Volume 6, Issue 4, August 2017, Page: 333-346
Family Needs of Critically Ill Patients Admitted to the Intensive Care Unit, Comparison of Nurses and Family Perception
Amany Lotfy Abdel-Aziz, Faculty of Nursing, Tanta University, Tanta, Egypt
Safaa Eid Sayed Ahmed, Faculty of Nursing, Tanta University, Tanta, Egypt
Gehan Abd El-Hakeem Younis, Faculty of Nursing, Tanta University, Tanta, Egypt
Received: May 31, 2017;       Accepted: Jun. 12, 2017;       Published: Jul. 18, 2017
DOI: 10.11648/j.ajns.20170604.18      View  3091      Downloads  395
Abstract
In critical care unit, nurses provide care for critically ill patient and provide support for patient's families. Also, critical illness has an effects on patient' families and may threatened their stability. The aim of the study was to identify the perception of critically ill patient's family and nurses’ towards family needs, and the extent to which those needs are viewed as met. A descriptive research design was used in this study. The study was conducted at medical, anesthesia and neurology Intensive Care Units (ICU) at Tanta University and Emergency Hospitals, Tanta, Egypt. All critical care nurses working in the three units were included in the study. Also, Convenience sample of 90 family members of critically ill patients were included. Two tools were utilized to collect data: Tool (I): Socio-demographic characteristics of family members and nurses. Tool II: The combined 30-item version of the Critical Care Family Needs Inventory/Needs Met Inventory (CCFNI/NMI). The results of this study reported that the mean score of important information needs perceived by family members was increased (24.04±3.09), while it was (22.12±3.05) among the studied nurses. Also, the mean score of MET information needs perceived by family members was (18.02±2.36) while it was (19.54±2.32) among studied nurses. The mean score (24.17±2.26) of important item of proximity domain was increased among studied family members than among nurses (22.64±2.43). It was concluded that most of the important needs perceived by family members in the three ICUs are not always met except some needs were met in little percentage. Nurses and patients' families had ranked higher mean score regarding the information, proximity and assurance needs than support and comfort needs. It was recommended: Nurses need to continuously identify strategies to best meet the needs of family members in times of crisis.
Keywords
Family Needs, Nurses Perception, Family Perception
To cite this article
Amany Lotfy Abdel-Aziz, Safaa Eid Sayed Ahmed, Gehan Abd El-Hakeem Younis, Family Needs of Critically Ill Patients Admitted to the Intensive Care Unit, Comparison of Nurses and Family Perception, American Journal of Nursing Science. Vol. 6, No. 4, 2017, pp. 333-346. doi: 10.11648/j.ajns.20170604.18
Copyright
Copyright © 2017 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Reference
[1]
Lee, L. Y., & Lau, Y. L. Immediate needs of adult family members of adult intensive care patients in Hong Kong. Journal of Clinical Nursing, 2003; 12 (1): 490-500.
[2]
Chien W, Chiub Y, Lama L and Ipa W. Effects of a needs-based education program for family carers with a relative in an intensive care unit: A quasi-experimental study, International Journal of Nursing Studies (2006); 43 (1): 39-50.
[3]
Farell, M. E., Joseph, D. H and Schwartz-Barcott, D. Visiting Hours in the ICU: Finding the Balance among Patient, Visitor, and Staff Needs. Nursing Forum J, (2005); 40 (1): 18-28.
[4]
Maxwell KE, Stuenkel D and Saylor C. Needs of family members of critically ill patients: A comparison of nurse and family perceptions. Heart Lung. 2007; 36: 367–76.
[5]
Assessing Family Satisfaction With Care of Critically Ill Patients: A Pilot Study, Critical Care Nurse 2010; 30 (6): 18-28.
[6]
Bailey J., Sabbagh, M., Loiselle, G., Boileau, J. and McVey, L. Supporting families in the ICU: A descriptive correlational study of informational support, anxiety, and satisfaction with care. Intensive and Critical Care Nursing, (2010); 26, 114-122.
[7]
Azoulay E, Pochard F, Kentish-Barnes N, Chevret S, Aboab J and Adrie C. Risk of post-traumatic stress symptoms in family members of intensive care unit patients. Am J Respir Crit Care Med. 2005; 171: 987–94.
[8]
El-Masri M and Fox-Wasylyshyn S. Nurses' roles with families: Perceptions of ICU nurses. Intensive Crit Care Nurs. 2007; 23: 43–50.
[9]
Sheafer H. The met and unmet needs of families of patients in the ICU and implications for social work [PhD thesis] Pennsylvania: University of Pennsylvania; 2010. p. 14.
[10]
Sadeghi Z, Payami Bosari M and Mousavi Nasab N. The effect of family cooperation on the care of the patient hospitalized in critical care unit on family anxiety. Nurs Midwifery Care J. 2012; 2: 10–7.
[11]
Casarini KA, Gorayeb R and Basile Filho A. Coping by relatives of critical care patients. Heart Lung J. 2009; 38 (1): 217–27.
[12]
Roberti S and Fitzpatrick J. Assessing family satisfaction with care of critically ill patients: a pilot study, Critical Care Nurse J, 2010; 30 (6): 18-27.
[13]
Azoulay E , Pochard F , Chevret S , Lemaire F and Mokhtari M Meeting the Needs of Intensive Care Unit Patient Families, Am Jo of Resp and Crit Care Med, 2001; 163 (1): 1-10.
[14]
Shorofi S, Jannati Y, Moghaddam H and Yazdani-Charati J. Psychosocial needs of families of intensive care patients: Perceptions of nurses and families, Niger Med J, 2016; 57 (1): 10-18.
[15]
Neves F, Dantas M, Bitencourt A and Vieira P. Analysis of family satisfaction in intensive care unit, Rev. bras. ter. Intensive J, 2009; 21 (1): 1-6.
[16]
Miracle V. Strategies to meet the needs of families of critically ill patients. Dimensions of critical care nursing, 2006; 25 (3): 121-5.
[17]
Farahani M, Gaeeni M, Mohammadi N and Seyedfatemi N. Giving information to family members of patients in the intensive care unit: Iranian nurses’ ethical approaches, J Med Ethics Hist Med, 2014; 7 (1): 1- 9.
[18]
Azoulay E, Pochard F, Chevret S, et al. Impact of a family information leaflet on effectiveness of information provided to family members of intensive care unit patients: a multicenter, prospective, randomized, controlled trial. Am J Respir Crit Care Med. 2002; 165 (4): 438–42.
[19]
Yaman Y, Bulut H. Evaluation of discharge training given to patients who have undergone heart valve replacement. Turk J Thoracic Cardiovascular Surg. 2010; 18 (4): 277–83.
[20]
Verhaeghe S, Defloor T, Zuuren F and Grypdonck M. The needs and experiences of family members of adult patients in an intensive care unit: a review of the literature, clinical Nursing J, 2005; 14 (4): 501–509.
[21]
Buckley P and Andrews T. Intensive care nurses' knowledge of critical care family needs. Intensive Crit Care Nurs. 2011; 27: 263–72.
[22]
Fox-Wasylyshyn SM, El-Masri MM and Williamson KM. Family perceptions of nurses' roles toward family members of critically ill patients: A descriptive study. Heart Lung. 2005; 34: 335–44.
[23]
Molter, N. (1979). Needs of relatives of critically ill patients: A descriptive survey. Heart and Lung, 8 (2), 332-339.
[24]
Norris, L. O., & Grove, S. K. (1986). Investigation of selected psychosocial needs of family members of critically ill patients. Heart and Lung, 15, 194-199.
[25]
Appleyard M, Gavaghan S, Gonzales C, Ananian L, Tyller R and carrol D. nurses-coached intervention for the families of critical care unit, critical care nurse, 2000; 20(3): 40-48.
[26]
Hashim F and Hussin. Family Needs of Patient Admitted to Intensive Care Unit in a Public Hospital Social and Behavioral Sciences 36 (2012) 103 – 111.
[27]
Davidson, J. E. Family- Centered Care: Meeting the Needs of Patients' Families and Helping Families Adapt to Critical Illness. Critical Care Nurse, 2009; 29(1): 28-34.
[28]
Freitas K, Kimura M and FerreiraK. Family members' needs at intensive care units: comparative analysis between a public and a private hospital, Rev. Latino-Am. Enfermagem 2007; 15(1): 1-7.
[29]
Kohi T, Obogo M and Mselle L. Perceived needs and level of satisfaction with care by family members of critically ill patients at Muhimbili National hospital intensive care units, Tanzania, BMC Nurs J, 2016; 15(1): 1-18.
[30]
Lam P and Beaulieu M. Experiences of Families in the Neurological ICU: A "Bedside Phenomenon", J Neurosci Nurs, 2004; 36(3): 1-8.
[31]
Agard, A. and Harder, I. Relatives’ experiences in intensive care Finding a place in a world of uncertainty. Intensive and Critical Care Nursing, 2007; 23(3): 170 177.
[32]
Basal A and Younis G. Critical Care Nurses' Knowledge, Practice and Obstacles Toward Palliative Care and Helpful Measures in Providing End of Life Care for Critically Ill Patients, American Journal of Nursing Science, 2017.
[33]
Engstrom, A. & Soderberg, S. The experiences of partners of critically ill persons in Intensive Care Unit. Intensive and Critical Care Nursing, 2004; 20(1): 299-308.
[34]
Auerbach SM, Kiesler DJ, Wartella J, Rausch S, Ward KR, Ivatury R. Optimism, satisfaction with needs met, interpersonal perceptions of the healthcare team, and emotional distress in patients' family members during critical care hospitalization, Am J Crit Care. 2005; 14: 202–10.
[35]
Johansson I, Fridlund, B. & Hildingh, C. What is supportive when an adult next-ofkin is in critical care? Nursing in Critical Care, 2005; vol. 10(6): 298-305.
[36]
Nolen K. Meeting the Needs of Family Members of ICU Patients. An Honors Thesis submitted in partial fulfillment of the requirements for the University Honors-In-Discipline Program East Tennessee State University December 2013, 1-31.
[37]
Kinrade T, Jackson CA, Jane ET. The psychosocial needs of families during critical illness: comparison of nurses’ and family members’ perspectives. Australian Journal of Advanced Nursing. 2009; 27 (1): 82-88.
[38]
Naderi M, Rajati F, Yusefi H, Tajmiri M, Mohebi S. Health literacy among adults of Isfahan, Iran. J Health Syst Res. 2013; 9: 473–83.
[39]
Hashim, F. (2007). Multidimensional approach to Nurse Client Communication in Two Malaysian Intensive Care Units Unpublished PhD, Edith Cowan University, Perth http://ro.ecu.edu.au/theses.
[40]
Belio M and Vivar G. Needs of the Family in the Intensive Care Units: A Review of the Literature, Enferm Intensiva J, 2011; 23 (2), 51-67.
[41]
Gaeeni M, Farahani M, Seyedfatemi N & Mohammadi N. Informational Support to Family Members of Intensive Care Unit Patients: The Perspectives of Families and Nurses, Canadian Center of Science and Education J, 2015; 7(2): 1-8.
[42]
Verhaeghe ST, van Zuuren FJ, Defloor T, Duijnstee MS and Grypdonck MH. How does information influence hope in family members of traumatic coma patients in intensive care unit? J Clin Nurs. 2007; 16: 1488–97.
[43]
Morton, P. G. & Fontaine, D. K. 2009. Critical Care Nursing, A Holistic Approach. 9th ed. China: J. B Lippincott Company.
[44]
Maruiti MR, Galdeano LE and Farah OG. Anxiety and depressions in relatives of patients admitted in intensive care units. Acta Paul Enferm. 2008; 21: 636–42.
[45]
Acaroglu R, Kaya H, Sendir M, Tosun K and Turan Y. Levels of anxiety and ways of coping of family members of patients hospitalized in the neurosurgery intensive care unit. Neurosciences J, 2008; 13: 41–5.
[46]
Maxwell, K. E., Stuenkel, D. & Saylor, C. Needs of family members of critically ill patients: A comparison of nurse and family perceptions. Heart & Lung, 2007; 36(5): 367-376.
[47]
Bijttebier P. Needs of relatives of critical care patients: Perceptions of relatives, physicians and nurses, Intensive Care Medicine, 2001; 27(1): 160-5.
[48]
Norris LO and Grove SK. Investigation of selected psychosocial needs of family members of critically ill adult patients. Heart Lung J, 2015; 15 (2): 194–9.
[49]
Al-Hassan & Hweidi, I. M. The perceived needs of Jordanian families of hospitalized, critically ill patients. International Journal of Nursing Practice, 2004; 10(1): 64-71.
[50]
Omari, F. H. 2009. Perceived and Unmet Needs of Adult Jordanian Family Members of Patients in ICUs. Journal of Nursing Scholarships, vol. 41, no. 1, pp. 28-34.
[51]
Baning K. Outcomes of a comprehensive patient and family-centered care program in an adult intensive care unit, in partial fulfillment of the requirements for the degree of doctor of nursing practice in the graduate College University of arizona, 2012.
[52]
Briscoe K. Parental needs rating by parents and nurses: association with illness severity. A thesis submitted to the faculty of graduate studies in partial fulfillment of the requirements for the degree of Master of Science, October 2015.
[53]
Gundo R. Comparison of nurses’ and Families’ perception of Family needs in intensive care unit at a tertiary Public sector hospital, A research report submitted to the Faculty of Health Sciences, University of the Witwatersrand, Johannesburg in partial fulfillment of the requirements for the degree of Master of Science in Nursing Johannesburg, 2010.
[54]
Bijttebier P, Delva D, Vanoost S, Bobbaers H, Lauwers P, Vertommen H. Reliability and validity of the Critical Care Family Needs Inventory in a Dutch-speaking Belgian sample. Heart and Lung. 2000; 29: 278–286.
[55]
Takman, C. & Severinsson, E. Comparing Norwegian nurses’ and physicians’ perceptions of the needs of significant others in Intensive Care Units. Journal of Clinical Nursing, 2005; vol. 14, pp. 621-631.
[56]
Verhaeghe, S., Defloor, T., Van Zuuren, F., Duijnstee, M. & Grypdonck, M. The needs and experiences of family members of adult patients in an Intensive Care Unit: a review of the literature. Journal of Clinical Nursing, 2005; 14: 501-509.
[57]
Moggai, F., Biagi, S. & Pompei, V. The needs of relatives of patients admitted to Italian critical units: a survey comparing relatives’ and nurses’ perceptions. The World of Critical Care Nursing, 2005; 4 (1): 23-26.
[58]
Siah N, Jafaar M, Choy Y, Das S and Ismail S. Information needs of family members of critically ill patients in intensive care unit of a tertiary hospital. La Clinica Terapeutica, 2012; 163: 63-67.
[59]
Óttir N, Sævarsdóttir F and Halfdánard S. family members of cancer patients: Needs, quality of life and symptoms of anxiety and depression, Acta Oncologica, 2011; 50: 252–25.
Browse journals by subject