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

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          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.

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          Most cited references28

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          Risk of post-traumatic stress symptoms in family members of intensive care unit patients.

          Elie Azoulay, Frédéric Pochard, Nancy Kentish-Barnes … (2005)
          Intensive care unit (ICU) admission of a relative is a stressful event that may cause symptoms of post-traumatic stress disorder (PTSD). Factors associated with these symptoms need to be identified. For patients admitted to 21 ICUs between March and November 2003, we studied the family member with the main potential decision-making role. Ninety days after ICU discharge or death, family members completed the Impact of Event Scale (which evaluates the severity of post-traumatic stress reactions), Hospital Anxiety and Depression Scale, and 36-item Short-Form General Health Survey during a telephone interview. Linear regression was used to identify factors associated with the risk of post-traumatic stress symptoms. Interviews were obtained for family members of 284 (62%) of the 459 eligible patients. Post-traumatic stress symptoms consistent with a moderate to major risk of PTSD were found in 94 (33.1%) family members. Higher rates were noted among family members who felt information was incomplete in the ICU (48.4%), who shared in decision making (47.8%), whose relative died in the ICU (50%), whose relative died after end-of-life decisions (60%), and who shared in end-of-life decisions (81.8%). Severe post-traumatic stress reaction was associated with increased rates of anxiety and depression and decreased quality of life. Post-traumatic stress reaction consistent with a high risk of PTSD is common in family members of ICU patients and is the rule among those who share in end-of-life decisions. Research is needed to investigate PTSD rates and to devise preventive and early-detection strategies.
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            Needs of relatives of critically ill patients: a descriptive study.

            N C Molter (2015)
            Relatives of critically ill patients were able to identify their needs during the intensive care phase of hospitalization. The universal need identified as very important was the need for hope. Other important needs were concerned with receiving adequate and honest information and feeling that the hospital staff members were concerned about the patient. Although several of the needs appeared to be of great concern to relatives, all the needs were considered very important by at least one relative. The majority of needs were perceived as being met consistently. Various resources were used by the relatives to meet their needs; however, specific needs were expected to be met by physicians and nurses. Since many relatives have similar needs, the use of a group process to deal with them should be investigated. A group process allows for sharing and support among the relatives and also allows one staff member to work with several relatives. The relatives perceived the role of health care personnel to be patientcentered only. If the patient is a member of a family, then the family and staff should recognize that the health care personnel are helping relatives because it is a crucial part of total patient care. This area in providing total patient care needs to be studied carefully. The relatives of critically ill patients have important needs in this crisis period. By recognizing these needs and evaluating how they are being met, total patient care will involve the family. Such involvement is essential to the care of the critically ill patient.
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              Family needs and involvement in the intensive care unit: a literature review.

              Abbas Saleh Al-Mutair, Virginia Plummer, Anthony O'Brien … (2013)
              To understand the needs of critically ill patient families', seeking to meet those needs and explore the process and patterns of involving family members during routine care and resuscitation and other invasive procedures.
              Article 0 comments Cited 33 times – based on 0 reviews     Review now
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                Author and article information

                Contributors
                Sibel Büyükçoban
                Journal
                Journal ID (nlm-ta): PeerJ
                Journal ID (iso-abbrev): PeerJ
                Journal ID (publisher-id): peerj
                Journal ID (pmc): peerj
                Title: PeerJ
                Publisher: PeerJ Inc. (San Diego, USA )
                ISSN (Electronic): 2167-8359
                Publication date (Electronic): 25 March 2021
                Publication date Collection: 2021
                Volume: 9
                Electronic Location Identifier: e11125
                Affiliations
                [1 ]Anesthesiology and Reanimation, Dokuz Eylül University , Balçova, Izmir, Turkey
                [2 ]Intensive Care Unit, Düzce State Hospital , Merkez, Düzce, Turkey
                [3 ]Public Health, Ege University , Bornova, Izmir, Turkey
                Article
                Publisher ID: 11125
                DOI: 10.7717/peerj.11125
                PMC ID: 8005287
                PubMed ID: 33828921
                SO-VID: 949b23d4-41bd-45d0-bb69-7709b34a242a
                Copyright © ©2021 Büyükçoban et al.
                License:

                This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, reproduction and adaptation in any medium and for any purpose provided that it is properly attributed. For attribution, the original author(s), title, publication source (PeerJ) and either DOI or URL of the article must be cited.

                History
                Date received : 16 November 2020
                Date accepted : 26 February 2021
                Funding
                The authors received no funding for this work.
                Categories
                Subject: Anesthesiology and Pain Management
                Subject: Emergency and Critical Care
                Subject: Nursing
                Subject: Public Health

                Keywords: critical care family needs inventory, family needs, critical care,intensive care,critical care family,nurse,relatives needs,critical care unit,icu,pacu
                Data availability:
                Keywords: critical care family needs inventory, family needs, critical care, intensive care, critical care family, nurse, relatives needs, critical care unit, icu, pacu

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