scholarly journals Family Needs of Patients Admitted to the Intensive Care Units

2018 ◽  
Vol 5 (4) ◽  
pp. 128-132
Author(s):  
Fateme Hasandoost ◽  
Maryam Momeni ◽  
Leila Dehghankar ◽  
Nastaran Norouzi Parashkouh ◽  
Haydeh Rezaei Looyeh ◽  
...  
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Organizational Support ◽  
Family Members ◽  
Educational Status ◽  
Care Staff ◽  
Teaching Hospitals ◽  
Health Care Staff ◽  
Family Needs ◽  
Cross Sectional

Background and aims: Organizational support of family members of the patients admitted to intensive care units (ICUs) potentially reduces mental stresses and enables them to better comply with and support the patients. The current study aimed at evaluating the needs of families of the patients admitted to ICUs in teaching hospitals of Iran. Methods: This cross-sectional study was conducted in 2015 using convenience sampling method. The Critical Care Family Needs Inventory (CCFNI) in 5 factors was used as a main data collection tool. The study population included 235 family members of the patients. Results: Total score of CCFNI was 132.32±18.46. Needs of family members of ICU patients decreased 0.428 times following the increase of length of stay in ICU (P<0.001). Moreover, the need for supportive cares was significantly 9.273 times lower among illiterate families, compared with the ones with higher education level (P<0.018). Conclusion: Considering that the highest need was in the area of support and the predictors of the family needs of the patients were the duration of hospitalization and the educational status of their families, the main focus of nurses should be on the support of family members of the patients admitted to the ICU and supporting and paying attention to their needs, who experience stressful conditions, to satisfy them and even to encourage them to give better care to the patient and help health care staff.

Perception of Nurses and Relatives on Family Needs of Critically Ill Patients: A Hospital Based Comparative Study

2020 ◽  
Vol 3 (2) ◽  
pp. 6-13
Author(s):  
Sabita Pandey ◽  
Roshanee Shrestha ◽  
Narayani Paudel
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Critically Ill ◽  
Critically Ill Patients ◽  
Family Members ◽  
Holistic Health ◽  
Critically Ill Patient ◽  
Family Needs ◽  
Cross Sectional ◽  
Significant Difference

Background: Critical ill patients are not able to decide about their treatment and their relatives usually asked for the treatment decisions on behalf of the patient. At the time of critical illness, all family members or relatives experience crises and may be exhausted. Recognizing and addressing the relative’s needs is a very important aspect of holistic health care to critically ill patients. Methods: A descriptive cross-sectional study was conducted to make a comparison between the nurses’ and relatives’ perceptions regarding the needs of critically ill patients’ family members’ in the Nepalese context. A convenient sample of 50 nurses and 50 relatives who meet the inclusion criteria were selected and interviewed by using a structured questionnaire in the different intensive care units of Kathmandu Medical College and Teaching Hospital, Kathmandu, Nepal during the period of January to April 2018. The data were analyzed by using descriptive and inferential statistics in the statistical package for social sciences version 16. Results: The majority, (86%) of the relatives ranked “to know specific facts concerning the patient’s progress and treatment” as the topmost very important need, and 80% of the nurses’ ranked this need as a very important need. The majority of nurses (86%) ranked “to receive explanations about the environment of critical care unit for the first time” as a topmost very important need, whereas, only 54% of the relatives had ranked this need as very important to them. There was a statically significant positive correlation among some need statements between the two groups. Conclusion: There was a significant difference in the perception of some aspects of family needs by the nurses and relatives. Nurses’ mean score was lower than the relatives’ which can be a major source of disputes among nurses and relatives in the intensive care units. Keywords: Intensive Care Unit, critically ill patient, family needs, nurses’ perception and relatives, perception

Nursing Interventions to Reduce Stress in Families of Critical Care Patients: An Integrative Review

2021 ◽  
Vol 41 (1) ◽  
pp. 32-44
Author(s):  
Valérie Lebel ◽  
Sylvie Charette
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Intensive Care Units ◽  
Psychological Symptoms ◽  
Family Members ◽  
Care Staff ◽  
Health Care Staff ◽  
Accurate Information ◽  
Nursing Interventions ◽  
And Behavior

Background Having a family member admitted to an intensive care unit is a stressful experience that may lead to psychological symptoms including depression, anxiety, and posttraumatic stress disorder. Objective To better understand the phenomenon of stress experienced by families of intensive care unit patients and identify nursing interventions that may help reduce it. Methods An integrative literature review was performed to identify principal stressors for families of patients receiving care in neonatal, pediatric, and adult intensive care units and recommended nursing interventions. Results The principal stressors in the 3 types of intensive care units were change in parental role or family dynamics, appearance and behavior of the patient, the care setting, and communication with the health care staff. Nursing interventions should focus on valuing the role of family members in patient care, improving communication, and providing accurate information. Clinical Relevance Family members of intensive care patients will benefit from nursing interventions that adequately acknowledge and address the stress they experience. Conclusion Nurses play a crucial role in helping to reduce the stress experienced by family members of intensive care unit patients.

scholarly journals The Educational Needs of Family of Patients Discharged from the Intensive Care Units: The Viewpoints of Nurses and the Patients’ Families

2021 ◽  
Vol 2021 ◽  
pp. 1-6
Author(s):  
Asma Hajalizadeh ◽  
Mehdi Ahmadinejad ◽  
Mahlagha Dehghan ◽  
Mansoor Arab
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Self Care ◽  
Educational Needs ◽  
Cross Sectional Study ◽  
Instructional Interventions ◽  
Family Needs ◽  
Cross Sectional ◽  
Discharged Patients ◽  
High Level

Introduction. Thousands of patients are admitted to the intensive care units annually, which are stressful for patients and their families. The discharged patients and their families face different challenges in the caring process of the patients. Objectives. This study aimed to determine the educational needs of the families of patients discharged directly home from the postintensive care units and to compare the views of families and nurses about these needs. Method. This was a cross-sectional study. One hundred forty nurses and 140 family members of the patients discharged from intensive care units participated in the survey by convenience sampling method. A questionnaire of sociodemographic information and a researcher-made questionnaire on the educational needs of the family of patients discharged from the postintensive care units were used for data collection. Results. The mean total score of the educational needs of the patients’ families was 31.81 and 35.33 from views of families and nurses, respectively. Nurses significantly estimated the educational needs of families more than what they did ( P < 0.001 ). The families and nurses reported the educational needs of self-care as well as nutrition and medicine at the highest level, respectively. Both groups reported the educational needs of defecation at the lowest level. Nurses estimated higher educational needs in all dimensions, except for the patient’s mental health and family self-care than families ( P < 0.001 ). Conclusion. According to the present study, the educational needs were high from the views of nurses and families. Family need assessment is essential in designing and applying instructional interventions. Given the high level of family needs, implementing educational and practical interventions is necessary to enhance their skills.

scholarly journals The Educational Needs of Family of the Patients Discharged from the Intensive Care Units: The Viewpoints of Nurses and the patients’ Families

2019 ◽  
Author(s):  
Asma Hajalizadeh ◽  
Mehdi Ahmadinejad ◽  
Mahlagha Dehghan ◽  
Mansoor Arab
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Self Care ◽  
Educational Needs ◽  
Cross Sectional Study ◽  
Family Needs ◽  
Sectional Study ◽  
Cross Sectional ◽  
The Family ◽  
High Level

Abstract Objectives This study aimed to determine the educational needs of the families of patients discharged from the intensive care units and to compare the views of families and nurses about these needs.Method This was a cross-sectional study. Two hundred eighty nurses and family members of the patients discharged from the intensive care units participated in the survey. A researcher-made questionnaire about the educational needs of the family were used for data collection.Results Nurses significantly estimated the educational needs of families more than what they did (P <0.001). The families and nurses reported the educational needs of self-care as well as nutrition and medicine at the highest level, respectively. Both groups reported the educational needs of defecation at the lowest level.Conclusion Given the high level of family needs, implementing educational and practical interventions is necessary to enhance their skills.

scholarly journals Family perception of humane care provided by health care personnel

2018 ◽  
Vol 15 (2) ◽  
pp. 8-23
Author(s):  
Luz Marina Bautista Rodríguez ◽  
Yari Paola García Calderón ◽  
Lessly Johana Medina Chaves ◽  
Karley Ginary Cruz Hernández
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Family Members ◽  
Nursing Program ◽  
Cross Sectional ◽  
A Value ◽  
The Family ◽  
The University ◽  
Care Perception

Objective: To determine the perception the family has about the humane care in the Intensive Care Units of three Health Service Institutions in the city of Cucuta (Colombia). Materials and Methods: A quantitative cross-sectional descriptive study was performed with a sample of 220 family members that met the requirements of inclusion; for the recollection of the information, the instrument used was denominated Family perception about humanization in the intensive care units, designed and validated in Cucuta by students and teachers of VIII semester from the Nursing Program at the University Francisco de Paula Santander in 2016. To determine the liability the Cronbach’s Alpha was used, obtaining a value of 0.89. Results: The humane care perception by family members was moderate in 63% of the participants. The communication and information, emotional support and family participation were the highest rating categories, while coping and visits had the lowest ratings. Conclusions: The participants of the study perceive as moderate the humane care, since they relate this to the quality of the care provided, considering the evaluated categories in the research. On the other hand, the family members point out that they receive the necessary information and support to involve themselves in the care activities, allowing them for more interaction with the hospitalized familiar and the personnel.

Burnout in Brazilian Intensive Care Units: A Comparison of Nurses and Nurse Technicians

2019 ◽  
Vol 30 (1) ◽  
pp. 16-21 ◽  
Author(s):  
Francino Azevedo Filho ◽  
Maria Cristina Soares Rodrigues ◽  
Jeannie P. Cimiotti
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Emotional Exhaustion ◽  
Maslach Burnout Inventory ◽  
Personal Accomplishment ◽  
Teaching Hospitals ◽  
Additional Patient ◽  
Practice Environment ◽  
Cross Sectional Survey ◽  
Cross Sectional

Job-related burnout has been reported by intensive care nurses worldwide; this study was performed to examine burnout in intensive care unit bedside nurses and nurse technicians in Brazil. A cross-sectional survey that included the Practice Environment Scale and the Maslach Burnout Inventory was completed by 209 nurses and nurse technicians working in 4 Brazilian intensive care units in 3 teaching hospitals. Compared with nurse technicians, nurses reported higher levels of emotional exhaustion and depersonalization, and a lower level of personal accomplishment. A 1-unit increase in the quality of nurse practice environment was associated with a decrease in high levels of emotional exhaustion and low levels of personal accomplishment. Each additional patient added to a nurse’s workload was associated with an increase in high emotional exhaustion and low personal accomplishment. Approximately one-third of Brazilian nurses working in intensive care units report job-related burnout; the practice environment and staffing appear to be contributing factors.

Grief Reactions of Potential Organ Donors’ Bereaved Relatives: An Observational Study

2020 ◽  
Vol 29 (5) ◽  
pp. 358-368
Author(s):  
María Soria-Oliver ◽  
Begoña Aramayona ◽  
Jorge S. López ◽  
María J. Martín ◽  
José M. Martínez ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Observational Study ◽  
Organ Donation ◽  
Family Members ◽  
Hospital Staff ◽  
Emotional Reactions ◽  
Care Staff ◽  
Health Care Staff ◽  
Organ Donors

Background Most family members of potential organ donors experience the death of their relative in an intensive care unit. While under an emotional burden, bereaved relatives must make a decision that will affect the life of other patients. A better understanding of grief within the context of organ donation will help intensive care unit staff better support families during this process. Objectives To empirically describe the emotional reactions of potential organ donors’ family members facing a loved one’s death and analyze the relationship of these reactions to factors that occur in the process of illness and death. Methods A prospective observational study was conducted in 16 Spanish hospitals for 36 months. Data of 421 relatives of potential organ donors, collected through a previously validated instrument, included relatives’ emotional responses, deceased’s and relatives’ characteristics, circumstances of death, and behavior of health care staff. Results Unexpected deaths were linked to more intense emotional reactions and less acceptance of death than were anticipated deaths. Additional stressors, such as perception of poor treatment by hospital staff, perception of deficient medical care, and poor relationships among family members, were associated with stronger reactions. Conclusions Observation and analysis of the factors studied may help hospital staff members anticipate bereaved relatives’ emotional reactions and provide better support during the grieving process, increasing family members’ well-being and facilitating a better-informed organ donation decision.

scholarly journals Professional nursing practice in critical units: assessment of work environment characteristics

2017 ◽  
Vol 25 (0) ◽  
Author(s):  
Luiz Felipe Sales Maurício ◽  
Meiry Fernanda Pinto Okuno ◽  
Cássia Regina Vancini Campanharo ◽  
Maria Carolina Barbosa Teixeira Lopes ◽  
Angélica Gonçalves Silva Belasco ◽  
...  
Keyword(s):  
Intensive Care ◽  
Work Environment ◽  
Intensive Care Units ◽  
Organizational Support ◽  
Cross Sectional Study ◽  
University Hospital ◽  
Cross Sectional ◽  
Critical Care Units ◽  
Work Index ◽  
Brazilian Culture

ABSTRACT Objective: assess the autonomy, control over environment, and organizational support of nurses' work process and the relationships between physicians and nurses in critical care units. Method: cross-sectional study conducted with 162 nurses working in the intensive care units and emergency service of a university hospital. The workers' satisfaction with their work environment was assessed using Brazilian Nursing Work Index - Revised, translated and adapted for the Brazilian culture. Results: average age was 31.6 ± 3.9 years; 80.2% were women; 68.5% Caucasians and 71.6% worked in intensive care units. The nurses considered autonomy (2.38 ± 0.64) and their relationship with physicians (2.24 ± 0.62) to be characteristics of the work environment that favored professional practice. Control over environment (2.78 ± 0.62) and organizational support (2.51 ± 0.54), however, were considered to be unfavorable. No statistically significant differences were found between the units based on the scores obtained by the professionals on the Brazilian Nursing Work Index - Revised. Conclusion: autonomy, relationship between physicians and nurses, and organizational support were considered by the units to be characteristics that favored nurses' professional practices. On the other hand, control over environment and organizational support were considered unfavorable.

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