The accompaniment needs of the family with a loved one in the critical care unit

Nurses have unique opportunities to create environments where patient and family needs can be met. Opsomming Verpleegkundiges het ‘n unieke geleentheid om ‘n omgewing te skep waar daar aan die behoeftes van beide die pasiënte en hul gesinslede voldoen word. *Please note: This is a reduced version of the abstract. Please refer to PDF for full text.

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Kebutuhan Keluarga Pasien Critical Care Unit (CCU)

Jurnal Keperawatan Abdurrab ◽

10.36341/jka.v4i2.1471 ◽

2021 ◽

Vol 4 (2) ◽

pp. 24-37

Author(s):

Repindra Oktari ◽

Hellena Deli ◽

Lita Lita

Keyword(s):

Critical Care ◽

Support System ◽

Critical Care Unit ◽

Univariate Analysis ◽

Sampling Technique ◽

Family Needs ◽

Waiting Room ◽

Health Treatment ◽

Consecutive Sampling ◽

The Family

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.

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Comparison between nurses' and families' opinion about priorities of immediate patient's family needs

Journal of Nursing Education and Practice ◽

10.5430/jnep.v9n1p113 ◽

2018 ◽

Vol 9 (1) ◽

pp. 113

Author(s):

Intessar Mohamed Ahmad

Keyword(s):

Critical Care ◽

Critically Ill ◽

Critically Ill Patients ◽

Time Frame ◽

Medical Institute ◽

Family Needs ◽

The Family ◽

The Mean ◽

Individual Needs ◽

Strongly Agree

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.

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

NurseLine Journal ◽

10.19184/nlj.v3i2.9127 ◽

2018 ◽

Vol 3 (2) ◽

pp. 115

Author(s):

Wantiyah Wantiyah ◽

Muhamad Zulfatul A'la ◽

Baskoro Setioputro ◽

Siswoyo Siswoyo

Keyword(s):

Critical Care ◽

Construct Validity ◽

Nursing Intervention ◽

Family Needs ◽

Validity And Reliability ◽

The Family ◽

Care Approach ◽

Care Family ◽

Centered Care ◽

Family Based

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.

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Family needs among patients hospitalized in critical care unit: Scoping review

Enfermería Clínica ◽

10.1016/j.enfcli.2021.09.001 ◽

2021 ◽

Vol 31 ◽

pp. 541-548

Author(s):

Siti Rahmalia Hairani Damanik ◽

Hsing-Mei Chen

Keyword(s):

Critical Care ◽

Scoping Review ◽

Critical Care Unit ◽

Family Needs

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Kliniese verpleegsorgstandaarde vir die volwasse pasiënt op drukgekontroleerde ventilasie in die kritiekesorgeenheid

Health SA Gesondheid ◽

10.4102/hsag.v7i3.92 ◽

2002 ◽

Vol 7 (3) ◽

Author(s):

Michelle Martin ◽

Eben Arries ◽

Elsabe Nel

Keyword(s):

Critical Care ◽

Nursing Care ◽

Full Text ◽

Critical Care Unit ◽

Controlled Ventilation ◽

Clinical Nursing ◽

Pressure Controlled Ventilation ◽

Pressure Controlled

The purpose of this article is to describe clinical nursing care standards for a patient on pressure-controlled ventilation in a critical care unit. Opsomming Die doel van hierdie artikel is om kliniese verpleegsorgstandaarde vir die volwasse pasiënt op drukgekontrolleerde ventilasie in die kritiekesorgeenheid te beskryf. *Please note: This is a reduced version of the abstract. Please refer to PDF for full text.

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Death-myth or reality : an exploratory study on death and bereavement perception among Chinese bereaved who lose the loved one in critical care unit

10.5353/th_b3197298 ◽

2004 ◽

Author(s):

Shuk-fun, Jess Lo

Keyword(s):

Critical Care ◽

Exploratory Study ◽

Critical Care Unit ◽

Loved One

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Persepsi Perawat Neurosurgical Critical Care Unitterhadap Perawatan Pasien Menjelang Ajal

Jurnal Keperawatan Padjadjaran ◽

10.24198/jkp.v2i1.80 ◽

1970 ◽

Vol 2 (1) ◽

Author(s):

Meilita Enggune ◽

Kusman Ibrahim ◽

Hana Rizmadewi Agustina

Keyword(s):

Intensive Care Unit ◽

Palliative Care ◽

Critical Care ◽

Intensive Care ◽

End Of Life Care ◽

Critical Care Unit ◽

Life Care ◽

Dying Patients ◽

The Family ◽

Dying Patient

Tingginya angka kematian yang terjadi di unit perawatan intensif, menuntut peningkatan pelayanan perawatan paliatif termasuk perawatan pasien menjelang ajal, yang melibatkan perawat perawatan kritis. Tujuan penelitian ini untuk memperoleh gambaran persepsi perawat terhadap perawatan pasien menjelang ajal di ruang Neurosurgical Critical Care Unit(NCCU). Delapan perawat pelaksana di ruang NCCU RSHS Bandung dilibatkan dalam penelitian deskriptif kualitatif ini dengan rentang usia antara 27– 43 tahun, dan bekerja selama 3–20 tahun. Teknik sampling yang digunakan adalah purposive samplingdan jumlah informan dibatasi setelah data jenuh. Pengumpulan data dengan melakukan wawancara semi terstruktur, dan analisis yang digunakan adalah content analysis. Hasil penelitian didapatkan 4 tema dan 15 subtema yaitu: (1) Pemahaman perawat tentang perawatan pasien menjelang ajal yaitu: membantu pasien meninggal dengan tenang, menghadirkan keluarga untuk memberikan dukungan, dan lebih berfokus pada bimbingan spiritual; (2) Cara menghadapi kematian yang sering terjadi yaitu: adaptasi perawat terhadap kondisi pasien menjelang ajal, kesulitan menentukan fase menjelang ajal pasien kritis, dilema dalam pengambilan keputusan, dan empati; (3) Peran perawat dalam mempersiapkan pasien menjelang ajal yaitu: pembimbing spiritual pasien, komunikator, fasilitator, dan pemberi dukungan emosional keluarga; (4) Hal-hal yang perlu diperbaiki dalam perawatan menjelang ajal yaitu: diperlukan pelatihan perawatan paliatif pada pasien kritis, diperlukan ruangan khusus pasien menjelang ajal, diperlukan pembimbing rohani khusus, dan diperlukan standar operasional prosedur (SOP) perawatan pasien menjelang ajal. Perawat perlu memberikan perawatan yang membantu pasien meninggal dengan tenang, memberikan dukungan untuk keluarga, dan lebih difokuskan untuk memenuhi kebutuhan spiritual pasien.Kata kunci: Intensive Care Unit, perawatan akhir hidup, persepsi perawat AbstractThe high number of death that occurred in the Intensive Care Unit, strive to improve palliative care services including the provision of care of dying patients by critical care nurses. The purpose of this study was to obtain a perception of nurses toward the care of dying patients in the Neurosurgical Critical Care Unit ( NCCU ). Eight nurses who work at NCCU were involved in this study, age between 27- 43 and have been working from 3 to 20 years. The sampling technique used the purposive sampling method and a limited number of informants after data saturated. Data collection was done by conducting semi- structured interviews, content analysis was used to analyse the data. There are four themes with 15 sub-themes include: 1) Nurse understanding about caring for dying patients: help the patients to die peacefully, presenting the family to provide supports, and more focused on spiritual guidance. 2) Way of handling the frequent of death occurance: adaptation of nurses to dying condition, difficulty determining the critical phase of the dying patient, dilemmas in decision-making, and empathy. 3) The role of nurses in preparing for the dying patient: the patient spiritual guides, communicators, facilitators, and providers of family emotional support. 4) The Things that need to be improved in end of life care: the palliative care training is required in critically ill patients as well as separate unit for dying patients, exclusive spiritual guide, and standard operating procedures (SOP) of care for the dying patients. It can be concluded that nurses need to provide treatment that helping patients to die peacefully, and providing support for the family, which is focused on meeting the spiritual needs of patients.Key words:Intensive Care Unit, end of life care, nurses perception

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A Family-centered Critical Care Unit

AACN Advanced Critical Care ◽

10.4037/15597768-1991-2011 ◽

1991 ◽

Vol 2 (2) ◽

pp. 258-266

Author(s):

Kim Smith ◽

Barbara J. Kupferschmid ◽

Carrie Dawson ◽

Tess I. Briones

Keyword(s):

Critical Care ◽

Family Support ◽

Support Group ◽

Critical Care Unit ◽

Family Care ◽

Implementation Strategies ◽

Clinical Nurse ◽

The Family ◽

Medical Crisis ◽

Family Centered

Although care of the family has long been a focus of nursing, there has been an increased emphasis in recent years to provide opportunities for families to be an integral part of the hospitalization experience. This has been difficult for many nurses who perceive themselves as competent to care for a patient in “medical crisis” but feel unqualified to provide family care. This article will address issues related to implementing a family-centered philosophy of care in a critical care unit. Implementation strategies that will be discussed include: formulating a staff-led family support group and family committee, instituting a family visitation contract within open visitation parameters, and developing clinicians with expertise in family care. Tools such as a performance plan for a Clinical Nurse II specializing in family care and the family visitation contract will be shared

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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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