Needs of adult family members of intensive care unit patients

Obringer, Kelley; Hilgenberg, Cheryl; Booker, Kathy J.

doi:10.1111/j.1365-2702.2011.03989.x

Cited by 59 publications

(56 citation statements)

References 18 publications

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“…Patients' families in this study and in a similar study 41 valued trust of the health-care provider; however, confidence, trust, and relationships between patients' families, physicians, and nurses varied from intimate to nonexistent. Role confusion and poor communication contribute to poor outcomes in these areas between these key stakeholders.…”

Section: Confidence Trust and Relationshipsmentioning

confidence: 82%

Traditional/Restrictive vs Patient-Centered Intensive Care Unit Visitation: Perceptions of Patients' Family Members, Physicians, and Nurses

Riley¹,

White²,

Graham³

et al. 2014

American Journal of Critical Care

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Section: Confidence Trust and Relationshipsmentioning

confidence: 82%

Traditional/Restrictive vs Patient-Centered Intensive Care Unit Visitation: Perceptions of Patients' Family Members, Physicians, and Nurses

Riley¹,

White²,

Graham³

et al. 2014

American Journal of Critical Care

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“…This item has also been ranked as one of the ten most important needs in a variety of countries (Chatzaki et al 2012;Lee and Lau, 2003;Leske, 1986;Molter, 1979;Norris and Grove, 1986;Obringer et al 2012;Omari, 2009). These results suggest that honesty from clinicians has undeniable importance for the Iranian family members, but is also important across cultures.…”

Section: Discussionmentioning

confidence: 99%

“…Added to this, is the likelihood that family members will understand the crucial nature of ICU admittance. The mortality rate in patients in the ICU is between 12 and 17% (Al-Hassan and Hweidi, 2004;Horn and Tesh, 2000;Leske, 1986;Obringer et al 2012;Pochard et al 2000). In such demanding circumstances, the family members of patients need to benefit from physical and emotional support given by nurses working in the ICU (El-Masri and Fox-Wasylyshyn, 2007;Leung et al 2000;Verhaeghe et al 2005).…”

Section: Introductionmentioning

confidence: 99%

“…The CCFNI scale has both face and content validity and its psychometric properties have been studied and confirmed with a high internal consistency of 0.92 (Leske, 1991). The CCFNI has been used in different contexts and cultures to study the perceived needs of family members (Kleinpell and Powers, 1992;Wong, 1995;Mendonca and Warren, 1998;Lee et al 2000;Lee and Lau, 2003;Omari, 2009;Chatzaki et al 2012;Obringer et al 2012;Noor Siah et al 2012). A summary of the studies have been presented in Table 1.…”

Section: Introductionmentioning

confidence: 99%

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Information and support needs of adult family members of patients in intensive care units: an Iranian perspective

Bandari

Heravi‐Karimooi

Rejeh

et al. 2015

Journal of Research in Nursing

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Nurses are required to be knowledgeable about the needs of family members of patients hospitalized in the intensive care unit. The identification of the importance and priority of family members needs enable nurses to provide appropriate information and support for family members. The aim of this study was to describe the needs of family members of patients hospitalized in the intensive care unit. A descriptive cross-sectional study using survey methods was conducted. Family members of patients hospitalised for 24-72 hours in the intensive care units of 27 public and teaching hospitals in an urban area of Iran were chosen using the random sampling method. The 45-item Persian version of the Critical Care Family Need Inventory (CCFNI) was used to collect numerical data. Four hundred and fifty family members participated. Mean score for each of the 45 items ranged from 2.45-3.72.Ten items were rated by responders as very important with 93.13 % of the sample rating 'Giving an honest answer to questions' as having the highest level of importance. 'To have the pastor visit' was reported to be the least important need. Age, family relations, marital status, and level of education related to the importance level of some of the perceived needs.It is concluded that the most important needs were comprised of five items relating to the "assurance dimension" while the least important ones were related to the "support dimension". The incorporation of the needs of family members into the nursing education programme is suggested. The findings will help with the preparation of nurses as future healthcare policy makers to plan for meeting these needs and also reduce the psychological burden on family members of patients hospitalised in the intensive care unit.

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“…Their findings indicated the positive effects of visiting on patients and their families, including satisfaction improvement and also anxiety reduction (4). Furthermore, it has been proved that the presence of family members in ICU can positively influence the recovery process, feeling good, and outcomes of disease (5).…”

Section: Introductionmentioning

confidence: 99%

Dominant Strategies of Patient Visiting in Selected Intensive Care Units in Iran

2017

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Background: Positive outcomes of visiting have been supported in many studies. In Iran, the results of studies showed the implementation of restricted visiting policies in most intensive care units (ICUs). However, medical staff of ICUs, especially nurses claimed to address the needs of patients and their families. Objectives: This study aimed to explain the strategies employed in the context of restricted policies to address the needs of patients and their relatives. Methods: A descriptive qualitative study with an approach of thematic analysis was used. Ten nurses, six head nurses, and two physicians participated in the research through purposeful sampling. Most of the data were collected using individual semi-structured interviews, but observation and related document revision were also used. The method introduced by Braun and Clarke (2006) was used to analyze the data. Results: Three categories emerged, including "visual visiting", "mini visiting" and "individualized visiting", which are employed with respect to the conditions of the ward and patients, staff approaches and policies adopted at the hospital level. Conclusions:The dominant strategies of visiting in selected ICUs in Iran were explained. It seems that given all the situations including special cultural traits of Iranian people, individualized visiting is the most suitable strategy to bring about positive impacts of visiting on the process of physical and mental recovery of ICU patients while it is necessary that decisions be made separately in each ward and for each patient.

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Needs of adult family members of intensive care unit patients

Abstract: Nurses need to give increased attention to effectively implementing clinical practice guidelines in an effort to meet family members' needs, especially those related to assurance. Assurance may be expressed differently by various cultures.

Cited by 59 publications

References 18 publications

Traditional/Restrictive vs Patient-Centered Intensive Care Unit Visitation: Perceptions of Patients' Family Members, Physicians, and Nurses

Traditional/Restrictive vs Patient-Centered Intensive Care Unit Visitation: Perceptions of Patients' Family Members, Physicians, and Nurses

Information and support needs of adult family members of patients in intensive care units: an Iranian perspective

Dominant Strategies of Patient Visiting in Selected Intensive Care Units in Iran

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