Comparing the Perceptions of Nurses and Patients’ Families About the Expectations of Patients’ Families in Intensive Care Unit

authors:

avatar Akram Shahrokhi 1 , avatar Mehdi Ranjbaran ORCID 2 , avatar Somayeh Zarei 3 , *

School of Nursing and Midwifery, Qazvin University of Medical Sciences, Qazvin, Iran.
School of Health, Qazvin University of Medical Sciences, Qazvin, Iran.
Student Research Committee, Qazvin University of Medical Sciences, Qazvin, Iran.
Journal of Inflammatory Diseases: Vol.24, issue 1; 68-79
article type: issue_documents_importer

How To Cite Shahrokhi A, Ranjbaran M, Zarei S. Comparing the Perceptions of Nurses and Patients’ Families About the Expectations of Patients’ Families in Intensive Care Unit. J Inflamm Dis. 2020;24(1):e156202. 

Abstract

Background: Properly identifying the expectations of family members of patients admitted to Intensive Care Units (ICUs) is a necessity for nurses.  Objective The present study aimed to determine and compare the expectations of ICU patients’ families according to the perceptions of ICU nurses and family members. Methods: In this descriptive-analytical study, 147 families of ICU patients and 137 ICU nurses of hospitals in Qazvin were selected as study samples through a census method. Data were collected using Molter’s Critical Care Family Needs Inventory (CCFNI), and data analysis was performed using the Pearson correlation test, one-way ANOVA and chi-square at a significant level of P<0.05. Findings: The overall score of CCFNI and its subscales for the family members were significantly higher than in the nurses (P<0.001). The degree of importance and prioritization of family expectations were different between patients’ families and nurses. The reason for patient hospitalization had a significant association with the overall score of CCFNI and its subscales. Moreover, the family history of hospitalization showed a significant correlation with the CCFNI subscales of information and proximity (P<0.05). The age and work experience of nurses had a significant association with the CCFNI subscales of information, assurance, and comfort (P<0.05). Conclusion: Family members of ICU patients and nurses have different perceptions of the expectations of patients’ families. Nurses need to consider the expectations of patients’ family members.

References

  • 1.

    Navidian A, Sarhadi M, Kykhaie A, Kykhah R. Psychological reactions of family members of patients hospitalized in critical care and general units compared with general population. Iran J Nurs. 2014; 26(86):16-28. [In Persian] http://ijn.iums.ac.ir/ article-1-1715-en.html.

  • 2.

    Sarhadi M, Navidian A, Fasihi Harandy T, Kykhaie A. Assessment of psychological - social needs, family, special inpatient unit ICU, CCU. Iran J Crit Care Nurs. 2013; 6(4):259-68. https:// www.sid.ir/en/journal/ViewPaper.aspx?id=347172.

  • 3.

    Maxwell KE, Stuenkel D, Saylor C. Needs of family members of critically ill patients: A comparison of nurse and family perceptions. Heart Lung. 2007; 36(5):367-76. [DOI:10.1016/j. hrtlng.2007.02.005] [PMID].

  • 4.

    Bahrami F, Islami M, Moshtagh Eshgh Z, Fesharki M. Effects of programmed education on stress of family careers with a relative in on intensive care unit of Isfahan university medical sciences hospitals during 2009. J Med Sci Rafsanjan. 2009; 3(4):1824. [In Persian] http://chj.rums.ac.ir/article_45609.html.

  • 5.

    Rabie S, Khaleghduost T, Paryad E, Atrkar Ruoshan Z. Family and anxiety in intensive care units. J Holist Nurs Midwifery. 2007; 17(2):1-8. http://hnmj.gums.ac.ir/article-1-253-en.html.

  • 6.

    Halvorsen K, Frde R, Nortvedt P. The principle of justice in patient priorities in the intensive care unit: The role of significant others. J Med Ethics. 2009; 35(8):483-7. [DOI:10.1136/ jme.2008.028183] [PMID].

  • 7.

    Gaeeni M, Farahani MA, Seyedfatemi N, Mohammadi N. Informational support to family members of intensive care unit patients: The perspectives of families and nurses. Glob J Health Sci. 2014; 7(2):8-19. [DOI:10.5539/gjhs.v7n2p8] [PMID] [PMCID].

  • 8.

    Gavaghan SR, Carroll DL. Families of critically ill patients and the effect of nursing interventions. Dimens Crit Care Nurs. 2002; 21(2):64-71. [DOI:10.1097/00003465-200203000-00004] [PMID].

  • 9.

    Bailey JJ, Sabbagh M, Loiselle CG, Boileau J, McVey L. Supporting families in the ICU: A descriptive correlational study of informational support, anxiety, and satisfaction with care. Intensive Crit Care Nurs. 2010; 26(2):114-22. [DOI:10.1016/j. iccn.2009.12.006] [PMID].

  • 10.

    Heidari MR, Norouzadeh R, Pishnamazy Z. ICU nurses perception of their roles toward the patients family. J Ethics Cult Nurs Midwifery. 2014;1(1):57-64. [In Persain] http://ecnm. shahed.ac.ir/article_221.html.

  • 11.

    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. [DOI:10.1097/01. CCM.0000254067.14607.EB] [PMID].

  • 12.

    Javadzade H, Sharifirad Gh, Reisi M, Tavassoli E, Rajati F. Health literacy among adults of Isfahan. Iran. J Health Syst Res. 2013; 9(5):540-9. [In Persian] http://hsr.mui.ac.ir/index.php/ jhsr/article/view/1221.

  • 13.

    Azoulay E, Pochard F, Chevret S, Arich C, Brivet F, Brun F, et al. Family participation in care to the critically ill: Opinions of families and staff. Intensive Care Med. 2003; 29:1498-504. [DOI:10.1007/s00134-003-1904-y] [PMID].

  • 14.

    Hsiao PR, Redley B, Hsiao YC, Lin CC, Han CY, Lin HR. Family needs of critically ill patients in the emergency department. Int Emerg Nurs. 2017; 30:3-8. [DOI:10.1016/j.ienj.2016.05.002] [PMID].

  • 15.

    Gundo R, Bodole FF, Lengu E, Maluwa AAJ. Comparison of nurses and families perception of family needs in critical care unit at referral hospitals in Malawi. Open J Nurs. 2014; 4(4):312-20. [DOI:10.4236/ojn.2014.44036].

  • 16.

    Abazari F, Abbaszadeh A. Comparison of the attitudes of nurses and relatives of ICU and CCU patients towards the psychosocial needs of patients relatives. J Qazvin Univ Med Sci. 2001; 5(3):58-63. [In Persian] http://journal.qums.ac.ir/ article-1-483-en.html.

  • 17.

    Macey BA, Bouman CC. An evaluation of validity reliability of critical care family needs inventory. Heart Lung. 1991; 20(4):398-403. [PMID].

  • 18.

    Amany Lotfy A, Safaa Eid SA, Gehan AHY. Family needs of critically III patients admitted to the intensive care unit, comparison of nurses and family perception. Am J Nurs Sci. 2017; 6(4):333-46. [DOI:10.11648/j.ajns.20170604.18].

  • 19.

    Akhlak S, Shdaifat E. Needs of families with a relative in a Critical Care Unit. Malays J Public Health Med. 2016; 16(3):75-81. https://www.mjphm.org.my/mjphm/index. php?option=com_content&view=article&id=737.

  • 20.

    Obringer K, Hilgenberg C, Booker K. Needs of adult family members of intensive care unit patients. J Clin Nurs. 2012; 21(1112):1651-8. [DOI:10.1111/j.1365-2702.2011.03989.x] [PMID].

  • 21.

    Reynold J, Prakink S. Needs of family members of gritically ill patients in cardiac care unit: A comparison of nurses and family perceptions in Thailand. J Health Sci Res. 2008; 2(1):31-40. https://he01.tci-thaijo.org/index.php/JHR/article/view/4967.

  • 22.

    Hasandoost F, Momeni M, Dehghankar L, Norouzi Parashkouh N, Rezaei Looyeh H, Emamgholian F. Family needs of patients admitted to the intensive care units. Int J Epidemiol Res. 2018; 5(4):128-32. [DOI:10.15171/ijer.2018.27].

  • 23.

    Khatri Chhetri I, Thulung B. Perception of nurses on needs of family members of patient admitted to critical care units of teaching hospital, chitwan nepal: A cross-sectional institutional based study. Nurs Res Pract. 2018; 2018:1369164. [DOI:10.1155/2018/1369164] [PMID] [PMCID].

  • 24.

    Shorofi SA, Jannati Y, Roohi Moghaddam H, Yazdani-Charati J. Psychosocial needs of families of intensive care patients. Niger Med J. 2016; 57(1):10-8. [DOI:10.4103/03001652.180557] [PMID] [PMCID].

  • 25.

    Ozbayira T, Tasdemirb N, Ozseker E. Intensive care unit family needs: Nurses and families perceptions. East J Med. 2014; 19(3):137-40. http://www.eastjmed.org/jvi.aspx?pdir=ejm&p lng=eng&un=EJM-44712.

  • 26.

    Farasat Kish R, Ziaei Fard M, Bakhshandeh H, Khalaf Zad A. Evaluation of patients family members perceptions of the roles of nurses in intensive care units in Shahid Rajaee Educational Center. Pajouhan Sci J. 2017; 16(1):56-64. [In Persian] http://psj.umsha.ac.ir/article-1-268-en.html.

  • 27.

    Kohi TW, Obogo MW, Mselle LT. 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. 2016; 15:18. [DOI:10.1186/s12912-0160139-5] [PMID] [PMCID].

  • 28.

    Bykoban S, iekliolu M, Demiral Ylmaz N, Civaner MM. Adaptation of the critical care family need inventory to the Turkish population and its psychometric properties. Peer J. 2015; 3:e1208. [DOI:10.7717/peerj.1208] [PMID] [PMCID]##.