Survey of caregiver opinions on the practicalities of family-centred care in intensive care units

Soury-Lavergne, Aude, Hauchard, Ines, Dray, Sandrine, Baillot, Marie-Lou, Bertholet, Emmanuelle, Clabault, Karine, Jeune, Sylvie, Ledroit, Christelle, Lelias, Isabelle, Lombardo, Veronique, Maetens, Yves, Meziani, Ferhat, Reignier, Jean, Souweine, Bertrand, Tabah, Alexis, Barrau, Karine and Roch, Antoine (2012) Survey of caregiver opinions on the practicalities of family-centred care in intensive care units. Journal of Clinical Nursing, 21 7-8: 1060-1067. doi:10.1111/j.1365-2702.2011.03866.x


Author Soury-Lavergne, Aude
Hauchard, Ines
Dray, Sandrine
Baillot, Marie-Lou
Bertholet, Emmanuelle
Clabault, Karine
Jeune, Sylvie
Ledroit, Christelle
Lelias, Isabelle
Lombardo, Veronique
Maetens, Yves
Meziani, Ferhat
Reignier, Jean
Souweine, Bertrand
Tabah, Alexis
Barrau, Karine
Roch, Antoine
Title Survey of caregiver opinions on the practicalities of family-centred care in intensive care units
Journal name Journal of Clinical Nursing   Check publisher's open access policy
ISSN 0962-1067
1365-2702
Publication date 2012-04
Year available 2011
Sub-type Article (original research)
DOI 10.1111/j.1365-2702.2011.03866.x
Open Access Status Not yet assessed
Volume 21
Issue 7-8
Start page 1060
End page 1067
Total pages 8
Place of publication Chichester, West Sussex, United Kingdom
Publisher Wiley-Blackwell Publishing
Language eng
Formatted abstract
Aims and objectives: To determine caregiver opinion on their intensive care unit's policies with regard to visiting hours, how families are informed and participate in patient care.

Background: Benefits of improving family access to the intensive care unit, information delivery and participation of families in care have been suggested.

Design: Survey of caregivers working in French-speaking intensive care units.

Methods: An e-mail invitation to complete an online, closed-ended questionnaire was issued to caregivers registered in the mailing list of the French society of intensive care.

Results: Caregivers (n=731) working in 222 adult and 41 paediatric intensive care units completed the questionnaire. Unlike in paediatric intensive care units, 58% of adult intensive care unit had restricted visiting hours (<4hour). However, 63% of respondents would recommend extended visiting periods. A 24-hour policy existed in 7% of adult intensive care units; 10% of respondents from these intensive care units thought reducing visiting periods would be very useful or essential; 81% thought that a 24-hour policy contributed to improved relations with families; and only 9% thought that it was a hindrance to care. Over 90% of caregivers thought that families should be informed of patient progress in a designated room in the presence of the patient's nurse and that patient records should report family meetings. This policy was only implemented in half of the cases. Family participation in care procedures was strongly encouraged in only 0·5% of adult intensive care units.

Conclusions: Intensive care unit caregivers are in favour of longer visiting hours, increased use of designated rooms for, and nurse participation in, meetings with families. Although caregivers do not associate families with care procedures, they considered that their presence during most interventions should be authorised.

Relevance to clinical practice: Our results could help in implementing intensive care unit policies concerning visiting hours, how families are informed and participate in patient care.
Keyword Family
France
Information
Intensive care unit
Nurses
Nursing
Visiting
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Non-UQ

Document type: Journal Article
Sub-type: Article (original research)
Collection: School of Medicine Publications
 
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