Perceived and Unmet Needs of Critical Care Family Members

Mendonca, Dorris; Warren, Nancy A.

doi:10.1097/00002727-199805000-00009

Cited by 102 publications

(137 citation statements)

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“…In more recent descriptive studies [8][9][10][11][12][13][14] of family needs in a variety of different critical care situations, ranking of needs was similar to the rankings in the earlier studies. In some of these studies, 3,8,9,10,14 researchers also sought to determine how well family members' needs were met during the patient's stay in the ICU.…”

supporting

confidence: 64%

“…Items in that survey that were not well met related to information, comfort, and proximity. Mendonca and Warren 9 reported that 4 out of 10 of the highest ranked needs were not in the top ranked needs that were met. Needs that were not highly met were related to needs for information.…”

Section: Discussionmentioning

confidence: 99%

“…In some of these studies, 3,8,9,10,14 researchers also sought to determine how well family members' needs were met during the patient's stay in the ICU. Several of the most important needs identified by patients' family members were not found to be met at a high level, including needs for information and presence.…”

mentioning

confidence: 99%

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

Jacob

Horton

Rance-Ashley

et al. 2016

American Journal of Critical Care

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Background Although 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. Objective To 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. Methods An 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. Results The 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. Conclusion In 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. (American Journal of Critical Care. 2016;25:118-125) In descriptive research studies [3][4][5][6][7] in the 1970s and 1980s, family members of ICU adult patients consistently identified similar high-priority needs during the time of the critical illness. Some of the highest ranked needs included the need for information about their loved one, to be geographically close to their loved one, and to know that their loved one is receiving the best care possible. About the AuthorsCynthia Horton, Sharon Rance-Ashley, Tera Field, Robbie Patterson, Claudette Johnson, Holly Saunders, Tracy Shelton, and Jessica Miller are staff nurses, Carmen Frobos is a family coordinator, and Mini Jacob is the nurse educator in the neuroscience intensive care unit,

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supporting

confidence: 64%

Section: Discussionmentioning

confidence: 99%

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

Jacob

Horton

Rance-Ashley

et al. 2016

American Journal of Critical Care

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“…Son los propios profesionales los que a menudo reconocen que las actividades que realizan con la familia en el momento del ingreso son escasas 7,10 . Desde el punto de vista de los familiares, éstos perciben que el rol del personal sanitario se centra exclusivamente en el paciente, y parece que no siempre reciben la atención que necesitan 1,11,12 . En 1976, Nancy C. Molter diseñó el primer inventario de necesidades de familiares de pacientes críticos 1 .…”

Section: Conclusionesunclassified

“…En 1983, Nancy C. Molter y Jane S. Leske crearon el Critical Care Family Needs Inventory (CCFNI) 2 , y en 1991 se validó y se demostraron sus propiedades psicométricas para su uso en investigación y en la práctica clínica 13 . Desde su creación, el CCFNI ha sido ampliamente utilizado como instrumento sobre la encuesta de satisfacción intensivos ae edición española para la valoración de las necesidades de los familiares del paciente crítico 3,4,7,11,[14][15][16][17][18][19][20][21][22] .…”

Section: Introductionunclassified

Efecto de un protocolo de acogida sobre la encuesta de satisfacción familiar en una unidad de cuidados intensivos

Chacón

Pérez-Rejón

Cabrera

et al. 2011

Nursing (Ed. española)

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Efecto de un protocolo de acogida familiar en una unidad de cuidados ResumenObjetivo: Evaluar el impacto de un protocolo de acogida destinado a familiares de pacientes en nuestra unidad de cuidados intensivos (UCI) sobre el nivel de satisfacción familiar, al alta del paciente.Métodos: Estudio prospectivo cuasi-experimental. Sujetos del estudio: cuidadores principales y pacientes ingresados >24 h en la UCI. Durante dos meses, el grupo control (n=50) recibió la información y la orientación usuales del personal médico y de enfermería. Durante los dos meses siguientes, al grupo intervención (n=65) se le aplicó un protocolo de acogida estructurado y multidisciplinar, proveído en las primeras 24 h tras el ingreso. A ambos grupos (n=115) se les ofreció la Encuesta de Satisfacción Familiar en la UCI (FS-ICU©) en castellano.Resultados: El índice de respuesta del grupo control fue del 90%, frente al 70,7% del grupo intervención. Un total de 87 encuestas se consideraron válidas (>70% de ítems contestados). Observamos que el nivel de satisfacción general (FS-Total), y los niveles de satisfacción con los cuidados (FS-Cuidados) y con la toma de decisiones (FS-TD), en nuestra UCI, parecen muy altos. La mayoría de las puntuaciones de los distintos ítems de la encuesta en ambos grupos (83,3% frente al 79,1%) superaron el 75% en la escala 0-100%. La comparación de niveles de satisfacción entre grupos no muestra diferencias estadísticamente significativas. Conclusiones:Este estudio no demostró que esta intervención haya contribuido a una mejora significativa de la calidad percibida por los familiares en nuestra UCI, medidos con la encuesta FS-ICU© en castellano. Sin embargo, destaca cuestiones metodológicas para considerar en futuros estudios sobre este tema.Palabras clave: Cuidados críticos, Cuidados intensivos, Evaluación de necesidades, Familia, Indicadores de calidad de la atención de salud, Satisfacción de los consumidores, Calidad de la atención de salud, Acceso y evaluación Introducción La hospitalización en una unidad de cuidados intensivos (UCI) es frecuentemente vista por el paciente y su familia como una situación de crisis 1-4 . La rápida y abrupta instauración de una enfermedad crítica y su subsiguiente ingreso en la UCI inhibe la preparación psicológica de la familia y requiere adaptarse a una situación que conlleva cambios significativos en sus roles 5,6 . En este período inicial, en el cual son especialmente vulnerables, es esencial que tanto el paciente como la familia reciban ayuda efectiva 5,7,8 . Algunas de las necesidades que los familiares experimentan no quedan cubiertas, puesto que en nuestro país apenas existen cuidados sistemáticos dirigidos a ellos 9 . Son los propios profesionales los que a menudo reconocen que las actividades que realizan con la familia en el momento del ingreso son escasas 7,10 . Desde el punto de vista de los familiares, éstos perciben que el rol del personal sanitario se centra exclusivamente en el paciente, y parece que no siempre reciben la atención que necesitan 1,11,12 . En 1976...

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Psychometric properties of a Chinese version of the critical care family needs inventory

Chien

Lee

2005

Res. Nurs. Health

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The Critical Care Family Needs Inventory (CCFNI) was developed to measure family needs of patients with critical illness. However, testing of the CCFNI has not been undertaken for a Chinese-speaking population. The purpose of this study was to assess the psychometric properties of a Chinese version of the CCFNI in a sample of Chinese family members of critically ill patients. Translation into Chinese and reverse translation were completed before administering the questionnaire. The findings show that the Chinese version addressed adequately the original concepts and dimensions, and demonstrated a high level of equivalence with the original version. High internal consistencies (alpha = .80-.92) of the scale and its subscales were found. Principal components factor analysis supported the existence of a five-factor structure. The Chinese version also demonstrated high sensitivity to family needs in terms of severity of illness and satisfactory correlations with theoretically related constructs. These findings support the potential of the Chinese version to be used as a diagnostic tool in assessment of family needs of Chinese patients.

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Perceived and Unmet Needs of Critical Care Family Members

Cited by 102 publications

References 0 publications

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

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

Efecto de un protocolo de acogida sobre la encuesta de satisfacción familiar en una unidad de cuidados intensivos

Psychometric properties of a Chinese version of the critical care family needs inventory

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