Intensive care nurse-family engagement from a global perspective: A qualitative multi-site exploration

Naef, Rahel; Brysiewicz, Petra; Andrew, N.; Beierwaltes, Patricia; Chiang, Chung Lim Vico; Clisbee, David; Beer, Jennifer de; Honda, Junko; Kakazu, Shota; Nagl‐Cupal, Martin; Price, Ann M.; Richardson, Sandra; Richardson, Anna; Tehan, Tara; Towell-Barnard, Amanda; Eggenberger, Sandra

doi:10.1016/j.iccn.2021.103081

Cited by 35 publications

(32 citation statements)

References 59 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…One reason may be that the majority stemmed from Western cultures of which one included international data ( Hamilton et al, 2020 ). Our findings are also in line with a recent global study on ICU family engagement, which found few differences across countries ( Naef et al, 2021 ). However, methodological limitations make it difficult to draw reliable conclusions.…”

Section: Discussionsupporting

confidence: 93%

The Implementation of Evidence-Informed Family Nursing Practices: A Scoping Review of Strategies, Contextual Determinants, and Outcomes

2022

Self Cite

View full text Add to dashboard Cite

There is a lack of knowledge about the successful implementation of family nursing practices. This scoping review maps current knowledge about the implementation of evidence-informed family nursing practices across settings and populations. A systematic search (CINAHL, PubMed, Medline) identified 24 publications, published between 2010 and 2020. We found nurses’ implementation experience to be one of disruption, learning, and moving to new ways of practicing. The implementation resulted in benefits to families and self but was marked by fluctuation and partial integration of evidence-informed family nursing practices into care delivery. Uptake was shaped by various contextual determinants, with barriers mainly at the team and organizational levels. We identified low-quality, tentative evidence that capacity-building strategies coupled with dissemination-educational strategies may enable family nursing practice skills and increase the quality of family care. More rigorous research is needed to build further knowledge about effective implementation. Future implementation endeavors should utilize the evolving knowledge base in family nursing and tailor implementation strategies to contextual barriers.

show abstract

Section: Discussionsupporting

confidence: 93%

The Implementation of Evidence-Informed Family Nursing Practices: A Scoping Review of Strategies, Contextual Determinants, and Outcomes

2022

Self Cite

View full text Add to dashboard Cite

show abstract

“…For example, these could reflect different health care policy environments or differences in cultural values. A recent qualitative study reported that factors such as the organizational environment, the patient's condition, and the nurse's attitudes and perceptions of family were factors that resulted in variation in practices for involving families in care in intensive care units (Naef et al, 2021). However, the manner in which nurses involve families in care is not well understood (Misto, 2018;Naef et al, 2021).…”

Section: Limitationsmentioning

confidence: 99%

“…A recent qualitative study reported that factors such as the organizational environment, the patient's condition, and the nurse's attitudes and perceptions of family were factors that resulted in variation in practices for involving families in care in intensive care units (Naef et al, 2021). However, the manner in which nurses involve families in care is not well understood (Misto, 2018;Naef et al, 2021). Future studies making cross-country comparisons should explore the cultural, relational, and organizational context (e.g., organizational policies for family involvement in care, guidelines) with regard to nurses' attitudes and the role of the family in nursing care (Naef et al, 2021).…”

Section: Limitationsmentioning

confidence: 99%

“…However, the manner in which nurses involve families in care is not well understood (Misto, 2018;Naef et al, 2021). Future studies making cross-country comparisons should explore the cultural, relational, and organizational context (e.g., organizational policies for family involvement in care, guidelines) with regard to nurses' attitudes and the role of the family in nursing care (Naef et al, 2021).…”

Section: Limitationsmentioning

confidence: 99%

See 1 more Smart Citation

Nurses’ Attitudes Toward the Importance of Families in Nursing Care: A Multinational Comparative Study

et al. 2021

View full text Add to dashboard Cite

The aim of this study was to examine nurses’ attitudes about the importance of family in nursing care from an international perspective. We used a cross-sectional design. Data were collected online using the Families’ Importance in Nursing Care—Nurses’ Attitudes (FINC-NA) questionnaire from a convenience sample of 740 registered nurses across health care sectors from Sweden, Ontario, Canada, and Hong Kong, China. Mean levels of attitudes were compared across countries using analysis of variance (ANOVA). Multiple regression was used to identify factors associated with nurses’ attitudes and to test for interactions by country. Factors associated with nurse attitudes included country, age, gender, and several practice areas. On average, nurses working in Hong Kong had less positive attitudes compared with Canada and Sweden. The effects of predictors on nurses’ attitudes did not vary by country. Knowledge of nurses’ attitudes could lead to the development of tailored interventions that facilitate nurse-family partnerships in care.

show abstract

“…When parents are included in child care decisions, these discussions promote the parents' view development, offer the opportunity for truly collaborative care, demonstrate respect for the parents' needs 17,22,23 .…”

Section: Resultsmentioning

confidence: 99%

Parent and Staff Perception about the Family-Centered Care in Private Service

2021

View full text Add to dashboard Cite

Having a newborn hospitalized in the Neonatal Intensive Care Unit can be an extremely stressful and desperate situation for families who end up needing assistance and support to stay by their child's side. To evaluate the perception of family-centered care from the perspective of the healthcare team and parents of newborns hospitalized in the neonatal intensive care unit of a private health service. Descriptive survey, carried out in private a neonatal intensive care unit of a large hospital. Two instruments were applied to measure the professional of healthcare team and parent’s perceptions of family-centered care. The study involved 102 parents and 102 professionals of the healthcare team. The barriers identified for the implementation of patient and family-centered care were related to the items family inclusion and participation in the care of newborns; presence of parents during procedures; recognition by professionals of the support sources for the family, identification of resources in the unit by parents and perception of the multiprofessional care team turnover regarding the care to the newborn by the newborn’s parents. It is necessary to invest in continuing education programs to make the healthcare team aware for the Patient and Family-centered Care and written protocols to implement this model of care on practice. Keywords: Infant, Newborn. Family. Intensive Care Units, Neonatal. Nursing. Resumo Ter um recém-nascido internado na Unidade de Terapia Intensiva Neonatal pode ser uma situação extremamente estressante e desesperadora para as famílias que acabem necessitando de apoio e suporte para permanecer ao lado do filho. Avaliar a percepção do Cuidado Centrado na Família na perspectiva da equipe de saúde e dos pais de recém-nascidos hospitalizados na unidade de terapia intensiva neonatal de um serviço de saúde privado. Pesquisa do tipo survey descritivo, realizada em uma unidade de terapia intensiva neonatal de um hospital de grande porte, de direito privado. Utilizaram-se dois instrumentos de medida da percepção de profissionais da equipe de saúde e de pais sobre o cuidado centrado na família. Participaram do estudo 102 pais e 102 profissionais da equipe de saúde. As barreiras identificadas para a implementação do cuidado centrado no paciente e família foram relacionadas aos itens inclusão e participação da família nos cuidados; permanência dos pais durante os procedimentos; reconhecimento pelos profissionais das fontes de suporte da família, identificação das fontes de ajuda na unidade pelos pais e percepção da rotatividade da equipe multiprofissional no cuidado ao recém-nascido pelos pais. Há necessidade de programas de educação permanente para sensibilizar os profissionais para o Cuidado Centrado no Paciente e Família e a elaboração de protocolos para sua implementação na prática. Palavras-chave: Recém-Nascido. Família. Unidades de Terapia Intensiva Neonatal. Enfermagem.

show abstract

Intensive care nurse-family engagement from a global perspective: A qualitative multi-site exploration

Cited by 35 publications

References 59 publications

The Implementation of Evidence-Informed Family Nursing Practices: A Scoping Review of Strategies, Contextual Determinants, and Outcomes

The Implementation of Evidence-Informed Family Nursing Practices: A Scoping Review of Strategies, Contextual Determinants, and Outcomes

Nurses’ Attitudes Toward the Importance of Families in Nursing Care: A Multinational Comparative Study

Parent and Staff Perception about the Family-Centered Care in Private Service

Contact Info

Product

Resources

About