scholarly journals Comparing the Perceptions of Nurses and Patients’ Families About the Expectations of Patients’ Families in Intensive Care Unit

2020 ◽  
Vol 24 (1) ◽  
pp. 68-79
Author(s):  
Akram Shahrokhi ◽  
◽  
Mahdi Ranjbaran ◽  
Somayeh Zarei ◽  
◽  
...  
Keyword(s):  
Intensive Care ◽  
Work Experience ◽  
Pearson Correlation ◽  
Family Members ◽  
Family Needs ◽  
Chi Square ◽  
Icu Patients ◽  
The Family ◽  
Pearson Correlation Test ◽  
Care Family

Background: Properly identifying the expectations of family members of patients admitted to Intensive Care Units (ICUs) is a necessity for nurses. Objective The present study aimed to determine and compare the expectations of ICU patients’ families according to the perceptions of ICU nurses and family members. Methods: In this descriptive-analytical study, 147 families of ICU patients and 137 ICU nurses of hospitals in Qazvin were selected as study samples through a census method. Data were collected using Molter’s Critical Care Family Needs Inventory (CCFNI), and data analysis was performed using the Pearson correlation test, one-way ANOVA and chi-square at a significant level of P<0.05. Findings: The overall score of CCFNI and its subscales for the family members were significantly higher than in the nurses (P<0.001). The degree of importance and prioritization of family expectations were different between patients’ families and nurses. The reason for patient hospitalization had a significant association with the overall score of CCFNI and its subscales. Moreover, the family history of hospitalization showed a significant correlation with the CCFNI subscales of information and proximity (P<0.05). The age and work experience of nurses had a significant association with the CCFNI subscales of information, assurance, and comfort (P<0.05). Conclusion: Family members of ICU patients and nurses have different perceptions of the expectations of patients’ families. Nurses need to consider the expectations of patients’ family members.

Exploration of Nurse/Social Worker ICU Family Support Group Intervention Satisfying Family Members’ Needs

2021 ◽  
Vol 6 (2) ◽  
Author(s):  
Julie Benbenishty ◽  
◽  
Dvora Kirshbaum Moriah ◽  
Chaya Harel ◽  
◽  
...  
Keyword(s):  
Family Support ◽  
Support Group ◽  
Social Worker ◽  
Nursing Care ◽  
Group Intervention ◽  
Family Members ◽  
Family Needs ◽  
Convenience Sample ◽  
Icu Patients ◽  
Care Family

Background: Family members of intensive care unit (ICU) patients are legitimate recipients of nursing care. There is a lack of interventional nursing strategies providing family support while in ICU. Objective: To demonstrate that a nurse led family support group is tool to fulfill family members’ needs. Methods: A prospective convenience sample of family members volunteering participation in nurse/social worker led support group. To validate the intervention on family members’ needs, The Critical Care Family needs Inventory was distributed to participants in support group. Results: 100 relatives participated in the study; Out of the 45 family needs, 21 needs were statistically significantly fulfilled by participation family support group intervention. The findings demonstrated that support group most significantly affected Support and Assurance categories.

Communication in the process of humanization of the assistance at intensive care unit: experience of relatives and cares

2010 ◽  
Vol 4 (4) ◽  
pp. 1587
Author(s):  
Natália Celião Leite ◽  
Josilene De Melo Buriti Vasconcelos ◽  
Wilma Dias de Fontes
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Family Members ◽  
Structured Interview ◽  
Communication Process ◽  
Icu Patients ◽  
Efficient System ◽  
The Family ◽  
Terapia Intensiva ◽  
Nursing Professionals

ABSTRACTObjectives: to report the experience of the nursing team and family members of ICU patients as regards communication; to learn the meaning they attribute to the communication process. Methodology: a quantitative and qualitative exploratory study carried out at the Intensive Care Unit of the school hospital. Consisting of 15 family members and 15 nursing professionals who happened to be available there during the data collection, the sample resulted from semi-structured interview guidance. The data were analyzed by means of descriptive statistics, taking into account the absolute and percentage numbers, and the technique of the Collective Subject Discourse, with presentation throughout graph, table and charts. Results: the data showed gaps in the communication, which are inherent to some professionals who neither practice nor value the communication process with the family, mainly as regards the need to prepare them for the ICU environment and the real conditions of their family members. Conclusion: the need to adopt an efficient system of communication with relatives of ICU patients is widely known. Thus, the nurse will be adopting new ways of caring, which include valuing the family members as integrating part of the nursing care, with view to humanizing the assistance. Descriptors: communication; humanization of the assistance; intensive care unit. RESUMOObjetivos: relatar a experiência da equipe de enfermagem e de familiares de pacientes internados em uma UTI, na perspectiva da comunicação; apreender o significado por eles atribuído ao processo de comunicação. Métodologia: estudo exploratório, quantiqualitativo, realizado na Unidade de Terapia Intensiva de hospital escola. A amostra foi formada por 15 familiares e 15 profissionais de enfermagem que se encontravam no local, por ocasião da coleta de dados, a qual ocorreu por meio de um roteiro de entrevista semi-estruturado. Os dados foram analisados por meio da estatística descritiva, levando-se em conta os números absolutos e percentuais, e da técnica do Discurso do Sujeito Coletivo, com apresentação em gráfico, tabela e quadros. Resultados: os dados mostram lacunas na comunicação, as quais são inerentes a alguns profissionais que não praticam e não valorizam o processo de comunicação com a família, principalmente no que diz respeito à necessidade de prepará-los para compreender o ambiente da UTI e as reais condições de seus familiares. Conclusão: é notória a necessidade de se adotar um sistema eficaz de comunicação com os familiares de pacientes internados na UTI. Assim, o enfermeiro estará adotando novas formas de cuidar, que incluem a valorização dos familiares como parte integrante do cuidado de enfermagem na perspectiva da humanização da assistência. Descritores: comunicação; humanização da assistência; unidade de terapia intensiva.RESUMENObjetivos: relatar la experiencia del equipo de enfermería y parientes de pacientes de UTI, en cuanto a la comunicación; aprender el significado que ellos atribuyen al proceso de comunicación. Metodología: estudio exploratorio, cuantitativo y cualitativo, realizado en la Unidad de Terapia Intensiva del hospital escuela. Formada por 15 parientes y 15 profesionales de enfermería que se encontraban disponibles en el sitio durante el recogimiento de los datos, la muestra resultó de la rutina de una entrevista semi-estructurada. Los datos fueron analizados a través de la estadística descriptiva, llevándose en cuenta los números absolutos y porcentajes, la técnica del Discurso del Sujeto Colectivo, con presentación en gráfico, tabla y cuadros. Resultado: los datos enseñan brechas en la comunicación, las cuales son propias de algunos profesionales que no practican y no valoran el proceso de comunicación con la familia, principalmente en cuanto a la necesidad de les preparar a entender el ambiente de la UTI y las reales condiciones de sus parientes. Conclusión: es notoria la necesidad de adoptarse un sistema de comunicación eficiente con los parientes de pacientes de UTI. Así, el enfermero estará adoptando nuevas maneras de cuidar, las cuales incluyen la valoración de los parientes como parte del cuidado de enfermero, con vista a la humanización de la asistencia. Descriptores: comunicación; humanización de la asistencia; unidad de terapia intensiva. 

scholarly journals Practice Recommendations for End-of-Life Care in the Intensive Care Unit

2020 ◽  
Vol 40 (3) ◽  
pp. 14-22 ◽  
Author(s):  
Hanne Irene Jensen ◽  
Kristin Halvorsen ◽  
Heidi Jerpseth ◽  
Isabell Fridh ◽  
Ranveig Lind
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
End Of Life ◽  
End Of Life Care ◽  
Family Members ◽  
Life Care ◽  
Family Needs ◽  
High Quality ◽  
Number Of Patients ◽  
The Family

Topic A substantial number of patients die in the intensive care unit, so high-quality end-of-life care is an important part of intensive care unit work. However, end-of-life care varies because of lack of knowledge of best practices. Clinical Relevance Research shows that high-quality end-of-life care is possible in an intensive care unit. This article encourages nurses to be imaginative and take an individual approach to provide the best possible end-of-life care for patients and their family members. Purpose of Paper To provide recommendations for high-quality end-of-life care for patients and family members. Content Covered This article touches on the following domains: end-of-life decision-making, place to die, patient comfort, family presence in the intensive care unit, visiting children, family needs, preparing the family, staff presence, when the patient dies, after-death care of the family, and caring for staff.

Communication with patients and families in the ICU

2016 ◽  
Author(s):  
Leslie P. Scheunemann ◽  
Robert M. Arnold
Keyword(s):  
Intensive Care ◽  
Family Members ◽  
Ethics Committees ◽  
Family Satisfaction ◽  
Interdisciplinary Teams ◽  
Care Practice ◽  
Family Meeting ◽  
Icu Patients ◽  
Good Communication ◽  
The Family

Regular, consistent communication with families of intensive care unit (ICU) patients is important for family satisfaction, patient-centred decision-making, and reducing the emotional burden of the ICU stay on family members. In fact, the family meeting can appropriately be considered a core procedure of intensive care practice. Good communication requirements include the appropriate clinicians and family members, providing a quiet and undisturbed setting, and choosing appropriate goals for each meeting. Clinicians should strive to develop skills for listening, observing family dynamics, and responding to emotions. ICU administrators should consider building processes of care to promote regular, consistent communication and partnerships with interdisciplinary teams, such as ethics committees and palliative care that can supplement these skills.

Withdrawal of Life Support: How the Family Feels, and Why

2000 ◽  
Vol 16 (1_suppl) ◽  
pp. S40-S44 ◽  
Author(s):  
Sean P. Keenan ◽  
Cathy Mawdsley ◽  
Donna Plotkin ◽  
Gregory K. Webster ◽  
Fran Priestap
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Life Support ◽  
Family Members ◽  
Next Of Kin ◽  
Icu Patients ◽  
The Family ◽  
Self Administered Questionnaire

The objectives of this study were to develop an instrument to assess the satisfaction of family members with withdrawal of life support (WLS), and to determine which factors are associated with greater levels of satisfaction. To do this, we developed a self-administered questionnaire that was sent to the next-of-kin of intensive care unit (ICU) patients dying following WLS. Over a six-month period, 69 patients died following WLS in the ICU. Three letters were returned “address unknown”, 33 did not respond, and 33 responded, of whom 29 agreed to participate (29/66 = 44% of those contacted). Of these, 24 (83%) strongly agreed with the patient's death being compassionate and dignified, one moderately agreed, one mildly agreed, one was neutral and two strongly disagreed. Items associated with greater satisfaction included: the process of WLS being well explained, WLS proceeding as expected, patient appearing comfortable, family/friends prepared for the decision, appropriate person initiating discussion, adequate privacy during WLS, chance to voice concerns. The study suggests factors that are important to consider in ensuring family comfort with the process of withdrawing life support.

Psychological distress among the family members of Intensive Care Unit (ICU) patients: A scoping review

2021 ◽  
Author(s):  
Azura Abdul Halain ◽  
Li Yoong Tang ◽  
Mei Chan Chong ◽  
Noor Airini Ibrahim ◽  
Khatijah Lim Abdullah
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Psychological Distress ◽  
Scoping Review ◽  
Family Members ◽  
Icu Patients ◽  
The Family

scholarly journals Factorial Validation and Psychometric Properties Establishment of Malay Version Critical Care Family Need Inventory

2020 ◽  
Vol 15 (1) ◽  
Author(s):  
Dharmalingam TK ◽  
Kamaluddin MR ◽  
Hassan SK
Keyword(s):  
Critical Care ◽  
Psychometric Properties ◽  
Internal Consistency ◽  
Pearson Correlation ◽  
Principal Component ◽  
Family Needs ◽  
Internal Reliability ◽  
The Family ◽  
Care Family ◽  
Critical Care Patients

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.

scholarly journals The Experiences of Family Members of Ventilated COVID-19 Patients in the Intensive Care Unit: A Qualitative Study

2021 ◽  
pp. 104990912110069
Author(s):  
Chiahui Chen ◽  
Elaine Wittenberg ◽  
Suzanne S. Sullivan ◽  
Rebecca A. Lorenz ◽  
Yu-Ping Chang
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Healthcare Providers ◽  
Family Members ◽  
Support Needs ◽  
Early Referral ◽  
Telephone Interviews ◽  
The Family ◽  
Care Family

Background: Visitor restrictions caused challenges for family members when their loved ones had coronavirus disease (COVID-19) and were ventilated. Limited studies have reported on family members’ experiences and support needs. Aim: To explore the experiences and support needs of family members of ventilated COVID-19 patients in the intensive care unit (ICU). Design: Exploratory, qualitative design, using in-depth individual telephone interviews, and analyzed using thematic analysis. Setting/Participants: Ten family members of adult COVID-19 patients in the ICU. Result: Seven key themes represented family members’ experiences: (a) reactions to the COVID-19 diagnosis, (b) COVID-19 as a destabilizing force on the family unit, (c) COVID-19’s effects on bereavement outcomes, (d) desperately seeking information, (e) family member needs, (f) conflicting feelings about video calls, and (g) appreciation of care. Family members’ feelings about the patient’s diagnosis and how the virus was contracted exacerbated their stress and anxiety. They struggled to feel informed about care that they could not witness and had difficulty understanding information. Family members reported that video calls were unhelpful. While these experiences made them question the quality of care, they expressed their appreciation of the frontline healthcare providers taking care of their loved ones. Conclusion: The stress and uncertainty of family members of critically ill patients with COVID-19 were influenced by their inability to feel connected to the patient and informed about care. Healthcare providers should assess each individual family’s burden and preferences, and this should include establishing structured, timely, and consistent communication regarding patient care during the pandemic including early referral to palliative care.

scholarly journals The Study of Prescribing Errors Among General Dentists

2015 ◽  
Vol 8 (4) ◽  
pp. 32 ◽  
Author(s):  
Solmaz Araghi ◽  
Rohollah Sharifi ◽  
Goran Ahmadi ◽  
Mahsa Esfehani ◽  
Fatemeh Rezaei
Keyword(s):  
Work Experience ◽  
Pearson Correlation ◽  
Cross Sectional Study ◽  
Antimicrobial Treatment ◽  
Antifungal Drugs ◽  
Entrance Examination ◽  
Chi Square ◽  
Cross Sectional ◽  
Hypothetical Patient ◽  
General Dentists

<p><strong>INTRODUCTION</strong><strong>:</strong> In dentistry, medicine often prescribed to relieve pain and remove infections .Therefore, wrong prescription can lead to a range of problems including lack of pain, antimicrobial treatment failure and the development of resistance to antibiotics.</p> <p><strong>MATERIALS &amp; METHODS</strong><strong>:</strong> In this cross-sectional study, the aim was to evaluate the common errors in written prescriptions by general dentists in Kermanshah in 2014. Dentists received a questionnaire describing five hypothetical patient and the appropriate prescription for the patient in question was asked. Information about age, gender, work experience and the admission in university was collected. The frequency of errors in prescriptions was determined. Data by SPSS 20statistical software and using statistical t-test, chi-square and Pearson correlation were analyzed (0.05&gt; P).</p> <p><strong>RESULTS</strong><strong>: </strong>A total of 180 dentists (62.6% male and 37.4% female) with a mean age of 8.23 ± 39.199 participated in this study. Prescription errors include the wrong in pharmaceutical form (11%), not having to write therapeutic dose (13%), writing wrong dose (14%), typos (15%), error prescription (23%) and writing wrong number of drugs (24%).The most frequent errors in the administration of antiviral drugs (31%) and later stages of antifungal drugs (30%), analgesics (23%) and antibiotics (16%) was observed. Males dentists compared with females dentists showed more frequent errors (P=0.046). Error frequency among dentists with a long work history (P&gt;0.001) and the acceptance in the university except for the entrance examination (P=0.041) had a statistically significant relationship.</p> <p><strong>CONCLUSION</strong><strong>:</strong> This study showed that the written prescription by general dentists examined contained significant errors and improve prescribing through continuing education of dentists is essential.</p>

scholarly journals Hubungan Kadar Hemoglobin dan Vo2Max Pada Atlet Softball Putra

2020 ◽  
Vol 5 (1) ◽  
pp. 16-21
Author(s):  
Mila Ayu Hariyanti ◽  
Nur Indri Rahayu ◽  
Pipit Pitriani
Keyword(s):  
Research Method ◽  
Pearson Correlation ◽  
Hemoglobin Level ◽  
Test Method ◽  
Descriptive Research ◽  
Correlational Research ◽  
The Family ◽  
Pearson Correlation Test ◽  
The Relationship ◽  
Research Analysis

Penelitian ini bertujuan untuk melihat adanya hubungan antara kadar Hemoglobin dan Vo2max pada Atlet Softball Putra Banten. Metode yang digunakan dalam penelitian ini adalah metode penelitian deskriptif dengan analisis correlational. Subjek dalam penelitian adalah Atlet Softball Putra Banten yang berjumlah 17 orang. Untuk mengukur kadar hemoglobin menggunakan Family Dr yaitu alat cek Hb digital sedangkan untuk pengukuran nilai VO2max menggunakan metode Bleep-test. Data kemudian diolah menggunakan uji korelasi pearson. Terdapat hubungan yang berarti antara kadar hemoglobin dengan vo2max dengan koefisien korelasi sebesar 0,489 menunjukkan bahwa semakin tinggi kadar hemoglobin maka semakin tinggi tingkat vo2max Atlet Softball Putra Banten.This study aims to see the relationship between hemoglobin levels and vo2max in Banten Softball Men. The method used in this research is descriptive research method with correlational research analysis. Subjects in the study are the Banten Softball Men Banten, amounting to 17 people. The characteristic data taken is gender. To measure hemoglobin levels using the Family Dr. is a digital Hb check tool while for the measurement of VO2max values using the Bleep-test method. The data is then processed using the Pearson correlation test. There is a significant relationship between hemoglobin levels with vo2max with a correlation coefficient of 0.489 indicating that the higher the hemoglobin level, the higher the vo2max level of softball athletes Banten.

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