Relational practices of nurses with families in a cardiac intensive care unit

Authors

DOI:

https://doi.org/10.12707/RVI22116

Keywords:

critical care nursing, family, humanization of assistance, interpersonal relations

Abstract

Background: Family-centered care is an approach that addresses the needs and values of each family.

Objective: To know the perceptions of nurses in the cardiac intensive care unit of a hospital center in northern Portugal about relational practices with families in an intensive care unit.

Methodology: Quantitative, descriptive, correlational, and cross-sectional study with a sample of 26 nurses, 65.4% (n = 17) female. The PREFUCI-Importance and PREFUCI-Frequency scales were used.

Results: The practice of "being available to clarify doubts to family members" was the practice most frequently rated by participants as Totally important and implemented Always. The mean PREFUCI total score, calculated by summing the scores of the 15 items in each scale, was 59.5 on the importance scale and 52.69 on the frequency scale.

Conclusion: Participants showed positive attitudes toward the importance of PREFUCI. However, the frequency of implementation is moderate, with a positive correlation between these two variables, reflecting the need to operationalize these practices.

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References

Carvalhido, J. S. (2014). Práticas relacionais dos enfermeiros com a família em unidades de cuidados intensivos [Dissertação de mestrado, Instituto de Ciências Biomédicas Abel Salazar]. Repositório Institucional da Universidade do Porto. https://repositorio-aberto.up.pt/bitstream/10216/77880/2/33930.pdf

Chaves, R. G., Sousa, F. G., Silva, A. C., Santos, G. F., Fernandes, H. I., & Cutrim, C. M. (2017). Importância da família no processo de cuidados: Atitudes de enfermeiros no contexto da terapia intensiva. Revista de Enfermagem UFPE On Line, 11(12), 4989–4998. https://doi.org/10.5205/1981-8963-v11i12a22285p4989-4998-2017

Davidson, J. E., Aslakson, R. A., Long, A. C., Puntillo, K. A., Kross, E. K., Hart, J., Cox, C. E., Wunsch, H., Wickline, M. A., Nunnally, M. E., Netzer, G., Kentish-Barnes, N., Sprung, C. L., Hartog, C. S., Coombs, M., Gerritsen, R. T., Hopkins, R. O., Franck, L. S., Skrobik, Y., … Curtis, J. R. (2017). Guidelines for family-centered care in the neonatal, pediatric, and adult ICU. Critical Care Medicine, 45(1), 103–128. https://doi.org/10.1097/CCM.0000000000002169

Davidson, J. E., & Zisook, S. (2017). Implementing family-centered care through facilitated sensemaking. AACN Advanced Critical Care, 28(2), 200–209. https://doi.org/https://doi.org/10.4037/aacnacc2017102

Field, A., Miles, J., & Field, Z. (2012). Discovering statistics using R. Sage Publications. Hetland, B., McAndrew, N., Perazzo, J., & Hickman, R. (2018). A qualitative study of factors that influence active family in volvement with patient care in the ICU: Survey of critical care nurses. Intensive and Critical Care Nursing, 44, 67–75. https://doi.org/10.1016/j.iccn.2017.08.008

Heyland, D. K., Davidson, J., Skrobik, Y., Ordons, A. R., Scoy, L. J., Day, A. G., Vandall-Walker, V., & Marshall, A. P. (2018). Improving partnerships with family members of ICU patients: Study protocol for a randomized controlled trial. Trials, 19(1), 3–11. https://doi.org/10.1186/s13063-017-2379-4

Imanipour, M., & Kiwanuka, F. (2020). Family nursing practice and family importance in care: Attitudes of nurses working in intensive care units. International Journal of Africa Nursing Sciences, 13,100265. https://doi.org/10.1016/j.ijans.2020.100265

Institute for Patient-and Family-Centered Care. (2017). Advancing the practice of patient-and family-centered care in hospitals: How to get started. https://www.ipfcc.org/resources/getting_started.pdf

Kiwanuka, F., Imanipour, M., Rad, S. A., Masaba, R., & Alemayehu, Y. H. (2019). Family members’ experiences in adult intensive care units: A systematic review. Scandinavian Journal of Caring Sciences, 33(3), 569–581. https://doi.org/10.1111/scs.12675

Kleinpell, R., Heyland, D., Lipman, J., Sprung, C., Levy, M., Mer, M., Koh, Y., Davidson, J., Taha, A., & Curtis, J. R. (2018). Patient and family engagement in the ICU: Report from the task force of the World Federation of Societies of Intensive and Critical Care Medicine. Journal of Critical Care, 48, 251–256. https://doi.org/10.1016/j.jcrc.2018.09.006

Lusquiños, A., Mendes, A., & Bento, M. (2019). O cuidado-centrado na família da pessoa em situação crítica na unidade de cuidados intensivos: Revisão integrativa da literatura. Investigação Qualitativa em Saúde, 2, 1685–1694.

https://proceedings.ciaiq.org/index.php/CIAIQ2019/article/view/2400

McAndrew, N. S., Mark, L., & Butler, M. (2020). Timely family feedback to guide family engagement in the intensive care unit. Critical Care Nurse, 40(6), 42–51. https://doi.org/10.4037/ccn2020644 42

Ministério da Saúde. (2013). Avaliação da situação nacional das unidades de cuidados intensivos: Relatório final. https://www.sns.gov.pt/wp-content/uploads/2016/05/Avalia%C3%A7%C3%A3o--nacional-da-situa%C3%A7%C3%A3o-das-unidades-de-cuidados-intensivos.pdf

Needham, D. M., Davidson, J., Cohen, H., Hopkins, R. O., Weinert, C., Wunsch, H., Zawistowski, C., Bemis-Dougherty, A., Berney, S. C., Bienvenu, O. J., Brady, S. L., Brodsky, M. B., Denehy, L., Elliott, D., Flatley, C., Harabin, A. L., Jones, C., Louis, D., Meltzer, W., … Harvey, M. A. (2012). Improving long-term outcomes after discharge from intensive care unit: Report from a stakeholders’ conference. Critical Care Medicine, 40(2), 502–509. https://doi.org/10.1097/CCM.0b013e318232da75

Velasco Bueno, J. M., Alonso-Ovies, A., Heras La Calle, G., Zaforteza Lallemand, C., & Equipo de investigación del Proyecto Humanizando los Cuidados Intensivos. (2018). Main information requests of family members of patients in intensive care units. Medicina Intensiva, 42(6), 337–345. https://doi.org/10.1016/j.medine.2018.05.004

Wei, H., Sewell, K. A., Woody, G., & Rose, M. A. (2018). The state of the science of nurse work environments in the United States: A systematic review. International Journal of Nursing Sciences, 5(3),287–300. https://doi.org/10.1016/j.ijnss.2018.04.010

Wong, P., Redley, B., Digby, R., Correya, A., & Bucknall, T. (2020). Families’ perspectives of participation in patient care in an adult intensive care unit: A qualitative study. Australian Critical Care, 33(4), 317–325. https://doi.org/10.1016/j.aucc.2019.06.002

Published

2023-08-10

How to Cite

Machado, A. R. ., Antunes, C. ., & Imaginário, C. (2023). Relational practices of nurses with families in a cardiac intensive care unit. Journal of Nursing Referência, 6(2), 1–9. https://doi.org/10.12707/RVI22116

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Section

Research Articles