Family Participation in the Nursing Care of the Hospitalized Patients

Abstract

Background:Few studies, especially in Iran, have assessed the status of family participation in the care of the hospitalized patients.Objectives:This study was conducted to assess why family members partake in caregiving of their patients in hospitals, the type of care that family provide, and the outcomes of the participation in the opinions of nurses and family members.Patients and Methods:In this comparative-descriptive study, data was collected by a two- version researcher-developed questionnaire, from 253 family members of patients by quota sampling method and 83 nurses by census sampling method from wards which had licensed for entering the families. Each questionnaire has three sections: the care needs of the patients which family participated to provide, the reasons to take part, and the outcomes of this collaborative care. The data was analyzed using descriptive statistics and also chi-squared test through SPSS software version 11.5.Results:The patients received more unskilled and non- professional nursing care from their family members. Most of the nurses and families believed that family participation is both voluntary and compulsory. The shortage of personnel in different categories of nursing and speeding up the patient-related affairs were the most important outcome of the participation, from the nurses’ viewpoint was speeding up the patient-related affairs and from the side of the family members, it was the patients’ feeling of satisfaction from the presence of one of their relatives beside them.Conclusions:Co understanding, skillfulness and competence of families and nurses in collaboration with each other were not good enough.Few studies, especially in Iran, have assessed the status of family participation in the care of the hospitalized patients.

Perspectives of Oncology Unit Nurse Managers on Missed Nursing Care: A Qualitative Study

“…This poses a threat to the patient's safety because companions are not educated or trained to take care of these needs. [ 24 ] Similarly, in other countries such as Lebanon and Turkey, many nursing responsibilities are delegated to patients' companions. In these countries, companions are considered as reserve healthcare providers and are partially assigned nursing responsibilities by nurses.…”

“…In this study, some participants indicated that the underestimation of the nurse's role, arbitrary care without permission from nurses, and excessive interference with nursing activities occur due to the use of service personnel for nursing purposes. [ 24 26 ]…”

Impact of Religiosity on Delirium Severity Among Critically Ill Shi’a Muslims: A Prospective Multi-Center Observational Study

“…Family members in Iran have been described as an enthusiastic unpaid volunteer labor force that works to improve the quality of care for their family members (Vahedian-Azimi et al 2015). Patients receive significant unskilled and non-professional nursing care from their family members (Khosravan et al 2014). Moreover, most nurses and families believe that family participation is both voluntary and compulsory (Khosravan et al 2014).…”

“…Patients receive significant unskilled and non-professional nursing care from their family members (Khosravan et al 2014). Moreover, most nurses and families believe that family participation is both voluntary and compulsory (Khosravan et al 2014). There is an emphasis on communication between staff and family members allowing staff to better understand the patient's habits and mannerisms so as to speed up patient-related affairs and enable better management of the patient's condition (Khosravan et al 2014;Vahedian-Azimi et al 2015).…”

Effect of Educational Intervention on Nurses’ Attitude, Intention and Behaviour Towards Family-Centered Care in Pediatric Wards in Iran: A Randomized Control Trial Utilizing Prospect Theory

“…However, nurses and parents have different perceptions of stressors regarding the admission of a child at the hospital in Iran [15] . In this regard, training the personnel for better understanding of the families and involving them in the care based on their abilities according to the philosophy of family-centered care has been suggested [16] . This study evaluated the effect of educational intervention on Family-Centered Care model on attitude, intention and behaviour of pediatric nurses in Iran (Tehran).…”