The future of families in ICU -The positive effects of partnering with families

Loading...
Thumbnail Image
File version
Author(s)
Mitchell, Marion L
Chaboyer, Wendy
Burmeister, Liz
Foster, Michelle
Griffith University Author(s)
Primary Supervisor
Other Supervisors
Editor(s)

G. Leslie; L. Aitken, A. Marshall, M. O'Reilly

Date
2009
Size

92392 bytes

File type(s)

application/pdf

Location

Sydney

License
Abstract

THE FUTURE OF FAMILIES IN ICU - THE POSITIVE EFFECTS OF PARTNERING WITH FAMILIES Marion L. Mitchell1, Wendy Chaboyer1, Liz Burmeister2, Michelle Foster3 1School of Nursing and Midwifery, Research Centre for Clinical and Community Practice Innovation, Griffith University, Brisbane, Australia; 2 ICU, Princess Alexandra Hospital, Brisbane, Australia; 3ICU, Gold Coast Hospital, Southport, Australia. Generally, families are not actively involved in ICU patients' care in meaningful ways. A Family-Centred-Care (FCC) model formalises the family and patient as the unit of care. FCC is comprised of three concepts - respect, collaboration and support. This study evaluated the effects on FCC of ICU nurses partnering with families to provide fundamental care. A pre-test, post-test design was used with families at the control site experiencing usual conditions whereas those at the intervention site were invited to assist with their relative's care. All participants provided written consent. The FCC survey measured families' perceptions of respect, collaboration and support at baseline and then 48 hours. A total of 174 family members participated (75 control, 99 intervention). Total FCC sores at baseline were 3.19 (control) and 3.39 (intervention) and at follow-up were 3.18 (control) and 3.46 (intervention) (range1-5). Multivariate logistic regression identified independent predictors of FCC scores. After pre-test score, the FCC intervention was the strongest predictor of post-test score. Other predictors included when the patient was female and the patient's partner (Table 1). This study indicates that ICU nurses partnering with family members to provide fundamental care significantly improved family's perceptions of respect, collaboration and support. FCC provides a model for future improvements to families' experience of ICU. TABLE 1: Predictors of Post-test FCC Survey Total FCC Variable (reference group) OR (95% CI) p Pre-test score 5.48 (4.9-6.12) <.001 Group (control ) 1.66 (1.4-1.97) <.001 Patient Gender (male) 1.48 (1.21-1.80) <.001 Partner 1.33 (1.11-1.58) 0.002 ICU Experience 1.27 (1.07-1.50) 0.006

Journal Title
Conference Title

AUSTRALIAN CRITICAL CARE

Book Title
Edition
Volume

22

Issue

1

Thesis Type
Degree Program
School
Publisher link
Patent number
Funder(s)
Grant identifier(s)
Rights Statement
Rights Statement

© 2009 ACCCN. Published by Elsevier. This is the author-manuscript version of this paper. Reproduced in accordance with the copyright policy of the publisher. Please refer to the journal website for access to the definitive, published version.

Item Access Status
Note
Access the data
Related item(s)
Subject

Clinical sciences

Nursing

Acute care

Persistent link to this record
Citation