Patient‐ and family‐centred care in the intensive care unit: a challenge in the daily practice of healthcare professionals

Mol, Margo van; Boeter, Trudi G. W.; Verharen, Lisbeth; Kompanje, Erwin J. O.; Bakker, Jan; Nijkamp, Marjan D.

doi:10.1111/jocn.13669

Cited by 55 publications

(47 citation statements)

References 45 publications

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“…Albeit that sentiment, our findings fit well into the final categorizations. Another methodological issue in our study was that one can assume that van Mol's (2017) study reported findings within-and between-supportive interventions perceived by patients' relatives and HCP in ICU; however, some findings were presented closely to barriers to PFCC in ICU.…”

Section: Discussionmentioning

confidence: 85%

Barriers to patient and family‐centred care in adult intensive care units: A systematic review

2019

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Aim Despite remarkable theoretical evidence of positive outcomes of patient and family‐centred care, it is rarely performed in the intensive care setting. The aim of this review was to assess the barriers to patient and family‐centred care among healthcare providers, patients and family members in adult intensive care units. Design A systematic review of both qualitative and quantitative studies. Methods The search strategy sought for published peer‐reviewed research papers limited to English language from conception to 2018. The review protocol was registered in the CRD Prospero database (CRD42018086838). Literature search was carried out in four databases: EMBASE, Cochrane Library, PubMed and Scopus where keywords “barriers,” “patient and family centered care,” “patient‐centered care” and “intensive care unit” appeared in any part of the reference. Hand search of reference lists of identified papers was also done to capture all pertinent materials. Each study was assessed by three independent reviewers against the inclusion criteria. Evidence was graded according to sampling quality, quantity and measurement of intended outcomes. Screening of studies and citations resulted in seven studies that were included in the analysis. Results Barriers to patient and family‐centred care broadly fall under four categories; lack of understanding of what is needed to achieve patient and family‐centred care, organizational barriers, individual barriers and interdisciplinary barriers.

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Section: Discussionmentioning

confidence: 85%

Barriers to patient and family‐centred care in adult intensive care units: A systematic review

2019

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“…34 What is more, patientand family-centred care was a facilitator of high-quality ICU transfers. This is important because health care cultures that promote the active involvement of patients and families in partnered care have been shown to alleviate communication barriers, 35 increase psychological well-being, 36 preserve continuity of care, 35 and improve patient and family perceptions of care received. 37 Partnering with patients and their family members during transfers of care from ICU to ward should be considered a high priority by both sending and receiving care teams.…”

Section: Institutional Culturementioning

confidence: 99%

Patient, family and provider experiences with transfers from intensive care unit to hospital ward: a multicentre qualitative study

Grood

Leigh

Bagshaw

et al. 2018

CMAJ

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BACKGROUND: Transfer of patient care from an intensive care unit (ICU) to a hospital ward is often challenging, high risk and inefficient. We assessed patient and provider perspectives on barriers and facilitators to high-quality transfers and recommendations to improve the transfer process. METHODS:We conducted semi structured interviews of participants from a multicentre prospective cohort study of ICU transfers conducted at 10 hospitals across Canada. We purposively sampled 1 patient, 1 family member of a patient, 1 ICU provider, and 1 ward provider at each of the 8 English-speaking sites. Qualitative content analysis was used to derive themes, subthemes and recommendations.RESULTS: The 35 participants described 3 interrelated, overarching themes perceived as barriers or facilitators to high-quality patient transfers: resource availability, communication and institutional culture. Common recommendations suggested to improve ICU transfers included implementing standardized communication tools that streamline provider-provider and providerpatient communication, using multimodal communication to facilitate timely, accurate, durable and mutually reinforcing information transfer; and developing procedures to manage delays in transfer to ensure continuity of care for patients in the ICU waiting for a hospital ward bed. HEALTH SERVICES

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“…Adopting the programme was difficult at first; however, the nurses, patients and families soon started to communicate-both verbally and non-verbally-through patient diary and care activities, which ultimately enabled patient-centred two-way communication (van Mol et al, 2017). Effective communication is an essential competency for ICU nurses and affects their work satisfaction.…”

Section: Discussionmentioning

confidence: 99%

Effects of a person‐centred care intervention in an intensive care unit: Using mixed methods to examine nurses’ perspectives

Yoo

Shim

2020

J Nurs Manag

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Aim We identified nurses’ experiences and changes in person‐ and family‐centred care (PFCC) after applying a family‐visiting programme in an intensive care unit (ICU). Background Critical care provision is shifting to include communication among patients, families and health care providers. Methods We used mixed methodology and a group pre‐ and post‐test design. In 2019, 30 ICU nurses completed an 8‐week programme, including keeping a diary and completing fundamental care activities. A survey of PFCC nursing performance was completed pre‐ and post‐programme, and 15 nurses were interviewed post‐programme. Performance differences were examined through paired t tests; qualitative data were analysed by thematic analysis. Results The pre‐ and post‐scores were 3.06 ± 0.34 and 4.00 ± 0.29, respectively (t = 17.38, p =.000), and five main themes and 13 subtopics were revealed. Most nurses ‘discovered the importance of nursing through a truthful relationship with ICU patients’ families’. Conclusion For effective PFCC, changes in nurses’ perceptions and hospital organisation are required, such as improving the ICU working environment, assigning suitable health care personnel to provide care and implementing open‐visit programmes. Implications for Nursing Management Hospital policymakers and nurse managers should take care to provide staff support and high‐quality patient care to realize effective PFCC.

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Patient‐ and family‐centred care in the intensive care unit: a challenge in the daily practice of healthcare professionals

Abstract: Training in providing psychosocial support for the needs of relatives leads to a stronger perception of patient-centredness.

Cited by 55 publications

References 45 publications

Barriers to patient and family‐centred care in adult intensive care units: A systematic review

Barriers to patient and family‐centred care in adult intensive care units: A systematic review

Patient, family and provider experiences with transfers from intensive care unit to hospital ward: a multicentre qualitative study

Effects of a person‐centred care intervention in an intensive care unit: Using mixed methods to examine nurses’ perspectives

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