Attitudes Toward and Beliefs About Family Presence: A Survey of Healthcare Providers, Patients’ Families, and Patients

2007 ◽  
Vol 16 (3) ◽  
pp. 270-279 ◽  
Author(s):  
Christine R. Duran ◽  
Kathleen S. Oman ◽  
Jenni Jordan Abel ◽  
Virginia M. Koziel ◽  
Deborah Szymanski
Keyword(s):  
Neonatal Intensive Care ◽  
Healthcare Providers ◽  
Family Members ◽  
Emotional Responses ◽  
Neonatal Intensive Care Units ◽  
Family Presence ◽  
Positive Attitudes ◽  
The Family ◽  
And Performance ◽  
Accepted Practice

Background Although some healthcare providers remain hesitant, family presence, defined as the presence of patients’ family members during resuscitation and/or invasive procedures, is becoming an accepted practice. Evidence indicates that family presence is beneficial to patients and their families. Objectives To describe and compare the beliefs about and attitudes toward family presence of clinicians, patients’ families, and patients. Methods Clinicians, patients’ families, and patients in the emergency department and adult and neonatal intensive care units of a 300-bed urban academic hospital were surveyed. Results Surveys were completed by 202 clinicians, 72 family members, and 62 patients. Clinicians had positive attitudes toward family presence but had concerns about safety, the emotional responses of the family members, and performance anxiety. Nurses had more favorable attitudes toward family presence than physicians did. Patients and their families had positive attitudes toward family presence. Conclusions Family presence is beneficial to patients, patients’ families, and healthcare providers. As family presence becomes a more accepted practice, healthcare providers will need to accommodate patients’ families at the bedside and address the barriers that impede the practice.

scholarly journals Nurses' attitudes toward caring for terminally ill neonates and their families in Iran: a cross-sectional study

2021 ◽  
Author(s):  
Maliheh Kadivar ◽  
Marjan Mardani-Hamooleh ◽  
Marjan Kouhnavard ◽  
Azadeh Sayarifard
Keyword(s):  
Neonatal Intensive Care ◽  
Terminally Ill ◽  
Cross Sectional Study ◽  
Neonatal Intensive Care Units ◽  
Sectional Study ◽  
Medical Sciences ◽  
Cross Sectional ◽  
Her Family ◽  
Positive Attitudes ◽  
The Family

Providing care for terminally ill neonates is an important issue in NICUs. This research aimed to determine nurses’ attitudes toward providing care for terminally ill neonates and their families. A total of 138 nurses working in neonatal intensive care units (NICUs) affiliated to Tehran University of Medical Sciences participated in this cross-sectional study via convenience sampling in 2019. The Data collection tool was the Frommelt attitudes toward caring for terminally ill persons and their families scale. The nurses in this study had the most positive attitudes toward the items “nursing care should include the family of the terminally ill patient, too” (4.2 ± 0.6) and “the care provider can prepare the patient or his/her family for death” (4.1 ± 0.7). The nurses had the least positive attitude toward the item “the time spent on caring for terminally ill patients creates a sense of frustration in me” (1.06 ± 1). The mean score of the attitudes of NICU nurses toward caring for terminally ill neonates and their families indicates the necessity of improving this attitude.  

scholarly journals Humanização da assistência neonatal na ótica dos profissionais da enfermagem

2019 ◽  
Vol 13 ◽  
Author(s):  
Clara Fróes de Oliveira Sanfelice ◽  
Juliana Vanessa da Silva Costa ◽  
Elenice Valentim Carmona
Keyword(s):  
Intensive Care ◽  
Neonatal Intensive Care ◽  
Neonatal Intensive Care Units ◽  
Structured Interviews ◽  
Team Culture ◽  
The Family ◽  
De Se ◽  
Nursing Team ◽  
Qualitative Descriptive ◽  
Terapia Intensiva

Objetivo: identificar a percepção da equipe de Enfermagem sobre a humanização da assistência prestada em uma Unidade de Terapia Intensiva Neonatal. Método: trata-se de um estudo qualitativo, descritivo, exploratório. Entrevistaram-se 22 profissionais, dos quais um enfermeiro e 21 técnicos de enfermagem. Coletaram-se os dados por meio de entrevistas semiestruturadas, gravadas em áudio, transcritas e analisadas seguindo a técnica de Análise de Conteúdo na modalidade Análise Temática. Resultados: revelaram-se quatro categorias: a) Humanização enquanto segurança para os pais, profissionais e neonatos; b) Cuidado que abrange o recém-nascido e a família; c) Humanização como cultura da equipe e política institucional e d) Contradições do cuidado humanizado. Conclusão: evidencia-se a necessidade de se promover atividades educativas para que a abordagem humanizada seja melhor compreendida e implementada no cuidado neonatal. Descritores: Humanização da Assistência; Recém-Nascido; Unidades de Terapia Intensiva Neonatal; Enfermagem Neonatal; Equipe de Enfermagem; Pesquisa Qualitativa.AbstractObjective: to identify the perception of the Nursing team about the humanization of care provided in a Neonatal Intensive Care Unit. Method: this is a qualitative, descriptive, exploratory study. 22 professionals were interviewed, including one nurse and 21 nursing technicians. Data was collected through semi-structured interviews, audio recorded, transcribed and analyzed following the technique of Content Analysis in the Thematic Analysis modality. Results: four categories were revealed: a) Humanization as safety for parents, professionals and newborns; b) Care that covers the newborn and the family; c) Humanization as a team culture and institutional policy; and d) Contradictions of humanized care. Conclusion: there is a need to promote educational activities so that the humanized approach is better understood and implemented in neonatal care. Descriptors: Humanization of Assistance; Newborn; Neonatal Intensive Care Units; Neonatal Nursing; Nursing, Team; Qualitative Research.ResumenObjetivo: identificar la percepción del equipo de Enfermería sobre la humanización de la atención brindada en una Unidad de Cuidados Intensivos Neonatales. Método: este es un estudio cualitativo, descriptivo, exploratorio. Se entrevistaron 22 profesionales, entre ellos un enfermero y 21 técnicos de enfermería. Los datos fueron recolectados a través de entrevistas semiestructuradas, audio grabado, transcrito y analizado siguiendo la técnica de Análisis de Contenido en la modalidad de Análisis Temático. Resultados: se revelaron cuatro categorías: a) Humanización como seguridad para los padres, profesionales y recién nacidos; b) Cuidado que cubre al recién nacido y la familia; c) La humanización como cultura de equipo y política institucional, y d) Contradicciones de la atención humanizada. Conclusión: es necesario promover actividades educativas para que el enfoque humanizado se entienda mejor y se implemente en la atención neonatal. Descriptores: Humanización de la Atención; Recién Nacido; Unidades de Cuidado Intensivo Neonatal; Enfermería Neonatal; Grupo de Enfermería; Investigación Cualitativa.

scholarly journals Family presence in emergency: Attitude and belief among emergency health professionals in a Tertiary Care Hospital of Nepal

2017 ◽  
Vol 13 (3) ◽  
pp. 152-160
Author(s):  
Sonai Chaudhuri ◽  
G Malla ◽  
S Uprety ◽  
S Giri ◽  
AK Yadav ◽  
...  
Keyword(s):  
Emergency Department ◽  
Health Professionals ◽  
Tertiary Care ◽  
Family Members ◽  
Negative Attitude ◽  
Easy Access ◽  
Female Respondent ◽  
Care Hospital ◽  
Family Presence ◽  
The Family

Background: The emergency department of B.P Koirala Institute of Health Sciences, Dharan, a  700 bedded tertiary care centre provides all medical and surgical services, with easy access to patients by their family members during most of the resuscitation procedures. Complete privacy hence is not ideally maintained. Coping with emotional stress among the family members can be a gruesome experience and reactions from them can be unpredictable. Hence, health professionals are usually exposed to various emotions of the family members of these sick patients.Methods: It is a descriptive cross sectional study among the health professionals working in the emergency department. A sample size of 80 is taken over a period of 3 months. A semi-structured questionnaire leaflet was distributed and collected by the researcher. The attitude and belief was evaluated by 12 questions on the 5 point Liker scale and cutoff value being 3. Points less than 36 were given as negative attitude towards the family presence and more being positive.Results: Out of 80samples, 75 completed with a response rate of about 94%. The majority belonged to age group 20-29 years (70.7%) age, among profession Nurses respondents were about 56%. Male and Female respondent were about equal in numbers, qualification with undergraduate level was higher (73.3%), with an experience of less than 1year being 40%. Amongst the responders there is a positive attitude with increasing age, experience and qualification.Conclusion: The health professionals had a negative attitude towards the presence of family members during the resuscitation or invasive procedures. Hence with the ethnicity and cultural aspect of family their presence is well accepted. Health Renaissance 2015;13 (3): 152-160

The Vortex: Families’ Experiences With Death in the Intensive Care Unit

2002 ◽  
Vol 11 (3) ◽  
pp. 200-209 ◽  
Author(s):  
Karin T. Kirchhoff ◽  
Lee Walker ◽  
Ann Hutton ◽  
Vicki Spuhler ◽  
Beth Vaughan Cole ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Life Experiences ◽  
Healthcare Providers ◽  
Family Members ◽  
Terminal Condition ◽  
Loved One ◽  
The Family ◽  
Downward Spiral ◽  
Eventual Loss

• Background Lack of communication from healthcare providers contributes to the anxiety and distress reported by patients’ families after a patient’s death in the intensive care unit.• Objective To obtain a detailed picture of the experiences of family members during the hospitalization and death of a loved one in the intensive care unit.• Methods A qualitative study with 4 focus groups was used. All eligible family members from 8 intensive care units were contacted by telephone; 8 members agreed to participate.• Results The experiences of the family members resembled a vortex: a downward spiral of prognoses, difficult decisions, feelings of inadequacy, and eventual loss despite the members’ best efforts, and perhaps no good-byes. Communication, or its lack, was a consistent theme. The participants relied on nurses to keep informed about the patients’ condition and reactions. Although some participants were satisfied with this information, they wished for more detailed explanations of procedures and consequences. Those family members who thought that the best possible outcome had been achieved had had a physician available to them, options for treatment presented and discussed, and family decisions honored.• Conclusions Uncertainty about the prognosis of the patient, decisions that families make before a terminal condition, what to expect during dying, and the extent of a patient’s suffering pervade families’ end-of-life experiences in the intensive care unit. Families’ information about the patient is often lacking or inadequate. The best antidote for families’ uncertainty is effective communication.

scholarly journals Mother, Child, and Family Factors Related to Employment of Single Mothers With LBW Preschoolers

1997 ◽  
Vol 21 (2) ◽  
pp. 247-263 ◽  
Author(s):  
JoAnne M. Youngblut ◽  
Lynn T. Singer ◽  
Elizabeth A. Madigan ◽  
Leslie A. Swegart ◽  
Willard L. Rodgers
Keyword(s):  
Single Mothers ◽  
Employment Status ◽  
Neonatal Intensive Care ◽  
Full Term ◽  
Family Factors ◽  
Neonatal Intensive Care Units ◽  
Employment History ◽  
Positive Attitudes ◽  
History Of ◽  
Birth Records

The purpose of this study was to identify maternal, child, and family factors related to the employment status and employment history of single mothers of low-birth-weight (LBW) and full-term preschoolers. A sample of 121 female-headed, single-parent families with 3-, 4-, and 5-year-old LBW and full-term children was recruited through admission records to three Level III neonatal intensive care units (NICUs) and birth records of two normal newborn nurseries. Results show that the birth of an LBW infant was not related to employment status, number of hours employed per week, or employment history for single mothers. Employed mothers had significantly more education and more positive attitudes toward employment. Controlling for other factors, never being married, and having more children, more federal income, and less positive employment attitudes were predictive of nonemployment. Both employed and nonemployed women expressed preference for employment.

scholarly journals Languages of Communication in Baghdad: Domains and Perceptions

2016 ◽  
Vol 6 (3) ◽  
pp. 1008-1017
Author(s):  
Prof. Bader S. Dweik ◽  
Sara N. Al-Rahal
Keyword(s):  
Language Use ◽  
Language Attitudes ◽  
Family Members ◽  
Public Places ◽  
Positive Attitudes ◽  
Ethnic Language ◽  
The Family ◽  
Social Domains ◽  
Demographic Background ◽  
At Home

The purpose of this study is to investigate the domains of use of the Turkmen language and Arabic in Baghdad and to explore attitudes towards Turkmen and Arabic. A sample, comprising (100) subjects from the Turkmen of Baghdad, is selected purposefully to fill out a sociolinguistic questionnaire to solicit information about the participants' demographic background, language use in different contexts and language attitudes towards the ethnic language, Turkmen and the mainstream language, Arabic. The results have revealed that the Turkmen of Baghdad use their ethnic language in different domains especially at home and among the family members. Also, they use both languages (their ethnic language and Arabic) in different social domains such as neighborhood, place of work, schools, media and other public places and have displayed positive attitudes towards Turkmen and Arabic alike.

scholarly journals Meanings attributed by family and patients to family presence in emergency rooms

2019 ◽  
Vol 72 (6) ◽  
pp. 1684-1691
Author(s):  
Mayckel da Silva Barreto ◽  
Cristina Garcia-Vivar ◽  
José Luís Guedes dos Santos ◽  
Daniela Gomes Simões Maciel ◽  
Laura Misue Matsuda ◽  
...  
Keyword(s):  
Emergency Care ◽  
Family Members ◽  
Emergency Rooms ◽  
Family Presence ◽  
Health Team ◽  
The Family ◽  
Emergency Units ◽  
Family Benefits ◽  
South Of Brazil ◽  
Support Family

ABSTRACT Objective: to understand the process that leads adult and family patients to support family presence in emergency care. Method: a qualitative study that adopted Symbolic Interactionism as a theoretical reference and the Grounded Theory as a methodological framework. The theoretical sample consisted of 15 relatives and 15 patients assisted at two emergency units in the South of Brazil. Data were analyzed using open, axial and selective coding. Results: the central category “Convergence of ideas: family members and patients supporting family presence in emergency care” is supported by the categories: “Affectionate relationship among family members”; “Tacit obligation to care for the sick relative”; “Benefits for the family”; “Benefits for the patient”; and “Benefits for the health team”. Conclusion: family presence in emergency care provides maintenance and strengthening of affectionate bonds among relatives and the experience of more sensitive and qualified care.

The Family in Family Business

2011 ◽  
Vol 24 (4) ◽  
pp. 343-361 ◽  
Author(s):  
Andrea L. Santiago
Keyword(s):  
Family Involvement ◽  
Family Business ◽  
Comparative Studies ◽  
Family Members ◽  
Management Leadership ◽  
The Family ◽  
Business Experience ◽  
And Performance ◽  
Unique Circle ◽  
Circle Model

Research abounds on the nuances of family business, many comparing management, leadership, and performance of these businesses against those that are not influenced by family involvement. Although comparative studies eventually led to the development of family business definitions, the treatment of in-laws has been surreptitiously left out. In the family business, are in-laws family members, nonfamily members, or perennially in limbo? This article presents that the in-law position, at least in the Philippine setting, is precarious, necessitating a unique circle in Tagiuri and Davis’s three-circle model. The standards of treatment and the measurement of performance depend on which position the in-law occupies in that model. Knowing exactly where everyone fits into the model creates a better understanding of how one should behave for optimal family business experience.

Team Stress and Adverse Events during Neonatal Tracheal Intubations: A Report from NEAR4NEOS

2019 ◽  
Vol 37 (14) ◽  
pp. 1417-1424 ◽  
Author(s):  
Rachel A. Umoren ◽  
Taylor L. Sawyer ◽  
Anne Ades ◽  
Stephen DeMeo ◽  
Elizabeth E. Foglia ◽  
...  
Keyword(s):  
Adverse Events ◽  
Stress Level ◽  
Neonatal Intensive Care ◽  
High Stress ◽  
Hemodynamic Instability ◽  
Neonatal Intensive Care Units ◽  
Family Presence ◽  
Stress Levels ◽  
High Stress Level ◽  
Event Rates

Objective This study aimed to examine the association between team stress level and adverse tracheal intubation (TI)-associated events during neonatal intubations. Study Design TIs from 10 academic neonatal intensive care units were analyzed. Team stress level was rated immediately after TI using a 7-point Likert scale (1 = high stress). Associations among team stress, adverse TI-associated events, and TI characteristics were evaluated. Result In this study, 208 of 2,009 TIs (10%) had high stress levels (score < 4). Oxygenation failure, hemodynamic instability, and family presence were associated with high stress level. Video laryngoscopy and premedication were associated with lower stress levels. High stress level TIs were associated with adverse TI-associated event rates (31 vs. 16%, p < 0.001), which remained significant after adjusting for potential confounders including patient, provider, and practice factors associated with high stress (odds ratio: 1.90, 96% confidence interval: 1.36–2.67, p < 0.001). Conclusion High team stress levels during TI were more frequently reported among TIs with adverse events.

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