Involving relatives in ICU patient care: The barriers … relatives in ICU patient care: The barriers and enablers Learning Objectives •To articulate reasons for relative inclusion
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Item type Presentation
Title Involving Relatives in ICU Patient Care: The Barriers andEnablers
Authors McConnell, Bridget Anne
Downloaded 13-Jul-2018 04:53:19
Link to item http://hdl.handle.net/10755/335136
Bridget McConnell- RN, BN (Hons)
Tracey Moroney-RN, BN (Hons), PhD, Grad Cert Ed Studies (Higher Ed)
MACN
Sydney, Australia
Involving relatives in ICU patient
care: The barriers and enablers
Learning Objectives
•To articulate reasons for relative inclusion and
exclusion
•Identify personal strengths and weaknesses in
regards to relative involvement in patient care
Current literature• Relatives ICU experiences(Verhaeghe et al. 2005, McKiernan & McCarthy 2010, Cypress 2011, Eriksson et al. 2011)
• Relatives needs(Verhaeghe et al. 2005, El-Masri & Fox-Wasylyshyn 2007, Blanchard & Alavi 2008, Al-Mutair et al. 2013)
• The critical care nurse- relative relationship(Stayt 2007, Agård & Maindal 2009, Mitchell & Chaboyer 2010)
• ICU visiting policies(Farrell et al. 2005, Hunter et al. 2010, Agård & Lomborg 2011, Soury-Lavergne et al. 2011)
• The benefits of relative involvement(Williams 2005, Blanchard & Alavi 2008, Mitchell et al. 2009, Wåhlin et al. 2009, Hunter et al. 2010, Mitchell &
Chaboyer 2010, Agård & Lomborg 2011, Cypress 2011, Al-Mutair et al. 2013)
Research questions
1. In the critical care environment, what are the
barriers and/or enablers to nurses involving
relatives in patient care?
2. If barriers and/or enablers are found, why do
they exist?
Methodology and Methods
MIXED METHODS
Quantitative Qualitative Online questionnaire Interviews
Linking Phase 1 to
Phase 2
Results
Phase one
5.7%
18.6%
54.3%
17.1%
4.3%
0.0%
10.0%
20.0%
30.0%
40.0%
50.0%
60.0%
Never Rarely Some of thetime
Most of thetime
Always
I involve family members in patient care.
Results
Phase two
1. The challenges of involvement
2. Insecurity
3. Care director
4. Hospital policies and liability
5. Benefits of involvement
6. Patient privacy
7. Decision making
8. The fragile relative
Future
recommendations
• Further research into the barriers and enablers
• Education
• ICU policies and guidelines
• Multidisciplinary team
• Caregiver specialist
Final conclusions
• Improve relative satisfaction in the often
frightening intensive care environment
• Knowledge of barriers and enablers is likely to
assist in the practice of involving relatives in ICU
patient care
References•Agård AS & Lomborg K (2011) Flexible family visitation in the intensive care unit: Nurses'
decision-making. Journal of Clinical Nursing, 20, 1106-1114.
•Agård AS & Maindal HT (2009) Interacting with relatives in intensive care unit. Nurses'
perceptions of a challenging task. Nursing in Critical Care, 14, 264-272.
•Al-Mutair AS, Plummer V, O’Brien A & Clerehan R (2013) Family needs and involvement in
the intensive care unit: A literature review. Journal of Clinical Nursing, 22, 1805-1817.
•Blanchard D & Alavi C (2008) Asymmetry in the intensive care unit: Redressing imbalance
and meeting the needs of family. Nursing in Critical Care, 13, 225-231.
•Cypress BS (2011) The lived experience of nurses, patients and family members: A
phenomenological study with Merleau-Pontian perspective. Intensive and Critical Care
Nursing, 27, 273-280.
•El-Masri MM & Fox-Wasylyshyn SM (2007). Nurses’ roles with families: Perceptions of ICU
nurses. Intensive and Critical Care Nursing, 23, 43-50.
•Eriksson T, Bergbom I & Lindahl B (2011) The experiences of patients and their families of
visiting whilst in an intensive care unit- A hermeneutic interview study. Intensive and
Critical Care Nursing, 27, 60-66.
•Farrell ME, Joseph DH & Schwartz-Barcott D (2005) Visiting hours in the ICU: Finding the
balance among patient, visitor and staff needs. Nursing Forum, 40, 18-28.
•Hunter JD, Goddard C, Rothwell M, Ketharaju S & Cooper H (2010). A survey of intensive
care unit visiting policies in the United Kingdom. Journal of the Association of Anaesthetics of
Great Britain and Ireland, 65, 1101-1105.
•Intensive Care Hotline. (2014). [Image of ICU patient]. Retrieved from
http://intensivecarehotline.com/clinical-pictures/multi-trauma/
References•McConnell, B. (2013). Involving relatives in ICU patient care: The barriers and enablers, (Honours
thesis). University of Notre Dame, Australia, Sydney, N.S.W.
•McKiernan M & McCarthy G (2010) Family members’ lived experience in the intensive care
unit: A phemenological study. Intensive and Critical Care Nursing, 26, 254-261.
•Mitchell M, Chaboyer W, Burmeister E & Foster M (2009) Positive effects of a nursing
intervention on family-centred care in adult critical care. American Journal of Critical Care, 18,
543-552.
•Mitchell M.L & Chaboyer W (2010) Family centred care- A way to connect patients, families
and nurses in critical care: A qualitative study using telephone interviews. Intensive and
Critical Care Nursing, 26, 154-160.
•Soury-Lavergne A, Hauchard I, Dray S, Baillot M, Bertholet E, Clabault K, Jeune S, Ledroit C,
Lelias I, Lombardo V, Maetens Y, Meziani F, Reignier J, Souweine B, Tabah A, Barrau K &
Roch A (2011) Survey of caregiver opinions on the practicalities of family-centred care in
intensive care units. Journal of Clinical Nursing, 21, 1060-1067.
•Stayt LC (2007) Nurses’ experiences of caring for families with relatives in intensive
care units. Journal of Advanced Nursing, 57, 623-630.
•Verhaeghe S, Defloor T, Van Zuuren F, Duijnstee M & Grypdonck M (2005) The needs
and experiences of family members of adult patients in an intensive care unit: A review of the
literature. Journal of Clinical Nursing, 14, 501-509.
•Wåhlin I, Elk A & Idvall E (2009) Empowerment from the perspective of next of kin in intensive
care. Journal of Clinical Nursing, 18, 2580-2587.
•Williams CMA (2005) The identification of family members’ contribution to patients’ care in the
•intensive care unit: A naturalistic inquiry. Nursing in Critical Care, 10, 6-14.
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