Sharing the critically ill patient’s information with the family: Reflections and lessons learned

Matlakala, Mokgadi C.

doi:10.5430/jnep.v5n10p115

Cited by 3 publications

(7 citation statements)

References 15 publications

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“…Apart from the patient's condition other factors that determine when and how often families get involved in provision of care for patients in KNH are different from those identified in other studies [11,18,19,20].…”

Section: To Explore the Perspectives Of Nurse Managers Towards Involvmentioning

confidence: 69%

“…Lack of involvement policies was also reported in studies conducted in Bahrain and Malawi [11,18]. Failure to have documented guiding policies on how what and when to involve families in care of critically ill patients leaves nurses and nurse managers to decide whether to do it or not which may disadvantage families depending on the decision the nurse makes and result in dissatisfaction of family members [19].…”

Section: To Describe the Policies Guiding The Involvement Of Familiesmentioning

confidence: 99%

“…Patients' families are often tasked with the responsibility of caring for their relative during post rehabilitation period at home. The support from family is viewed as critical in achieving desirable patient outcomes and the quality of medical care [12,19].…”

Section: Justificationmentioning

confidence: 99%

“…Although a study in four ICUs in South Africa showed there were policies to guide involvement, some nurses would determine what to share depending on what they were willing or not willing to discuss with families. [19]. This indicates that regardless of the guiding policies, nurses' perspectives play a great role in the nature and extent of involvement of patients' relatives in the care of the critically ill patient.…”

Section: Involvement Policiesmentioning

confidence: 99%

“…The factors that nurses considered before involving family in care as well as reasons for hesitance in including families in care despite acknowledging the benefits include: previous unpleasant experience, busy schedule, the patients' clinical condition and treatment being given, privacy and safety concerns, physician orders on how much information to provide to relatives type of caring activity, family relationships, lack of adequate ICU training and feelings of inadequacy, lack of skills in care and respect of nurses' role by family members, emotional responses, nurses discomfort and stress from constant observation by the visiting family communication challenges, culture and religion, distrusting relatives, fear of blame if something goes wrong and lack of guiding policies on how to manage relatives [11,18,19,20].…”

Section: Nurses Perspectives On Involvement Of Family Inmentioning

confidence: 99%

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Involvement of Patients’ Families in Care of Critically Ill Patients at Kenyatta National Hospital Critical Care Units

Maina¹

2018

AJNS

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Patients assess the likely benefits and risks of a recommended treatment or investigation and make a decision to either accept or refuse treatment. When a patient loses the capacity to participate meaningfully in decision making, a means should exist to ensure decisions that represent the patient's goals, preferences, and interests are made. This means is substitute decision making, and it usually occurs when a spouse, partner, close family member, or friend assumes this responsibility on behalf of the incapacitated patient. Limited involvement in patient care activities at the hospital can lead to distress in the family as well as challenge family members in assuming the likely expected role when the patient returns home. This study aimed at determining the nature and extent of family/substitute decision makers' involvement in care of the critically ill patients, guiding policies and the perspectives of nurse managers on involvement in Kenyatta National Hospital (KNH) critical care units (CCUs). This was a descriptive cross sectional study with family members and CCU nurse managers as the study participants. Key informants' interviews and in depth interviews were conducted. The sample size was 52 family members and four nurse managers. Quantitative data was analyzed using Statistical Package for Social Sciences (SPSS) version 21.0 and descriptive content analysis for qualitative data. Family members reported emotional distressed from the admission of a family member to the critical care unit. However their level of satisfaction with the extent of involvement was above average at a mean of 6.5. The activity mostly involved in was sharing of general information at 57.7% (n=30) with 36.5% (n=19) feeling they should have been provided with in depth information regarding the patients care. The key themes from interviews with family members were: limited information involvement, guilt feeling, and appreciation. Nurse Managers reported KNH has a closed visiting policy with none feeling it should be changed to an open policy. They also unanimously agreed that family members should be involved in care of the critically ill patients through information sharing and counseling. Two nurse managers felt primary care nurses should involve families in general nursing activities such as oral care with all agreeing that the nurses don't involve families in these activities. There was a statistical relationship (p<0.05 at a 95% confidence interval and R 2 =0.689) between the perspectives of nurse managers and the nature and extent of involvement of family members in care.

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Section: To Explore the Perspectives Of Nurse Managers Towards Involvmentioning

confidence: 69%

Section: To Describe the Policies Guiding The Involvement Of Familiesmentioning

confidence: 99%

Section: Justificationmentioning

confidence: 99%

Section: Involvement Policiesmentioning

confidence: 99%

Section: Nurses Perspectives On Involvement Of Family Inmentioning

confidence: 99%

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Involvement of Patients’ Families in Care of Critically Ill Patients at Kenyatta National Hospital Critical Care Units

Maina¹

2018

AJNS

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Cyberincivility among Filipino Nursing Students in a public university: knowledge, experience, and acceptability

Dinero,

Fuentes,

Oducado

et al. 2023

J. Ners

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Introduction: The pandemic rapidly shifted nursing education to the online platform, and cybercommunication may expose students to the risk of online uncivil behaviors. Understanding cyberincivility in the primary mode of education during the pandemic is necessary. This study determined the cyberincivility knowledge, experience, and perception of acceptability among nursing students in the Philippines. Methods: A cross-sectional research design was employed with 300 Filipino nursing students of a public university who participated in the survey conducted last June 2021 using the Academic Cyberincivility Assessment Questionnaire. Data were described, and statistical differences and relationships were tested using ANOVA, t-Test, and Pearson correlation. Results: Findings indicated that nursing students generally had high knowledge (M=11.53), low experience (M=1.67), and low acceptability (M=1.41) of online uncivil behaviors. Academic cyberincivility knowledge, experiences, and acceptability did not significantly vary (p>0.05) based on sex, year level, and duration of daily internet usage. There was a significant positive moderate correlation (r=.402, p=.000) between cyberincivility experience and acceptability. Conclusions: Nursing schools should continuously strive to avoid the risk of uncivil cyberspace behaviors and promote an online culture of civility in online learning spaces.

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Nursing Technology Supporting Family Involvement in Critically Ill Patients: A Systematic Review

Sumardi,

Ismail,

Kaloeti

2023

ICON Journal

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Background: Family involvement in the care of critically ill patients positively impacts treatment outcomes and patient well-being. Nursing technology has become an essential tool in facilitating family engagement Aims: This study aims to conduct a systematic review of nursing technology that supports family involvement in critically ill patients. Methods: This article utilized a systematic review method. Articles were assessed using the JBI Critical Appraisal Checklist. The instruments were the JBI Critical Appraisal Checklist for Randomized Controlled Trials and the JBI Critical Appraisal Checklist for Cohort Studies. Literature from the past five years was obtained from four databases: Science Direct, Scopus, Springer Link, and ProQuest. Results: Out of 148 articles, 15 were analyzed. Various technologies (such as web-based platforms, tablets, SMS tools, and video conferencing) were used to provide information, enhance decision-making, and provide virtual access to family conferences. Although interventions varied, "Information sharing" and "Activation and participation" were most commonly implemented in the family involvement model. In studies that discussed the components of family involvement more comprehensively, interventions allowed for information adjustment through two-way communication and active family participation in the decision-making process. Conclusion: Based on the findings of this systematic review, it can be concluded that nursing technology has great potential in supporting family involvement in critically ill patients. This technology can significantly improve family well-being, communication, and decision-making. Further research can focus on a deeper understanding of the emotional impact experienced by families of critically ill patients due to the use of technology.

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Sharing the critically ill patient’s information with the family: Reflections and lessons learned

Cited by 3 publications

References 15 publications

Involvement of Patients’ Families in Care of Critically Ill Patients at Kenyatta National Hospital Critical Care Units

Involvement of Patients’ Families in Care of Critically Ill Patients at Kenyatta National Hospital Critical Care Units

Cyberincivility among Filipino Nursing Students in a public university: knowledge, experience, and acceptability

Nursing Technology Supporting Family Involvement in Critically Ill Patients: A Systematic Review

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