scholarly journals Jordanian Patients’ Family Members Need Perceptions in the Critical Care Settings: Nurses’ Perspectives versus Family Members’ Perspectives in the Context of Health Informatics

2021 ◽  
Vol 2021 ◽  
pp. 1-8
Author(s):  
Hekmat Al-Akash ◽  
Roqia Maabreh ◽  
Mohannad AbuRuz ◽  
Khaled Khader ◽  
Abedalmajeed Shajrawi

Background. An unexpected hospitalization in any of the Critical Care Units (CCUs) is a stressful condition, not only for patients but also for other family members. Research in this field in Jordan is not available. The main objective of this study was to identify the most important needs as perceived by these family members in the light of this stressful event and compare them with the nurses’ perceptions of the importance of these needs and also to determine the perception of the needs’ importance with the sociodemographic characteristics of both family members and caring nurses. Methods. This was a cross-sectional study conducted in the period between February and August 2020 among adult family members of patients admitted to the CCUs in hospitals of Jordan from all sectors (public, private, and teaching). The “Critical Care Family Needs Inventory (CCFNI)” questionnaire was administered to 82 family members and 99 CCU nurses to determine the importance of the needs on the inventory. The data were analyzed using descriptive statistics. Results. The most important need identified by the family members was relevant to the need for proximity (3.64 ± 0.45), followed by information (3.57 ± 0.58), assurance (3.44 ± 0.43), support (3.31 ± 0.62), and comfort (3.21 ± 0.56). Nurses identified the needs for assurance as the highest, followed by information, comfort, and support, whereas proximity was the least need perceived as very important. The top 10 important needs for both family members and nurses were identified. Family members and nurses were only common in 2 of the need statements on the scale. There was no significant association between the sociodemographic characteristics of the sample and the perception of the needs’ importance ( p = 0.05 ). Conclusion. This study has shown that nurses and family members of patients admitted to CCUs have different perspectives relevant to needs’ importance. This should warn nurses to set the needs viewed by family members as a priority. Implications. In the CCU settings, in the context of advancing health informatics, families of patients in the ICUs have different needs other than those viewed by nurses. Their needs must be identified and considered.

2019 ◽  
Vol 8 (1) ◽  
pp. 8-12
Author(s):  
Sabita Pandey ◽  
Roshanee Shrestha ◽  
Narayani Paudel

Background: Getting serious illness and being admitted in critical care unit is always stressful to patient and family members. Meeting the needs of family members of patients in the intensive care unit is a primary responsibility of intensive care unit staff and an important criterion in assessment of quality of care. Objectives: The aim of this study was to assess the family members’ needs of critically ill patients as perceived by nurses. Methodology: A descriptive cross sectional study was conducted among 50 nurses from different critical care unitsof Kathmandu Medical College Teaching Hospital using purposive sampling technique. Structured questionnaire was developed by referring to “Critical Care Family Needs Inventory”in our context for data collection and collected data was analyzed by using Statistical Package for Social Sciences version 16. Results: The mean age of the respondents was 24.98 ± SD 2.77.Regarding education and experience, 58% respondents had proficiency certificate level and 42% had bachelor level education and mean working experience in critical care unit was 37.54 months. Regarding the importance of family needs, 86% nurses perceived “explanation about the critical care unit environment before admitting the patient in critical care unit” as very important need for the relatives. Likewise, 58% nurses perceived “to know which staff members could give what type of information” and “to be alone at any time” as the least important needs. Conclusion: The study found that clear explanation about the critical care environment to the relatives is very important to gain co-operation from them in treatment of critically ill patients. Hence, staff of critical care unit needs to be aware in meeting the needs of relatives.


2018 ◽  
Vol 2018 ◽  
pp. 1-7 ◽  
Author(s):  
Ishwori Khatri Chhetri ◽  
Bedantakala Thulung

Background. Critical care units’ nurses should seek to develop collaborative relationships with patients’ family members based on their needs and help them to cope with their distress. The objective of this study was to find out the perception of nurses on needs of family members of patients admitted to critical care units.Methods. A descriptive cross-sectional study was conducted in Chitwan Medical College Teaching Hospital among all 65 nurses working in critical care units. Ethical clearance was obtained from Chitwan Medical College Institutional Review Committee. Data were collected from March 27 to April 25, 2016, using Critical Care Family Needs Inventory (CCFNI). Obtained data were analyzed using descriptive and inferential statistics.Results. This study found that mean age of the nurses was 23.98 ± 4.05 years. More than half of the nurses had completed PCL in nursing (52.3%) and had 1-5 years of experience in critical care units (58.5%). Nurses ranked the needs for assurance as most important needs with mean percent (86.25%) followed by needs for information (78.58%), need for comfort (69.59%), needs for closeness (69%), and needs for support (64.13%). Out of 45 family needs, 81.5% of nurses perceived that knowing about patient treatment is very important for family members. Married nurses perceived the needs for support to be more important than unmarried nurses (p=0.04) whereas unmarried nurses perceived the needs for information to be more important than married (p=<0.01). There was significant difference on perception of nurses on needs of assurance with ethnicity (p=0.009) and critical care experience (p=0.04).


PeerJ ◽  
2021 ◽  
Vol 9 ◽  
pp. e11125
Author(s):  
Sibel Büyükçoban ◽  
Zehra Mermi Bal ◽  
Ozlem Oner ◽  
Necmiye Kilicaslan ◽  
Necati Gökmen ◽  
...  

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.


2021 ◽  
pp. JNM-D-20-00004
Author(s):  
Wesam T. Almagharbeh ◽  
Mohammad A. Al-Motlaq

PurposeTo validate the Arabic version of the Critical Care Family Needs Inventory (CCFNI) instrument.Methodsa jury of experts helped establish content validity of besttranslated version. Live testing of the revised instrument with a sample of nurses and family members helped ensure its validity and internal consistency reliability.ResultsThe Content Validity Index indicated an acceptable relevancy and clarity of the translated version. After introducing diacritic to wordings, clarity and readability were ensured by a pilot test with a sample of 22 critical care nurses and 21 family members. Live testing the instrument asserted its discriminant validity where family members (n = 227) ranked total needs higher than nurses (n = 217) (t = 124.2 (df = 442), p < .001).ConclusionAfter using of diacritics, the new modified Arabic version can be used confidently as a valid and reliable measure of family needs.


2019 ◽  
Vol 9 (9) ◽  
pp. 81
Author(s):  
Mohammad M. Al Barraj ◽  
Mirna Fawaz ◽  
Lina Kurdahi Badr

Background and objective: Having a family member admitted to Intensive Care Unit (ICU) is stressful and confusing for family members.  The aim of this study was to assess the perception of family members and nurses of their needs and whether those needs are met in four ICUs in Lebanon.Methods: A descriptive cross-sectional design using the Arabic version of Critical Care Family Need Inventory (CCFNI) and the Needs Met Inventory (NMI) were utilized to investigate the needs of 50 family members of patients and 50 nurses.Results: Seventeen of 30 need items on the CCFNI were significantly different between family members and nurses mostly related to ‘Information’ and ‘Assurance’. Family members also varied significantly on 5 out of 30 items on the NMI mostly related to ‘Support’. There were significant differences in needs between family members in terms of gender, age, and education, and significant differences in perceived needs based on the gender, years of experience, and age of nurses.Conclusions: The findings provide insight for nurses to consider the different needs of families, the effect of socio-demographic variations when providing care, and to be attuned to the needs of family members for understandable information and assurance of the wellbeing of patients in ICUs.


2007 ◽  
Vol 15 (1) ◽  
pp. 84-92 ◽  
Author(s):  
Kátia Santana Freitas ◽  
Miako Kimura ◽  
Karine Azevedo São Leão Ferreira

This cross-sectional study proposed to analyze the needs of adult ICU patients' family members at a public and a private hospital, regarding their level of importance and satisfaction. Ninety-one family members were interviewed, 47 from the public hospital and 44 from the private one, using the Brazilian adaptation of the Critical Care Family Need Inventory (INEFTI). There was no significant difference between the groups in the total score of importance attributed to the needs (p=0.410). The satisfaction score was higher in the private hospital than in the public one (p=0.002). Multiple linear regression analysis allowed us to establish a hierarchy of importance and satisfaction of the family members' needs in each group. The differences observed between the groups suggest that the fulfillment of their needs requires interventions directed at the specificity of each type of hospital.


2018 ◽  
Vol 21 (3) ◽  
pp. 159-168
Author(s):  
Efa Apriyanti ◽  
Robiyatul Adawiyah

Studi literatur menyebutkan bahwa kebutuhan keluarga saat mendampingi anak dirawat di PICU sangatlah kompleks dan bersifat subjektif sehingga pengkajian kuesioner dirasa belum mampu mewakili gambaran kebutuhan keluarga yang sebenarnya. Tujuan dari penelitian ini adalah untuk membandingkan persepsi perawat PICU dengan keluarga pasien PICU mengenai prioritas kebutuhan keluarga dari anak yang dirawat di ruang rawat intensif. Penelitian ini meng-gunakan mixed method approach dengan pendekatan kuantitatif menggunakan desain cross sectional di tahap pertama pengumpulan data, dilanjutkan dengan pendekatan kualitatif yang dilakukan dengan cara wawancara mendalam di tahap ke dua. Data kuantitatif diperoleh dengan menggunakan Critical Care Family Need Inventory yang telah di-modifikasi. Hasil analisis data menunjukkan tidak adanya perbedaan yang signifikan antara persepsi perawat dan keluarga dalam menilai kebutuhan keluarga pasien PICU. Hasil ini menunjukkan bahwa secara umum perawat PICU di dua rumah sakit yang menjadi sampel dalam penelitian ini lebih mampu memahami kebutuhan keluarga pasien dibandingkan dengan perawat dalam penelitian-penelitian sebelumnya. Kata Kunci: kebutuhan keluarga pasien PICU, mixed method, persepsi perawat Abstract  Mutual understanding between nurses and patients’ family on family needs during their child’s stay in PICU. The literature review indicated that factors affecting parents’ needs in a PICU are interrelated and not easily, or appropriately, assessed by using an inventory. Therefore, the objective of this study was to explore the needs of parents whose child has been an in-patient in a PICU, not only from the parents, but also from the perspective of nurses. A mixed method approach has been employed in this study. Quantitative data has been collected by using modified version of Critical Care Family Need Inventory, while the qualitative data was gained through in-depth interview.  The result of data analysis showed that there were no significant differences between the perception of the nurses and parents regarding the needs. The finding suggests that in general, PICU nurses in these two hospitals have better understanding about the parents' needs in comparation with most of nurses in the previous studies.  Keywords:  families’ needs in PICU, mixed method, nurses’ perception


2017 ◽  
Vol 8 (1) ◽  
pp. 10
Author(s):  
Narendra Kumar Singh ◽  
Nishant Goyal

Background: Schizophrenia is associated with a high familial, social and economic burden. Schizophrenia is also associated with a high level of disability which may create impediments on the social and economic areas of the patients as well as on their respective family networks. Families with schizophrenia may encounter problems such as impairment of health and well being of other family members, restriction of social activities of the family members and shrinking of support from the social network. Aims: The present study examined the difference in perceived social support and burden of care between the male and female caregivers of patients with schizophrenia. Methods: This was a cross-sectional study examining the difference in perceived social support and burden of care between the male and female caregivers of patients with schizophrenia. The sample consisted of 60 (30 male and 30 female) caregivers of the patients with the diagnosis of schizophrenia as per ICD-10-DCR. Results and Conclusion: This study revealed that male caregivers perceived more social support and less burden of care as compared to female caregivers. Key words: Gender, social support, burden


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