Family centered care.
Mitchell, M., Chaboyer, W., Burmeister, E., & Foster, M. (2009). Positive effects of a nursing intervention on family-centered care in adult critical care. American Journal of Critical Care, 18(6), 543-552.
Critical care nurses are reluctant to include family members in care. Families know the patient best, however, and are a voice for the patient who may be unable to communicate or make decisions. In family centered care, the patient and their family are a unit of care. This study explored the effects of a family centered nursing intervention on family members of critical care patients as measured by support, collaboration, and respect.
A convenience sample was recruited from two metropolitan teaching hospitals in Queensland, Australia. One family member was nominated per patient. Institutional Review Board approval and consent was obtained. Participants completed a pretest survey, which included demographic data and an adapted version of the family centered care survey, in the form of a 20-item tool with a 4-point Likert scale. After 48 hours of partaking in fundamental care, family members completed a posttest using the same family centered survey, measuring support, collaboration, and respect.
In total, l74 family members (75 controls and 99 intervention group) participated. Data analysis was conducted using multivariate ordinal logistic regression. Patients and family members in the intervention group were younger than the control group (P = 0.03) and had lower scores on APACHE III (P = 0.01). In the intervention group, 82% of the family members provided care at least three times, and mostly chose massage (29%), full wash (23%), and eye care (17%). Members of the intervention group who provided care were more likely to perceive greater support (P < 0.001), collaboration (P < 0.01), respect (P < 0.001), and overall family centered care (P< 0.001). In the control and interventional groups, the patient's partner was more likely to perceive increased support (P = 0.03), and total family centered care scores were greater when the patient was female (P = 0.001).
Although nurses and family have different perceptions in providing care, this study significantly demonstrated the positive effects of family involvement related to support, collaboration, and respect. Implementation of family centered care has been shown to reduce rates of malpractice and improve patient outcomes and patient/family satisfaction (Maxwell, Stuenkel, & Saylor, 2007).
Maxwell, K., Stuenkel, D., & Saylor, C. (2007). Needs of family members of critically ill patients: A comparison of nurse and family perceptions. Heart Lung 36(5), 367-376.
Alexandra Brophy, Hartwick College, Oneonta, NY
Peggy Jenkins, Hartwick College, Oneonta, NY
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|Title Annotation:||WHAT'S NEW IN THE HEALTHCARE LITERATURE|
|Author:||Brophy, Alexandra; Jenkins, Peggy|
|Publication:||Journal of the New York State Nurses Association|
|Date:||Mar 22, 2010|
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