Needs of family members of patients admitted to a university hospital critical care unit, Izmir Turkey: comparison of nurse and family perceptions

Abstract

Purpose: This study aims to compare the perceptions of nurses and families on the needs of the relatives of the patients in Intensive Care Unit (ICU). Methods This cross-sectional study was conducted in the ICU of a university hospital. The study comprised 213 critical care patients’ relatives and 54 nurses working in the same ICU. Data were collected using the Turkish version of Critical Care Family Needs Inventory (CCFNI) and a questionnaire on the characteristics of the participants. The difference between the perceptions of families and nurses was analyzed using Student t-test. Results: CCFNI’s assurance/proximity subscale mean scores ranked first among bothpatients and nurses. The item “To be assured the best care possible is being given to the patient” was the top priority for both groups. Mean assurance/proximity and information dimensions of relatives were significantly higher compared to nurses (p < 0.001). No significant difference was found between the perception of patient relatives and nurses related to support and comfort dimensions (p < 0.05). Conclusion The needs of the relatives of patients are underestimated by nurses. This inhibited the performance of ICU nurses in line with the holistic care approach. Educational objectives that include the needs of ICU patients’ relatives should be incorporated into the undergraduate and in-service training of nurses. Policies should be established to create space and time for effective relative-nurse communication.

Comparison of Intensive Care Unit Nurses’ and Family Members’ Priorities of Patient and Family-centered Care in Ghana

“…This was similar to the finding of study conducted at Emory Hospital in 2010 in the USA[22]. It is important to note that family members always want to be abreast of patient treatment such as what is done, the type of treatment and reason for the treatment[35]. Thus, it was not surprising families prioritized access to information and education more than nurses.…”

Family needs of patients in intensive care unit a literature review

“…Hasil analisis artikel dinyatakan bahwa semua artikel (100%) menyebutkan terdapat 5 subkategori tentang kebutuhan keluarga yaitu kebutuhan jaminan, informasi, kedekatan, dukungan dan kenyamanan [13,14,15,16,17,18,19,20,21,22,23,24,25].…”

“…Kebutuhan keluarga pasien di ruang perawatan intensif baik di Indonesia maupun di luar Indonesia yang menggunakan instrumen Critical Care Family Needs Inventory (CCFNI) didapatkan hasil bahwa semua artikel (100%) yang menggunakan instrumen tersebut menghasilkan jaminan sebagai kebutuhan prioritas terpenting [14,16,17,19,21,24,25].…”

“…Kebutuhan keluarga pasien di ruang perawatan intensif merupakan kebutuhan keluarga yang harus dipenuhi oleh tenaga kesehatan sehingga dapat menciptakan keselarasan pelayanan yang bermutu. Hasil analisis artikel dinyatakan bahwa semua artikel menyebutkan terdapat 5 subkategori tentang kebutuhan keluarga yaitu kebutuhan jaminan, informasi, kedekatan, dukungan dan kenyamanan [13,14,15,16,17,18,19,20,21,22,23,24,25].…”

“…Wantiyah Wantiyah / Family needs of patients in intensive care unit a literature review menggunakan instrumen Critical Care Family Needs Inventory (CCFNI) didapatkan hasil bahwa semua artikel (100%) yang menggunakan instrumen tersebut menghasilkan jaminan sebagai kebutuhan prioritas terpenting [14,16,17,19,21,24,25]. Hal ini didukung oleh penelitian bahwa prioritas kebutuhan keluarga pasien di ruang perawatan intensif adalah jaminan [4].…”