Needs of family members of intensive care unit patients

Kleinpell, Ruth; Powers, Marjorie J.

doi:10.1016/s0897-1897(05)80076-x

Cited by 96 publications

(89 citation statements)

References 8 publications

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“…In more recent descriptive studies [8][9][10][11][12][13][14] of family needs in a variety of different critical care situations, ranking of needs was similar to the rankings in the earlier studies. In some of these studies, 3,8,9,10,14 researchers also sought to determine how well family members' needs were met during the patient's stay in the ICU.…”

supporting

confidence: 64%

Needs of Patients’ Family Members in an Intensive Care Unit With Continuous Visitation

Jacob

Horton

Rance-Ashley

et al. 2016

American Journal of Critical Care

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Background Although many critical care experts and national organizations support open visitation in intensive care units (ICUs), most ICU visiting policies do not allow unrestricted presence of patients' family members. Objective To describe how well the needs of family members were met in an adult neuroscience ICU with a continuous visitation policy and an adjoining private suite for patients' family members. Methods An exploratory, descriptive study design was used to identify the effects of continuous family visitation in the neuroscience ICU on patients' family members and their needs and experiences during their time in the unit. A convenience sample of consenting family members completed a survey of family need items 72 hours after the patient was admitted to the unit. Results The most important needs identified by the 45 family members surveyed were items relating to information about the patient, visiting the patient, being given hope, talking with a doctor each day, and being assured that the best care is being given to the patient. Least important items were related to physical comforts for the family members. The vast majority of family members rated their needs as being met for all of the items in the survey and reported a high level of satisfaction with care. Conclusion In a neuroscience ICU with an open visitation policy and a private suite for patients' family members, family members rated their needs as being met at a high level, unlike in prior studies in units with limitations on family visitation. The rank order of the importance of each need in the survey was similar to rankings in prior studies in a variety of critical care units. (American Journal of Critical Care. 2016;25:118-125) In descriptive research studies [3][4][5][6][7] in the 1970s and 1980s, family members of ICU adult patients consistently identified similar high-priority needs during the time of the critical illness. Some of the highest ranked needs included the need for information about their loved one, to be geographically close to their loved one, and to know that their loved one is receiving the best care possible. About the AuthorsCynthia Horton, Sharon Rance-Ashley, Tera Field, Robbie Patterson, Claudette Johnson, Holly Saunders, Tracy Shelton, and Jessica Miller are staff nurses, Carmen Frobos is a family coordinator, and Mini Jacob is the nurse educator in the neuroscience intensive care unit,

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supporting

confidence: 64%

Needs of Patients’ Family Members in an Intensive Care Unit With Continuous Visitation

Jacob

Horton

Rance-Ashley

et al. 2016

American Journal of Critical Care

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“…20 In an analysis of 18 studies in which the CCFNI was used, Leske 21 found the tool valid and reliable in its complete form. Although all needs on the CCFNI may not be important, 22 informational needs are the most important [23][24][25][26][27] and are often unmet. 28 Recently, a group of physicians in France used the CCFNI in a multicenter study 29 and found that the satisfaction of patients' families decreased when conflicting information was received by the families and when not enough time was spent giving information, further reinforcing the importance of information and communication.…”

Section: Descriptive Studiesmentioning

confidence: 99%

“…30 Nurses repeatedly have been found to underestimate the importance of a family's needs, such as the need for information or the need to be close to the patient. 24,31,32 These studies collectively suggest that nurses should ask a patient's family members about the members' needs rather than basing interventions on presumptions about those needs. One study 33 showed that empathy has a significant relationship with the ability to anticipate needs of patients' families and that nurses with more experience actually predicted family needs less accurately than did less experienced nurses.…”

Section: Descriptive Studiesmentioning

confidence: 99%

Family-Centered Care: Meeting the Needs of Patients’ Families and Helping Families Adapt to Critical Illness

Davidson

2009

Critical Care Nurse

139

121

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“…The need for information is prominent in the short and long terms (Kolakowski-Hayner et al, 2001;Serio et al 1997). According to Kleinpell & Powers (1992) such a need can be considered a universal need, due to the high frequency it is found in many studies. The information needs of families of people with TBI was the subject of a study conducted by Junquera et al (1997) who emphasize the importance of providing information concerning the consequences of TBI several years after a trauma, highlighting behavioral and emotional disorders, aiming to better cope with these problems, since these were the most noticed by the family.…”

Section: Family Needsmentioning

confidence: 99%