processes and outcomes. Objectives The aim of this study is to explore the lived experiences of families of patients in the ICUs of hospitals in Addis Ababa, Ethiopia. Methods The study adopted a qualitative approach and a phenomenological research design. In-depth interviews were conducted with twelve (12) family members who were purposively sampled from two government hospitals and four private hospitals. Thematic approach with the application of hermeneutic circle of interpretation was applied to understand the meanings of their experiences. Results The study revealed the following major themes: financial burden, challenge in decision making, shattered family integrity and expectations, information and communication gap between family members and health professionals, lack of confidence in the service delivery of hospitals, social pressure against patient families, and families being immersed in an unfriendly environment. Though they do not explicitly mention it to the health care tram, further interpretation of the main themes elucidated that family’s need the intensive care process be cut shorter irrespective of the outcome of the patient condition. Conclusion The study gave an insight on the multiple and interrelated challenges faced by families of ICU patients admitted in the hospitals of Addis Ababa. Further contextualized interpretation of their experiences revealed that families were somehow in a state of despair and they implicitly need the ICU care for their family member be ended irrespective of the potential clinical consequences on the patient. The philosophy of family-centered care be advocated in hospitals. The study result affirms the need to include family members during nursing assessment of patients in ICUs and also offers the basis for guidelines development on informational support to the families of the patients hospitalized in ICUs.

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Families on adult intensive care units: Are they really satisfied? A literature review

Cited by 19 publications

References 67 publications

Factors influencing post-ICU psychological distress in family members of critically ill patients: a linear mixed-effects model

Factors influencing post-ICU psychological distress in family members of critically ill patients: a linear mixed-effects model

Factors Influencing Post-icu Psychological Distress in Family Members of Critically Ill Patients: A Linear Mixed-effects Model

A phenomenological study on the lived experiences of families of ICU patients, Addis Ababa, Ethiopia

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