scholarly journals Validity and Reliability of Critical Care Family Needs Inventory (CCFNI) in Indonesian Version

2018 ◽  
Vol 3 (2) ◽  
pp. 115
Author(s):  
Wantiyah Wantiyah ◽  
Muhamad Zulfatul A'la ◽  
Baskoro Setioputro ◽  
Siswoyo Siswoyo

Family-centered care (FCC) in intensive care as a family-based care approach has been developed for a long time, but this development in Indonesia is still not optimally created. The FCC needs basic data about the needs of the family who are caring for it, so the need for the family can be identified therefore nursing intervention can be done optimally. One measure that has been developed to assess family needs is Critical Care Family Needs Inventory (CCFNI). The purpose of this study was to analyze the CCFNI questionnaire in Indonesian version. This study tried to test the questionnaire through several steps translation into Indonesian, validity testing in the form of validity content documents (CVI) and construct validity and reliability testing. The results of the CVI test on 45 Indonesian language CCFNI questionnaire statements found that the CVI value was in the range 0.6-0.9 obtained 36 valid statement items, while the results of the construct validity test were found to be valid. Reliability test results obtained an alpha value of 0.97 which means it is very reliable. The conclusion is that the Indonesian version of the CCFNI questionnaire which is translated into Kebutuhan Keluarga Pasien di Ruang Perawatan Intensif (K3PI) is valid and reliable.

2020 ◽  
Vol 15 (1) ◽  
Author(s):  
Dharmalingam TK ◽  
Kamaluddin MR ◽  
Hassan SK

Introduction: Despite general acknowledgement of the importance in assessing family needs in critical care patients, there is no psychometric instrument to measure the family needs within Malaysian settings. This study aimed to perform factorial validation and establish psychometric properties of Malay translated Critical Care Family Need Inventory (CCFNI-M) for Malaysians. Methods: This study consisted of four protocols: Forward-Backward translation, validity, internal reliability and inter domain correlations phases. The factorial validation of the CCFNI-M was based on its administration to 109 family members of critical care patients admitted to the Intensive Care Unit of Hospital Universiti Sains Malaysia, Kelantan, Malaysia. At validity phase, factorial validation was performed using Exploratory Factor Analysis using Principal Component Analysis with Varimax rotation. The internal consistency and inter domain correlations were calculated using Cronbach’s alpha and Pearson correlation coefficient respectively. Results: Preliminary analyses reported the suitability of data for factorial validation. With reference to the original CCFNI, five factors were extracted which explained 49.4% of the total variance. After removal of several items for different reasons, the final items in CCFNI-M were 42. The internal consistency values for five dimensions ranged from 0.72 to 0.87 with inter domain correlation values (r) among the dimensions ranged between 0.36 and 0.61. Conclusion: The high measures of factorial validity, internal consistency and inter domain correlations values of the CCFNI-M make it suitable measure for assessing the family needs of critical care patients.


2018 ◽  
Vol 9 (1) ◽  
pp. 113
Author(s):  
Intessar Mohamed Ahmad

Background and objective: Acute critical illness represents a crisis not just for the individual patient however conjointly for the members of the family. Moreover, the admission of the patient represents a sudden crisis allowing no time for its preparation. The responsibilities of critical care nurses extend beyond the patients in the intensive care unit (ICU) to incorporate the members of the family of these patients. Nurses are a primary resource for members of family of ICU patients and they are in a perfect position to assist patients’ members of the family in an applicable approach. For this reason, recognition of these needs by nursing personnel is very important for applying of holistic nursing care. The aims of this study were 1) Ranking the immediate needs of members of family of critically ill patients and nurses. 2) Comparing between nurses, and families, opinion regarding priorities of immediate patient's family needs using Critical Care Family Needs Inventory (CCFNI).Methods: This descriptive study was conducted at the general ICUs of Damanhour Medical Institute which has 15 beds, Damanhour chest hospital which has 7 beds and Itay Elbaroad General Hospital which has 11 beds. The three units have a total of 100 nurses. A questionnaire was used for data collection. It consisted of part one which comprised patient's condition whose families were studied participants, biosocial knowledge related to the members of family and part two which included CCFNI tool. The adapted CCFNI was translated into colloquial Arabic. Participant members of family were individually interviewed by the researcher. Members of family were required to answer each statement with strongly agree, agree, neutral, do not agree and strongly do not agree. The interview took approximately 45 to 60 minutes to be completed, and all interviews took place within the 72 hours' time frame of each patient's admission to the critical care unit. The nurses were approached and given the questionnaires to be filled in by themselves during handover, tea or lunch break.Results: Generally, families ranked their knowledge, proximity and comfort needs higher in importance than the nurses. Also, the knowledge and assurance needs were ranked above the needs for support, comfort, and proximity by our participating nurses and members of family. Moreover, the mean scores of knowledge, proximity, support and comfort needs for members of family were significantly higher than these for nurses. Out of 35 needs of the members of family in the CCFNI, there were no significant differences between the mean scores of the nurses and those of the members of family in 10 individual needs. Results show that the nurses were correct in 10 out of 35 members of family’ individual needs. The remaining mean scores from 25 individual needs showed significant differences between the nurses and actual family needs. Results show that did not meet all the specific family needs during the care of the critically ill patients. Results show that members of family scored significantly higher than nurses on 20 statements while, the nurses scored significantly higher than members of family on only 5 of the statements.Conclusions: Families considered that knowledge then assurance was the most important needs. While nurses considered that assurance then knowledge were the most important needs which indicate that nurses underestimated the needs of the family and family need may be inaccurately evaluated by heath care team and almost unmet. Furthermore, Members of family in this study considered the needs that bring comfort and support as less in priority needs.


2006 ◽  
Vol 14 (6) ◽  
pp. 893-900 ◽  
Author(s):  
Aline Oliveira Silveira ◽  
Margareth Angelo

Starting from the research question about the meanings the family attributes to interactions experienced during their child's hospitalization, this study tried to understand the interaction experience of families in pediatric hospitals, as well to identify the interventions considered effective the family's perspective. Symbolic Interactionism was the theoretical framework that supported the data analysis process, and Grounded Theory was the methodological framework. Six families with hospitalized children participated. The results allowed us to identify the phenomena "feeling secure to assume risks" and "feeling insecure to assume risks", representing the symbolic meanings attributed to relational contexts that emerge from interaction between families and health professionals. The identified concepts significantly contribute to achieve a better understanding of the family-centered care approach and provide a way to reflect on interaction and intervention with families in pediatric clinical care practice.


Author(s):  
Herly Ruth Alvarado ◽  
Sandra Mónica Rodriguez Colmenares

Objetivo: Identificar las necesidades de niños entre 8 y 18 años de edad, las de suscuidadores y las de los enfermeros, durante la hospitalización en cuidado intensivo.Material y métodos: se utilizó un diseño descriptivo de corte transversal. La muestraestuvo conformada por un total de 60 participantes: 20 niños y niñas, 20 cuidadoresy 20 enfermeros. Para recolectar información se aplicó el cuestionario Critical Care Family Needs Inventory (CCFNI). Resultados: Se identificó que las necesidades más frecuentes estaban relacionadas con la dimensión de seguridad y comunicación paralos cuidadores y enfermería, y las de soporte y apoyo, para los niños y niñas. Conclusiones: Frente a las necesidades percibidas como prioritarias, el enfermero debe tenercuidado con la forma como brinda información y cómo es su acercamiento al niño y alcuidador; además, debe buscar estrategias que permitan disminuir el estrés que ocasionanlos aspectos contemplados en las dimensiones de seguridad y soporte y apoyo,recordando que el ser humano requiere un cuidado holístico. Igualmente, son importanteslas necesidades de recreación manifestadas por los niños y sus cuidadores.


Heart & Lung ◽  
2000 ◽  
Vol 29 (4) ◽  
pp. 278-286 ◽  
Author(s):  
P. Bijttebier ◽  
D. Delva ◽  
S. Vanoost ◽  
H. Bobbaers ◽  
P. Lauwers ◽  
...  

Author(s):  
Antonella Surbone ◽  
Lea Baider

Overview: In most societies, health professionals traditionally carry responsibility only toward their patients. However, this is not the case in all cultures. In the contemporary practice of oncology in Western cultures, there is a shift toward assuming broader responsibility for patients with cancer' families during the illness course, the grieving stage, and in cancer prevention and genetic counseling. Traditional family, community, and religious values play a central role in determining people's perceptions and attitudes toward life and death as well as toward caregiving for a sick relative. The meaning of cancer illness within the family culture is thus influenced not only by each individual's values and beliefs but also by the family's makeup and dynamics, as well as their taboos and secrets. Global cancer care should therefore be directed at the family as a unit, while respecting patient autonomy and privacy. This reappraisal of our traditional understanding of physicians' duty as solely directed at the patient is reflected in the recent US trend toward a patient- and family-centered care approach. An additional challenge for oncology professionals is to integrate and tailor interventions toward the needs of both care recipients and caregivers and relate it to this dyad as the basic and enduring unit of care.


2021 ◽  
Vol 4 (2) ◽  
pp. 24-37
Author(s):  
Repindra Oktari ◽  
Hellena Deli ◽  
Lita Lita

Family Needs of Patients Admitted to Critical Care Unit (CCU) Abstract The growing threat of patients’ death will impact on their family’s worry and stress which will negatively affect the role of the family as a part of the support system for the patient. The purpose of this study is to determine family needs of patients admitted to CCU of Arifin Achmad General Hospital of Riau Province. This is a quantitative study using descriptive design with 21 respondents chosen using consecutive sampling technique. The data were collected using questionnaire and then analyzed using univariate analysis. The study found that, regarding the need for service guarantees, 85.7% respondents stated that it was very important to understand the purpose of the medication and health treatment given to the patient; regarding the need for information, 66.7% respondents stated that it was very important to know the real condition of the patient; regarding the need for mental support from the family, 71.4% respondents stated that it was very important to have support from the family; regarding the need for convenience, 42.9% respondents stated that it was important and very important that they were provided with washroom close to the waiting room as well as the waiting room close to the intensive room; and regarding the need for closeness, 38.1% respondents stated that it was very important to be able to visit the patient at CCU with one member of the family. It can be concluded that the need for understanding the purpose of the medication and health treatment given to the patient is the one that patients’ family need the most. It is suggested that the nurses prioritize providing nursing care for the most needed family needs. Key words: CCU, Family needs.   Kebutuhan Keluarga Pasien Critical Care Unit (CCU) Abstrak Besarnya ancaman kematian pasien akan memiliki dampak kecemasan dan stres keluarga dan berdampak pada peran keluarga sebagai support system menjadi tidak maksimal. Penelitian ini bertujuan untuk menggambarkan kebutuhan keluarga pasien CCU di RSUD Arifin Achmad Provinsi Riau. Jenis penelitian ini adalah kuantitatif dengan desain deskriptif,  pengambilan sampel menggunakan teknik consecutive sampling, jumlah sampel dalam penelitian ini sebanyak 21 responden. Alat pengumpulan data menggunakan kuesioner dan analisis data dilakukan secara univariat. Hasil penelitian didapatkan pada kebutuhan jaminan pelayanan 85.7% responden menyatakan sangat penting untuk mengetahui tujuan pengobatan dan tindakan perawatan yang diberikan, pada kebutuhan informasi 66.7% responden menyatakan sangat penting mengetahui kondisi pasien yang sebenarnya, pada kebutuhan dukungan mental keluarga 71.4% responden menyatakan sangat penting mendapatkan dukungan antar keluarga, pada kebutuhan kenyamanan 42.9% responden menyatakan penting dan sangat penting untuk tersedia kamar mandi dekat ruang tunggu dan tersedia ruang tunggu didekat ruang intensif, serta pada kebutuhan kedekatan 38.1% responden menyatakan sangat penting untuk mengunjungi pasien diruang intensif (CCU) bersama salah satu kerabat. Dapat disimpulkan bahwa kebutuhan mengetahui tujuan pengobatan dan tindakan perawatan yang diberikan merupakan kebutuhan yang paling dibutuhkan keluarga. Kepada perawat disarankan untuk memprioritaskan asuhan keperawatan terhadap kebutuhan keluarga yang paling dibutuhkan.   Kata kunci : CCU , Kebutuhan keluarga.


PeerJ ◽  
2021 ◽  
Vol 9 ◽  
pp. e11125
Author(s):  
Sibel Büyükçoban ◽  
Zehra Mermi Bal ◽  
Ozlem Oner ◽  
Necmiye Kilicaslan ◽  
Necati Gökmen ◽  
...  

Purpose: This study aims to compare the perceptions of nurses and families on the needs of the relatives of the patients in Intensive Care Unit (ICU). Methods This cross-sectional study was conducted in the ICU of a university hospital. The study comprised 213 critical care patients’ relatives and 54 nurses working in the same ICU. Data were collected using the Turkish version of Critical Care Family Needs Inventory (CCFNI) and a questionnaire on the characteristics of the participants. The difference between the perceptions of families and nurses was analyzed using Student t-test. Results: CCFNI’s assurance/proximity subscale mean scores ranked first among bothpatients and nurses. The item “To be assured the best care possible is being given to the patient” was the top priority for both groups. Mean assurance/proximity and information dimensions of relatives were significantly higher compared to nurses (p < 0.001). No significant difference was found between the perception of patient relatives and nurses related to support and comfort dimensions (p < 0.05). Conclusion The needs of the relatives of patients are underestimated by nurses. This inhibited the performance of ICU nurses in line with the holistic care approach. Educational objectives that include the needs of ICU patients’ relatives should be incorporated into the undergraduate and in-service training of nurses. Policies should be established to create space and time for effective relative-nurse communication.


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