The perspective of families of the critically ill patient: their needs

Alvarez, George F; Kirby, Ann

doi:10.1097/mcc.0b013e328010c7ef

Cited by 54 publications

(33 citation statements)

References 59 publications

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“…The critical care environment may place a prolonged burden on patients [8,9] and their next of kin [7,[10][11][12]. Families are not just visitors in the ICU; they experience the process of care along with their loved ones [13,14]. Consequently, assessing family needs and satisfaction with care and information/decisionmaking must be an integral part of quality assessment in the ICU [15,16].…”

Section: Introductionmentioning

confidence: 99%

Family satisfaction in the intensive care unit: what makes the difference?

et al. 2009

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Purpose: To assess family satisfaction in the ICU and to identify parameters for improvement. Methods: Multicenter study in Swiss ICUs. Families were given a questionnaire covering overall satisfaction, satisfaction with care and satisfaction with information/decision-making. Demographic, medical and institutional data were gathered from patients, visitors and ICUs. Results: A total of 996 questionnaires from family members were analyzed. Individual questions were assessed, and summary measures (range 0-100) were calculated, with higher scores indicating greater satisfaction. Summary score was 78 ± 14 (mean ± SD) for overall satisfaction, 79 ± 14 for care and 77 ± 15 for information/decisionmaking. In multivariable multilevel linear regression analyses, higher severity of illness was associated with higher satisfaction, while a higher patient:nurse ratio and written admission/discharge criteria were associated with lower overall satisfaction. Using performanceimportance plots, items with high impact on overall satisfaction but low satisfaction were identified. They included: emotional support, providing understandable, complete, consistent information and coordination of care. Conclusions: Overall, proxies were satisfied with care and with information/decision-making. Still, several factors, such as emotional support, coordination of care and communication, are associated with poor satisfaction, suggesting the need for improvement.

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Section: Introductionmentioning

confidence: 99%

Family satisfaction in the intensive care unit: what makes the difference?

et al. 2009

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“…Según Fuertes y Maya 6 , el proceso de enfermedad requiere una adaptación de toda la familia a la nueva situación y puede desencadenar situaciones de conflicto e incluso enfermedad en otros miembros de la familia, ya que se incrementa el riesgo de que no atiendan sus propias necesidades, manifestando comportamientos no saludables como descanso inadecuado, falta de ejercicio o dieta pobre 7 . Partiendo de estas premisas, se puede afirmar que las familias no son meros visitantes en el entorno de la UCI, sino que son una extensión del paciente y experimentan el proceso de cuidado al lado de éste 8 . Entre las necesidades que se consideran más importantes para las familias, destacan las de seguridad, información, proximidad, apoyo y confort 9,10 .…”

Section: Facultad De Enfermeríaunclassified

Instrumentos para la valoración de las necesidades de los familiares de pacientes ingresados en cuidados intensivos: una revisión sistemática

Olano¹,

García-Vivar²

2012

Anales Sis San Navarra

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“…This clarity reduces doubts and anxiety. (10)(11)(12) The families feel insecure about the diagnosis, treatment or the multidisciplinary team. They may experience dramatic situations, just like the patients.…”

Section: Introductionmentioning

confidence: 99%

Visita de Enfermagem e dúvidas manifestadas pela família em unidade de terapia intensiva

et al. 2015

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Objective: Understanding the doubts expressed by relatives of patients hospitalized in the intensive care unit for more than 24 hours during nursing visits. Methods: A prospective cross-sectional study that included 115 family members of patients hospitalized for more than 24 hours in the intensive care unit. The research instrument was a questionnaire applied in three nursing visits. Results: The most frequent doubt was about the clinical status, and the average difference between the doubts of the first and the second visit was statistically significant (p = 0.047). The average number of doubts in the first visit was significant when compared with the third (p<0.001). Conclusion: The doubts expressed by family members were about the health status, medical conditions and the care provided. The average number of questions was lower in the third nursing visit. ResumoObjetivo: Conhecer as dúvidas dos familiares de pacientes internados na unidade de terapia intensiva, há mais de 24 horas, e manifestadas durante as visitas de enfermagem. Métodos: Estudo transversal prospectivo que incluiu 115 famíliares de pacientes internados há mais de 24 horas em unidade de terapia intensiva. O instrumento de pesquisa foi um questionário aplicado em três visitas de enfermagem. Resultados: A dúvida mais apresentada foi sobre o estado clínico e a diferença média entre as dúvidas da primeira e segunda visita foi estatisticamente significante (p=0,047). A média de dúvidas da primeira visita foi significante, quando comparada com a terceira (p<0,001). Conclusão: As dúvidas manifestadas por familiares foram sobre o estado de saúde, condições clínicas e sobre o cuidado realizado. O número médio de dúvidas foi menor na terceira visita de enfermagem.

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The perspective of families of the critically ill patient: their needs

Abstract: Medical staff and administrators should recognize that families of critically ill patients have particular needs that help them cope with having their loved ones in an intensive care unit. Simple changes in philosophy and policy would greatly decrease the anxiety these families experience.

Cited by 54 publications

References 59 publications

Family satisfaction in the intensive care unit: what makes the difference?

Family satisfaction in the intensive care unit: what makes the difference?

Instrumentos para la valoración de las necesidades de los familiares de pacientes ingresados en cuidados intensivos: una revisión sistemática

Visita de Enfermagem e dúvidas manifestadas pela família em unidade de terapia intensiva

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