Describing Nurse's, Doctor's and Family Members’ Perceptions on Family Needs In Critical Care Units at King Khalid Hospital-Jeddah, Saudi Arabia

Background: Family members have traumatic experiences when a loved one is admitted into critical care units as they are not psychological prepared for the sudden illness of a loved one. Attending to the needs of family members of critically ill patients is vital in providing appropriate holistic care for both the patient and the family.Methods: A cross sectional descriptive quantitative research design was used. The study was conducted in a military hospital in Jeddah, Saudi Arabia, within 10 critical care units. A total of 25 doctors, 66 critical care nurses and 38 family members were included in the study. Data was collected using the Critical Care Family Needs Inventory (CCFNI), a Likert tool developed by Jane Leske which has established reliability of 0.80-0.97.Findings: The most important need as perceived by doctors was “the “need to know the expected outcome’ regarding the patient’s condition, M= 3.72 (SD = 0.54), while critical care nurses’ perceived the most important family need as “To have explanations of the environment before going into the critical care unit for the first time, M= 3.65 (SD= 0.54). Further to this, family members’ perceived “To be assured that the best care possible is being given to the patient” as the most important family need M= 3.76 (SD= 0.54).Conclusion: Health care professionals have a responsibility towards meeting these needs in order to provide care that is holistic in nature that encompasses the basic tenets of patient-family centered care.

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Perception of Nurses on Needs of Family Members of Patient Admitted to Critical Care Units of Teaching Hospital, Chitwan Nepal: A Cross-Sectional Institutional Based Study

Nursing Research and Practice ◽

10.1155/2018/1369164 ◽

2018 ◽

Vol 2018 ◽

pp. 1-7 ◽

Cited By ~ 1

Author(s):

Ishwori Khatri Chhetri ◽

Bedantakala Thulung

Keyword(s):

Critical Care ◽

Teaching Hospital ◽

Family Members ◽

College Teaching ◽

Patient Treatment ◽

Family Needs ◽

Cross Sectional ◽

Critical Care Units ◽

Medical College ◽

Significant Difference

Background. Critical care units’ nurses should seek to develop collaborative relationships with patients’ family members based on their needs and help them to cope with their distress. The objective of this study was to find out the perception of nurses on needs of family members of patients admitted to critical care units.Methods. A descriptive cross-sectional study was conducted in Chitwan Medical College Teaching Hospital among all 65 nurses working in critical care units. Ethical clearance was obtained from Chitwan Medical College Institutional Review Committee. Data were collected from March 27 to April 25, 2016, using Critical Care Family Needs Inventory (CCFNI). Obtained data were analyzed using descriptive and inferential statistics.Results. This study found that mean age of the nurses was 23.98 ± 4.05 years. More than half of the nurses had completed PCL in nursing (52.3%) and had 1-5 years of experience in critical care units (58.5%). Nurses ranked the needs for assurance as most important needs with mean percent (86.25%) followed by needs for information (78.58%), need for comfort (69.59%), needs for closeness (69%), and needs for support (64.13%). Out of 45 family needs, 81.5% of nurses perceived that knowing about patient treatment is very important for family members. Married nurses perceived the needs for support to be more important than unmarried nurses (p=0.04) whereas unmarried nurses perceived the needs for information to be more important than married (p=<0.01). There was significant difference on perception of nurses on needs of assurance with ethnicity (p=0.009) and critical care experience (p=0.04).

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Attitudes of healthcare providers towards family involvement and presence in adult critical care units in Saudi Arabia: a quantitative study

Journal of Clinical Nursing ◽

10.1111/jocn.12520 ◽

2013 ◽

Vol 23 (5-6) ◽

pp. 744-755 ◽

Cited By ~ 23

Author(s):

Abbas Al Mutair ◽

Virginia Plummer ◽

Anthony Paul O'Brien ◽

Rosemary Clerehan

Keyword(s):

Saudi Arabia ◽

Critical Care ◽

Family Involvement ◽

Quantitative Study ◽

Healthcare Providers ◽

Critical Care Units

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Needs of Patients’ Family Members in an Intensive Care Unit With Continuous Visitation

American Journal of Critical Care ◽

10.4037/ajcc2016258 ◽

2016 ◽

Vol 25 (2) ◽

pp. 118-125 ◽

Cited By ~ 20

Author(s):

Mini Jacob ◽

Cynthia Horton ◽

Sharon Rance-Ashley ◽

Tera Field ◽

Robbie Patterson ◽

...

Keyword(s):

Critical Care ◽

Intensive Care ◽

Rank Order ◽

Family Members ◽

Continuous Family ◽

Convenience Sample ◽

Critical Care Units ◽

Level Of Satisfaction ◽

National Organizations ◽

High Level

BackgroundAlthough many critical care experts and national organizations support open visitation in intensive care units (ICUs), most ICU visiting policies do not allow unrestricted presence of patients’ family members.ObjectiveTo describe how well the needs of family members were met in an adult neuroscience ICU with a continuous visitation policy and an adjoining private suite for patients’ family members.MethodsAn exploratory, descriptive study design was used to identify the effects of continuous family visitation in the neuroscience ICU on patients’ family members and their needs and experiences during their time in the unit. A convenience sample of consenting family members completed a survey of family need items 72 hours after the patient was admitted to the unit.ResultsThe most important needs identified by the 45 family members surveyed were items relating to information about the patient, visiting the patient, being given hope, talking with a doctor each day, and being assured that the best care is being given to the patient. Least important items were related to physical comforts for the family members. The vast majority of family members rated their needs as being met for all of the items in the survey and reported a high level of satisfaction with care.ConclusionIn a neuroscience ICU with an open visitation policy and a private suite for patients’ family members, family members rated their needs as being met at a high level, unlike in prior studies in units with limitations on family visitation. The rank order of the importance of each need in the survey was similar to rankings in prior studies in a variety of critical care units.

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Family caregivers’ expectations and needs in Critical Care Units

Journal of Shifa Tameer-e-Millat University ◽

10.32593/jstmu/vol4.iss2.144 ◽

2021 ◽

Vol 4 (2) ◽

pp. 87-94

Author(s):

Asma Khalil ◽

Raisa Begum Gul

Keyword(s):

Critical Care ◽

Life Experience ◽

Tertiary Care ◽

Family Members ◽

Structured Interview ◽

Critical Care Units ◽

Content Analysis Method ◽

The Family ◽

Need For Support ◽

The Cost

Introduction: Patient admission into the critical care unit is usually an unpleasant and unexpected life experience for the family members, and unusual for family members to cope with stress and anxiety during their hospital stay. Purpose: This study aimed to explore the expectations and needs of family members of the patients in critical care units at two tertiary care hospitals in Islamabad. Methodology: An exploratory descriptive design was used to address the study questions. Using purposive sampling, 14 family members were individually interviewed through a semi- structured interview guide. A conventional content analysis method was used to analyze the data through which categories and sub-categories were identified. Findings: The data analysis revealed three roles of the family members, which included assistance in physical care, facilitator in the provision of treatment and the decision maker. The participants expressed that their needs for information and assurance were being met to some extent; however, their need for support and comfort were not. Although the physical facilities for meeting the comfort were available in private hospital, it did not match the family members’ expectations. Conclusion: This study revealed that despite some similarities in the role and needs, the expectations and satisfaction of the family members is linked to their awareness of the healthcare system as well as the cost of the obtained services. The suggestions of the family members are implementable to improve their experiences and satisfaction in critical care units, which can enable them to perform their roles better.

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Current practices regarding visitation policies in critical care units

American Journal of Critical Care ◽

10.4037/ajcc1997.6.3.210 ◽

1997 ◽

Vol 6 (3) ◽

pp. 210-217 ◽

Cited By ~ 44

Author(s):

SK Simon ◽

K Phillips ◽

S Badalamenti ◽

J Ohlert ◽

J Krumberger

Keyword(s):

Critical Care ◽

Qualitative Data ◽

Family Members ◽

Attitudes And Beliefs ◽

Policy Objective ◽

Critical Care Units ◽

Beneficial Effects ◽

The Family ◽

Nurses Perceptions ◽

Midwestern City

BACKGROUND: Previous research has emphasized the importance of visitation in critical care units and its beneficial effects on patients and their families. However, nurses' attitudes and beliefs about visitation did not correlate with those of patients and their families, nor did actual visitation practices correlate with written policy. OBJECTIVE: To investigate nurses' perceptions about open vs restricted visiting hours and the effects on the patient, the patient's family, and the nurse. METHODS: Quantitative and qualitative data were collected from 201 nurses who completed a survey instrument about nurses' perceptions of visitation at five metropolitan hospitals in a midwestern city. RESULTS: Seventy percent of official policies for visitation were restrictive. In practice, 78% of nurses were nonrestrictive in their visitation practices. Variables that affected practices regarding visiting hours were the patient's need for rest, the nurse's workload, and the beneficial effects of visitation on patients. Requests from patients and their families were ranked least important. Significant differences in practices were found regarding restriction of visiting by immediate family members and of the number of visitors. Restricted hours were perceived to decrease noise (83%) and promote patients' rest (85%). Open visitation practices were perceived to beneficially affect the patient (67%) and the patient's family (88%) and to decrease anxiety (64%). Perceptions of ideal visiting hours included restrictions on the number of visitors (75%), hours (57%), visits by children (55%), and duration of visits (54%), but no restriction on visitation by immediate family members (60%). Qualitative data revealed recurrent themes in visitation practices, policies and exceptions, control of visitation by patients, and nurses' wishes. CONCLUSION: Data indicate that most nurses do not restrict visitation, regardless of whether restrictive policies are in place. Most nurses base their visitation decisions on the needs of the patient and the nurse. Needs of the family were ranked as less important in decision making about family visitation.

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Optimism, Satisfaction With Needs Met, Interpersonal Perceptions of the Healthcare Team, and Emotional Distress in Patients’ Family Members During Critical Care Hospitalization

American Journal of Critical Care ◽

10.4037/ajcc2005.14.3.202 ◽

2005 ◽

Vol 14 (3) ◽

pp. 202-210 ◽

Cited By ~ 124

Author(s):

Stephen M. Auerbach ◽

Donald J. Kiesler ◽

Jennifer Wartella ◽

Sarah Rausch ◽

Kevin R. Ward ◽

...

Keyword(s):

Critical Care ◽

Emotional Distress ◽

Stress Disorder ◽

Acute Stress ◽

Family Members ◽

Acute Stress Disorder ◽

Brief Symptom Inventory ◽

Family Needs ◽

Healthcare Staff ◽

The Impact

• Background Families of critical care patients experience high levels of emotional distress. Access to information about patients’ medical conditions and quality relationships with healthcare staff are high-priority needs for these families.• Objectives To assess satisfaction with needs met, signs and symptoms of acute stress disorder, interpersonal perception of healthcare staff, level of optimism, and the relationships among these variables in patients’ family members.• Methods Family representatives of 40 patients were administered a brief version of the Critical Care Family Needs Inventory, the Acute Stress Disorder Scale, the Brief Symptom Inventory, the Impact Message Inventory, and the Life Orientation Test shortly after admission of the patients to the intensive care unit and after discharge.• Results Levels of dissociative symptoms associated with acute stress disorder were elevated in family members just after admission but decreased significantly after discharge. Needs the families thought were least satisfactorily cared for after admission involved lack of information. Interpersonally, attending physicians were viewed as more controlling than bedside nurses at admission; nurses were viewed as more affiliative than physicians both at admission and after discharge. At admission, higher optimism of the family members was strongly related to greater satisfaction with needs met, to perceptions of affiliation from physicians, and to perceptions of not being controlled by physicians.• Conclusions More interpersonal contact with medical staff can help meet the information needs of patients’ families. Nurses may aid in families’ adjustment by fostering a sense of optimism in family members and encouraging them to participate in the patients’ care.

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Diacritics: An Important Strategy for Proper Validation of the Arabic Version of the Critical Care Family Needs Inventory (CCFNI)

Journal of Nursing Measurement ◽

10.1891/jnm-d-20-00004 ◽

2021 ◽

pp. JNM-D-20-00004

Author(s):

Wesam T. Almagharbeh ◽

Mohammad A. Al-Motlaq

Keyword(s):

Critical Care ◽

Content Validity ◽

Discriminant Validity ◽

Family Members ◽

Internal Consistency Reliability ◽

Critical Care Nurses ◽

Arabic Version ◽

Family Needs ◽

Reliable Measure ◽

Care Family

PurposeTo validate the Arabic version of the Critical Care Family Needs Inventory (CCFNI) instrument.Methodsa jury of experts helped establish content validity of besttranslated version. Live testing of the revised instrument with a sample of nurses and family members helped ensure its validity and internal consistency reliability.ResultsThe Content Validity Index indicated an acceptable relevancy and clarity of the translated version. After introducing diacritic to wordings, clarity and readability were ensured by a pilot test with a sample of 22 critical care nurses and 21 family members. Live testing the instrument asserted its discriminant validity where family members (n = 227) ranked total needs higher than nurses (n = 217) (t = 124.2 (df = 442), p < .001).ConclusionAfter using of diacritics, the new modified Arabic version can be used confidently as a valid and reliable measure of family needs.

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Perception of nurses regarding family needs of critically ill patients in a tertiary hospital of Kathmandu: A cross-sectional study

Journal of Kathmandu Medical College ◽

10.3126/jkmc.v8i1.25262 ◽

2019 ◽

Vol 8 (1) ◽

pp. 8-12

Author(s):

Sabita Pandey ◽

Roshanee Shrestha ◽

Narayani Paudel

Keyword(s):

Intensive Care Unit ◽

Critical Care ◽

Critically Ill ◽

Critically Ill Patients ◽

Critical Care Unit ◽

Family Members ◽

Cross Sectional Study ◽

Family Needs ◽

Sectional Study ◽

Cross Sectional

Background: Getting serious illness and being admitted in critical care unit is always stressful to patient and family members. Meeting the needs of family members of patients in the intensive care unit is a primary responsibility of intensive care unit staff and an important criterion in assessment of quality of care. Objectives: The aim of this study was to assess the family members’ needs of critically ill patients as perceived by nurses. Methodology: A descriptive cross sectional study was conducted among 50 nurses from different critical care unitsof Kathmandu Medical College Teaching Hospital using purposive sampling technique. Structured questionnaire was developed by referring to “Critical Care Family Needs Inventory”in our context for data collection and collected data was analyzed by using Statistical Package for Social Sciences version 16. Results: The mean age of the respondents was 24.98 ± SD 2.77.Regarding education and experience, 58% respondents had proficiency certificate level and 42% had bachelor level education and mean working experience in critical care unit was 37.54 months. Regarding the importance of family needs, 86% nurses perceived “explanation about the critical care unit environment before admitting the patient in critical care unit” as very important need for the relatives. Likewise, 58% nurses perceived “to know which staff members could give what type of information” and “to be alone at any time” as the least important needs. Conclusion: The study found that clear explanation about the critical care environment to the relatives is very important to gain co-operation from them in treatment of critically ill patients. Hence, staff of critical care unit needs to be aware in meeting the needs of relatives.

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