The influence of nurse characteristics on practice skills and attitudes towards working with families in critical care: A regression analysis

Zwicky, Anja; Thaqi, Qendresa; Hediger, Hannele; Naef, Rahel

doi:10.1016/j.iccn.2022.103261

Cited by 8 publications

(7 citation statements)

References 68 publications

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“…As for individual characteristics, we found that prior to implementation, nurses' competencies in dementia care (SCIDS) were well developed while skills in family care (FNPS) were less developed. This is in line with results reported in other studies within acute care settings (Schepers et al, 2012; Zwicky et al, 2022). Many recent efforts in improving dementia care have focused on developing staff skill and competencies, but Surr and colleagues (2020) found that staff capabilities were not a significant barrier to the delivery of person‐centred dementia care.…”

Section: Discussionsupporting

confidence: 93%

Participatory development and implementation of a dementia care pathway with intervention bundles in acute care during the coronavirus pandemic: A process evaluation study

Petry

Ernst

Naef

2023

Journal of Clinical Nursing

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AimsTo explore the implementation of a dementia care pathway in an acute care setting.BackgroundDementia care in acute settings is often constrained by contextual factors. We developed an evidence‐based care pathway with intervention bundles, and implemented it on two trauma units, with the aim to empower staff and improve quality care.DesignProcess evaluation using quantitative and qualitative methods.MethodsPre‐implementation, unit staff completed a survey (n = 72) assessing family and dementia care skills and level of evidence‐based dementia care. Post‐implementation, champions (n = 7) completed the same survey, with additional questions on acceptability, appropriateness and feasibility, and participated in a focus group interview. Data were analysed using descriptive statistics and content analysis guided by the Consolidated Framework for Implementation Research (CFIR).Reporting GuidelineStandards for Reporting Qualitative Research Checklist.ResultsPre‐implementation, staff's perceived skills in family and dementia care were moderate overall, with high skills in ‘building relationships’ and ‘sustaining personhood’. Evidence‐based interventions were delivered seldom to frequent, with ‘individualized care’ scoring lowest and ‘assessing cognition’ scoring highest. Implementation of the care pathway/intervention bundles was overshadowed by the pandemic, and failed due to major organisational‐ and process‐related barriers. Acceptability scored highest and feasibility lowest, with concerns relating to complexity and compatibility of pathways/bundles when introduced into clinical routines.ConclusionsOur study implies that organisational and process factors are the most influential determinants to the implementation of dementia care in acute settings. Future implementation efforts should draw on the evolving evidence within implementation science and dementia care research to ensure effective integration and improvement process.Relevance to Clinical PracticeOur study provides important learning around improving care for persons with dementia and their families in hospitals.Patient or Public ContributionA family caregiver was involved in the development of the education and training programme.

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Section: Discussionsupporting

confidence: 93%

Participatory development and implementation of a dementia care pathway with intervention bundles in acute care during the coronavirus pandemic: A process evaluation study

Petry

Ernst

Naef

2023

Journal of Clinical Nursing

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“…This suggests that if the participants identify nurses, they may be a top priority for them to speak with. In support of this 19 pointed out that nurses' clinical specialty had a signi cant in uence on their attitudes towards overall. In their study 19 results suggested that nurses' prior education in family nursing and clinical specialty determine their ability to work with and engage families in critical care.…”

Section: Perceived Informationmentioning

confidence: 82%

“…In support of this 19 pointed out that nurses' clinical specialty had a signi cant in uence on their attitudes towards overall. In their study 19 results suggested that nurses' prior education in family nursing and clinical specialty determine their ability to work with and engage families in critical care. ICU nurses are well-positioned to assist because they have the greatest contact with both the patient and the family 13 .…”

Section: Perceived Informationmentioning

confidence: 82%

‘Hearing nothing from those caring for my patient is depressing’: Family members’ perception of their needs in intensive care unit at Kamuzu Central Hospital, Malawi

Kalolo¹,

Mula

Gundo

2023

Preprint

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Background Family members are the first people that recognize satisfactory care provided to their patients regardless of the outcome. However, little is known about the perceptions of family members regarding their needs when a relative is admitted to the Intensive Care Unit (ICU). We explored family members’ perceptions of their needs in the ICU at Kamuzu Central Hospital in Lilongwe, Malawi. Study Designs and Methods The study used a qualitative descriptive design. We purposively selected 12 participants from immediate family members of patients hospitalized for 48 hours or more in ICU and adult HDU at Kamuzu Central Hospital. Data were collected through in-depth interviews. Data analysis followed the steps of conventional content analysis. Findings The following four themes were identified: perceived information, physical, and psychosocial needs, and coping mechanisms of the family members. The findings indicated that family members need to access information about their patient’s progress to lessen their anxiety as a priority compared to other needs such as comfort, and foodstuffs among others. Conclusion This study suggests that there should be a collaborative relationship between the ICU team and family members in order to meet their needs. Health professionals should be aware of how strong family members need information about their patients. The findings affirm the need to offer the basic guidelines or standards developed by both health professionals and family members on their needs and support when they have a patient in ICU.

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“…However, in the wider literature, there is little consistency in nurses' characteristics and their relationship to their FNP. Zwicky et al (2022) postulated an original theoretical model which showed that prior education in family nursing and nurses´ clinical specialism both influenced family nursing practice. Other studies such as Svavarsdottir et al (2018) have shown that graduate nurses have a higher perception of FNP than nurses with only a bachelor's education.…”

Section: Backg Rou N Dmentioning

confidence: 99%

“…There is also some evidence that the work environment and negative organizational traits such as ethical conflict and depersonalisation due to burnout hinder family care delivery in intensive care units (McAndrew et al, 2019). Zwicky et al (2022) identified that nurse characteristics do influence FPN, but that there are also differences between nurses in how they relate to families which are determined by their perspectives on the family and workload. No previous studies succinctly identify the actions needed for, perceived benefits of and specific barriers to family engagement in care that influence FNP.…”

Section: Introductionmentioning

confidence: 99%

Influence of perceived benefits, barriers and activities of family engagement in care on family nursing practice: A cross‐sectional correlational study

Kiwanuka

Nanyonga

Sak‐Dankosky

et al. 2023

Journal of Advanced Nursing

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AimsTo describe nurses' perceptions of family nursing practice and to explore the influence of their perceptions of the benefits, barriers and activities of family engagement in care on family nursing practice.DesignA cross‐sectional correlational study.MethodsIn total, 460 nurses from two tertiary hospitals in the central region of Uganda participated. Quantitative and qualitative data were collected between August 2020 and January 2021 using the Family Nursing Practice Scale. Analyses included descriptive statistics, t‐test, Pearson correlation, analysis of variance and ordinal logistics regression. Quantitative content analysis was carried out on the textual data.ResultsNurses who perceived that family engagement in care improves patient and family outcomes were more likely to rate family nursing practice highly. Perceived barriers to family engagement in care particularly time constraints, work overload and family‐related conflicts have a negative and significant influence on family nursing practice. Nurse characteristics such as education, usual shift pattern and personal experience of having a family member in hospital are significantly associated with family nursing practice; nurses who work morning shifts were likely to report higher family nursing practice.ConclusionThe study reveals that several parameters (perceived barriers, perceived benefits and nurse characteristics) influence nursing practice with families. Thus, bearing in mind the diversity of healthcare contexts, the findings show that multiple interacting factors are important for advancing family nursing interventions and practice.ImpactProbabilistic factor‐specific predictions of nursing practice with families are provided in this study – this addresses a gap in the evidence regarding the elements that should be optimized when designing well‐informed policies and interventions to advance family nursing practice. A comparison of results in the literature with the present study's findings suggests a need to broaden the scope and context perspective in future research and broaden the understanding of how nurses´ perceptions influence family engagement in care.Reporting methodThe study adheres to the STROBE reporting guidelines.Patient or public contributionFamily members/caregivers were involved in the design of the study particularly in assessment of validation of the tools used in the study.

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The influence of nurse characteristics on practice skills and attitudes towards working with families in critical care: A regression analysis

Cited by 8 publications

References 68 publications

Participatory development and implementation of a dementia care pathway with intervention bundles in acute care during the coronavirus pandemic: A process evaluation study

Participatory development and implementation of a dementia care pathway with intervention bundles in acute care during the coronavirus pandemic: A process evaluation study

‘Hearing nothing from those caring for my patient is depressing’: Family members’ perception of their needs in intensive care unit at Kamuzu Central Hospital, Malawi

Influence of perceived benefits, barriers and activities of family engagement in care on family nursing practice: A cross‐sectional correlational study

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