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

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Title The future of families in ICU -The positive effects of partnering with families
Author Chaboyer, Wendy; Burmeister, Elizabeth; Foster, Michelle
Publication Title The future of families in ICU -The positive effects of partnering with families
Editor G. Leslie; L. Aitken, A. Marshall, M. O'Reilly
Year Published 2009
Place of publication Australia
Publisher Elsevier
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 score5.48 (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 Experience1.27 (1.07-1.50)0.006
Peer Reviewed No
Published Yes
Alternative URI http://dx.doi.org/10.1016/j.aucc.2008.12.063
Copyright Statement Copyright 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.
ISBN 1036-7314
Conference name Asia Pacific Critical Care & 33rd Australian and New Zealand Scientific Meeting on Intensive Care
Location Sydney
Date From 2009-10-30
Date To 2009-11-02
URI http://hdl.handle.net/10072/31526
Date Accessioned 2010-02-23
Date Available 2011-10-07T04:27:23Z
Language en_AU
Research Centre Griffith Health Institute; Centre for Health Practice Innovation
Faculty Griffith Health Faculty
Subject Clinical Nursing: Secondary (Acute Care)
Publication Type Conference Publications (Extract Paper)
Publication Type Code e3

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