Family Members’ Satisfaction Levels : Impact Of An Intensive Care Unit Information Leaflet With Verbal Information Compared To Conventional Verbal Information
Main Article Content
Abstract
Introduction: Patients admitted to the Intensive Care Unit (ICU) experience intense physical stress. Family members of these patients also experience stress during the admission. Therefore, it is an important task of the ICU staff to provide the family members with appropriate and clear information. There are many methods to do this. This study aimed to compare the impact of two methods of information sharing on the satisfaction levels among families of ICU patients. The novel method being introduced and investigated was a locally designed information leaflet in combination with verbal explanation. This new method was compared with the traditional method of verbal explanation only. Methods: This was a randomized controlled study, conducted at the ICU of Teluk Intan Hospital. A total of 60 participants were enrolled, with 30 participants each in the intervention and control group. The Malay version of the Validated Critical Care Family Satisfaction Survey (CCFSS) was used to measure family satisfaction with the care received during their ICU admission. Results: The intervention group reported significantly higher level of satisfaction in all of the components (Assurance, Proximity, Information, Support and Comfort). Upon further examination of the results of the intervention group, the scores in the Assurance, Proximity and Comfort component were significantly higher compared to the scores in the Information and Support component. Conclusion: Integrating an information leaflet with the traditional verbal method of delivering information has proven to provide a significant difference in satisfaction levels to the family members of patients who were admitted to the ICU.
Downloads
Article Details
References
Brilli RJ, Spevetz A, Branson RD, Campbell GM, Cohen H, Dasta JF, et al. Critical care delivery in the intensive care unit: Defining clinical roles and the best practice model. Crit Care Med. 2001;29(10):2007-2019. doi :10.1097/00003246-200110000-00026.
Azoulay E, Pochard F, Chevret S, Lemaire F, Mokhtari M, Le Gall JR, et al. Meeting the needs of intensive care unit patient families: a multicentre study. Am J Respir Crit Care Med. 2001;163(1):135–139. doi:10.1164/ ajrccm.163.1.2005117
Molter NC. Needs of Relatives of critically ill patients: A descriptive study. Heart Lung. 1979;8(2):332-339. PMID: 253712.
Othman H, Subramanian P, Mohd Ali NA, Hassan H, Haque M. The effect of information booklets on family members’ satisfaction with decision making in an intensive care unit of Malaysia. J Young Pharm. 2016;8(2):128-132. doi:10.5530/jyp.2016.2.13.
Loghmani L, Borhani F, Abbaszadeh A. Factors affecting the nurse-patients’ family communication in intensive care unit of Kerman: a qualitative study. J Caring Sci. 2014;3(1):67-82. doi:10.5681/jcs.2014.008.
Min J, Kim Y, Lee JK, Lee H, Lee J, Kim KS et al. Survey of family satisfaction with intensive care units: A prospective multicentre study. Medicine (Baltimore). 2018;97(32):e11809. doi:10.1097/MD.0000000000011809.
Hashim F, Hussin R. Family needs of patient admitted to intensive care unit in a public hospital. Procedia- Social and Behavioural Sciences. 2012;36:103-11. doi:10.1016/j. sbspro.2012.03.012.
McAdam JL, Dracup KA, White DB, Fontaine DK, Puntillo KA. Symptom experiences of family members of Intensive Care Unit patients at high risk for dying. Crit Care Med. 2010;38(4):1078–85. doi:10.1097/CCM.0b013e3181cf6d94.
Day A, Haj-Bakri S, Lubchansky S, Mehta S. Sleep, anxiety and fatigue in family members of patients admitted to the Intensive Care Unit: A questionnaire study. Crit Care. 2013;17(3):R91. doi:10.1186/cc12736.
Mahyiddin NS, Mohamed R, Jan Mohamed HJ. Perception of family satisfaction with care at critical care setting hospital University Sains Malaysia: a pilot study. The Malaysian Journal of Nursing. 2015;7(1):32-37. https://ejournal.lucp.net/index.php/mjn/article/view/517.
Wasser T, Matchett S, Ray D, Baker K. Validation of a Total Score for theCritical Care Family Satisfaction Survey. Journal of Clinical Outcomes Management. 2004; 11:502-507. Corpus ID:35358266.
Mahyiddin NS, Mohamed R, Jan Mohamed HJ. Perception of family satisfaction with care at critical care setting Hospital University Sains Malaysia: a pilot study. The Malaysian Journal of Nursing.2015;Vol 7(1):32-37. https://ejournal.lucp.net/index.php/mjn/article/view/517/48.
Azoulay E, Pochard F, Kentish-Barnes N, Chevret S, Aboab J, Adrie C, et al. Risk of post-traumatic stress symptoms in family members of intensive care unit patients. Am J Respir Crit Care Med. 2005;171(9):987-94. doi:10.1164/ rcccm.200409-1295OC.
Cameron JI, Chu LM, Matte A, Tomlinson G, Chan L, Thomas C, et al. One-year outcomes in caregivers of critically ill patients. N Engl J Med. 2016;374:1831–1841. doi:10.1056/ NEJMoa1511160.
Bolosi M, Peritogiannis V, Tzimas P, Margaritis A, Millios K, Rizos DV. Depressive and anxiety symptoms in relatives of intensive care unit patients and the perceived need for support. J Neurosci Rural Pract. 2018;9(4):522-528. doi:10.4103/jnrp.jnrp_112_18.
Hickman R, Daly B, Douglas S, Clochesy J. Families in critical care. Information coping style and depressive symptoms in family decision makers. Am J Crit Care. 2010;19(5):410-420. doi:10.4037/ajcc2010354.
Nelson D, Plost G. Registered nurses a family care specialists in the intensive care unit. Critical Care Nurse. 2009;29(3):46-53. doi:10.4037/ ccn2009890.
Fumis RR, Nishimoto IN, Deheinzelin D. Families’ interactions with physicians in the intensive care unit: the impact on family’s satisfaction. J Crit Care. 2008;23(3):281-6. doi:10.1016/j. jcrc.2007.04.004.
Azoulay E, Pochard F, Chevret S, Jourdain M, Borstain C, Wernet A, et al. Impact of a family information leaflet on effectiveness of information provided to family members of intensive care unit patients. Am J Respir Crit Care Med. 2002;165:438—42. doi:10.1164/ajrccm.165.4.2000108-006oc.
Bailey JJ, Sabbagh M, Loiselle CG, Boileau J, McVey L. Supporting families in the ICU: A descriptive correlation study of informational support, anxiety, and satisfaction with care. Intensive and critical care nursing. 2010;26:114-122. doi:10.1016/j.iccn.2009. 12.006.
Azoulay E, Pochard F, Chevret S, Jourdain M, Bornstain C, Wernet A, et al. Impact of a family information leaflet on effectiveness of information provided to family members of intensive care unit patients: A Multicentre, prospective, randomized, controlled trial. Am J Respir Crit Care Med. 2002;165:438-442. doi:10.1164/ ajrccm.165.4.200108-006oc.