Most important needs of family members of critical patients in light of the Critical Care Family Needs Inventory
DOI:
https://doi.org/10.17533/udea.iee.19969Keywords:
Intensive care units, needs assessment, family.Abstract
Objective. This work sought to identify the most important needs for family members of adult critical patientsasdescribed in the literature pursuant to the dimensions established in the “Critical Care Family Needs Inventory” (CCFNI) by Molter and Leske.
Methodology. A literature review was carried out by using the CCFNI instrument. The databases used were: Pubmed, CINAHL, Proquest Nursing & Allied Health Source, Proquest Psychology Journals, LILACS, Science Direct, Ovid SP, PsyicINFO, and SciELO. The following limitations for the search were identified: adult patients, articles in English and Spanish, with abstract and complete text available and which had been published from 2003 to June 2013; 15 articles were included.
Results. The family’s hope on desired results and sincere communication with the healthcare staff turned out to be the most relevant needs, while the least important were related to comfort and having support structures or systems. Most of the studies were conducted in Asia and North America revealing differences in the order of importance assigned to each necessity. Certain sociodemographic and cultural characteristics impact upon how family members rank their needs; this also occurs with the nature of the most important needs for the family and the factors determining their prioritization.
Conclusion. The articles included in this review mention the frequent interaction with the family and their holistic view of the person beyond the illness, determine that nurses are the most appropriate professionals to know and satisfy the family needs of critical patients.
Downloads
References
(1) Chatzaki M, Klimathianaki M, Anastasaki M, Chatzakis G, Apostolakou E, Georgopoulos D. Defining the needs of ICU patient families in a suburban/rural Greek population: a prospective cohort study. J Clin Nurs. 2012; 21(13-14):1831-9.
(2) Davidson JE, Powers K, Hedayat KM, Tieszen M, Kon AA, Shepard E, et al. Clinical practice guidelines for support of the family in the patient-centered intensive care unit: American College of Critical Care Medicine Task Force 2004 - 2005. Crit Care Med. 2007; 35(2):605 - 22.
(3) Buckley P, Andrews T. Intensive care nurses’ knowledge of critical care family needs. Intensive Crit Care Nurs. 2011; 27(5):263–72.
(4) Molter NC. Needs of relatives of critically ill patients: a descriptive study. Heart Lung. 1979; 8(2):332–9.
(5) Leske JS. Internal psychometric properties of the Critical Care Family Needs Inventory. Heart Lung. 1991; 20(3):236–44.
(6) Olano M, Vivar CG. Instrumentos para la valoración de las necesidades de los familiares de pacientes ingresados en cuidados intensivos: una revisión sistemática. An Sist Sanit Navar. 2012; 35(1):53–67.
(7) Chien WT, Chiu YL, Lam LW, Ip WY. Effects of a needs-based education programme for family carers with a relative in an intensive care unit: a quasi-experimental study. Int J Nurs Stud. 2006; 43(1):39-50.
(8) Kinrade T, Jackson AC, Tomnay J. The psychosocial needs of families during critical illness: comparison of nurses’ and family members’ perspectives. Aust J Adv Nurs. 2009; 27(1):82–8.
(9) Freitas KS, Kimura M, Ferreira KASL. Necesidades de los familiares de paciente en unidades de terapia intensiva: análisis comparativo entre hospital público y privado. Rev Latino-am Enfermagem. 2007; 15(1):84–92.
(10) Al-Hassan MA, Hweidi IM. The perceived needs of Jordanian families of hospitalized, critically ill patients. Int J Nurs Pract. 2004; 10(2):64-71.
(11) Chien WT, Ip WY, Lee IY. Psychometric properties of a Chinese version of the critical care family needs inventory. Res Nurs Health. 2005; 28(6):474-87.
(12) Hashim F, Hussin R. Family Needs of Patient Admitted to Intensive Care Unit in a Public Hospital, Procedia Soc. Behav. Sci. 2012; 36:103–11.
(13) Khalaila R. Patients' family satisfaction with needs met at the medical intensive care unit. J Adv Nurs. 2013; 69(5):1172-82.
(14) Lee LY, Lau YL. Immediate needs of adult family members of adult intensive care patients in Hong Kong. J Clin Nurs. 2003; 12(4):490-500.
(15) Omari FH. Perceived and unmet needs of adult Jordanian family members of patients in ICUs. J Nurs Scholarsh. 2009; 41(1):28-34.
(16) Wang W, Li X, Gao R. The needs of Chinese family members of acute myocardial infarction patients during the critical phase of admission to coronary care. World Crit Care Nurs. 2004; 3(4):96–102.
(17) Davidson JE, Daly BJ, Agan D, Brady NR, Higgins PA. Facilitated sensemaking: a feasibility study for the provision of a family support program in the intensive care unit. Crit Care Nurs Q. 2010; 33(2):177-89.
(18) Hinkle JL, Fitzpatrick E. Needs of American relatives of intensive care patients: perceptions of relatives, physicians and nurses. Intensive Crit Care Nurs. 2011; 27(4):218-25.
(19) Obringer K, Hilgenberg C, Booker K. Needs of adult family members of intensive care unit patients. J Clin Nurs. 2012; 21(11-12):1651-8.
(20) Prachar TL, Mahanes D, Arceneaux A, Moss BL, Jones S, Conaway M, et al., Recognizing the needs of family members of neuroscience patients in an intensive care setting. J Neurosci Nurs. 2010; 42(5):274-9.
(21) Paul F, Rattray J. Short- and long-term impact of critical illness on relatives: literature review. J Adv Nurs. 2008; 62(3):276-92.
(22) Ministerio de Justicia, Subsecretaria de Salud Pública. Ley 20584. Regula los derechos y deberes que tienen las personas en relación con acciones vinculadas a su atención en salud Santiago; (Abr 3, 2012).
(23) Yang S. A mixed methods study on the needs of Korean families in the intensive care unit. Aust J Adv Nurs. 2008; 25(4):79–86.
(24) Al-Mutair AS, Plummer V, O'Brien A, Clerehan R. Family needs and involvement in the intensive care unit: a literature review. J Clin Nurs. 2013; 22(13-14):1805-17.
(25) 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(3):202-10.
(26) Penoyer DA. Nurse staffing and patient outcomes in critical care: a concise review. Crit Care Med. 2010; 38(7):1521–8.
Published
How to Cite
Issue
Section
License
Derechos de propiedad / Direitos de Propriedade
English: If the article is accepted for publication, all copyright will be of exclusive property of Investigación y Educación en Enfermería. The text and the graphics included in the publication are exclusive responsibility of the authors and not necessarily reflect the thought of the Editorial Committee.
Español: Si el artículo es aprobado para publicación, todos los derechos son de propiedad de Investigación y Educación en Enfermería. El texto y las gráficas incluidas en la publicación son de exclusiva responsabilidad de los autores y no necesariamente refleja el pensamiento del Comité Editorial.
Português: Se o artigo for aceito para publicação, todos os direitos autorais serão de propriedade exclusiva de Investigación y Educación en Enfermería. O texto e os gráficos incluídos na publicação são de responsabilidade exclusiva dos autores e não refletem necessariamente o pensamento do Comitê Editorial.
