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The Relationship between Person-Centered Nursing and Family Satisfaction in ICUs

중환자실에서의 인간중심 간호와 가족 만족도 관계

  • Kang, Jiyeon (Department of Nursing, Dong-A University) ;
  • Shin, Eun-Ja (Surgical Intensive Care Unit, Kosin University Gospel Hospital)
  • 강지연 (동아대학교 간호학과) ;
  • 신은자 (고신대학교 복음병원 외과계중환자실)
  • Received : 2019.05.17
  • Accepted : 2019.09.05
  • Published : 2019.10.31

Abstract

Purpose : This study aims to identify the relationship between person-centered critical care nursing (PCCN) and family satisfaction for intensive care unit (ICU) nurses. Methods : This research used a cross-sectional survey. The participants were 142 nurses and 121 family members from 8 ICUs in 4 hospitals in B city. The questionnaire survey was conducted between December 2018 and March 2019. The eight ICUs were divided into those that scored high and those that scored low for person-centered care relative to the average score for PCCN, and the difference in family satisfaction between the ICUs with high and low scores was compared using t-test. Results : The mean score of PCCN was $3.68{\pm}0.40$ out of 5. In the subcategories of PCCN, "comfort"was the highest at $3.95{\pm}0.49$, followed by "respect" at $3.73{\pm}0.57$, "compassion" at $3.59{\pm}0.57$, and "individuality" at $3.47{\pm}0.54$. The average score of family satisfaction with the ICUs was $3.45{\pm}0.67$ out of 5. In its subcategories, "emotion" was the highest at $3.69{\pm}0.72$, followed by "information" at $3.61{\pm}0.75$, "participation" at $3.30{\pm}0.79$, and "resources" at $3.20{\pm}0.80$. The family satisfaction ($3.75{\pm}0.54$) with the ICU of the highest-scoring PCCN was significantly higher than the family satisfaction ($3.25{\pm}0.53$) with the ICU with the lowest-scoring PCCN (t=4.97, p<.001). Conclusion: The results suggest that the PCCN scores of ICU nurses should be promoted to improve family satisfaction. It is necessary to pursue a variety of ways to secure the provision of person-centered nursing practice in ICUs.

Keywords

References

  1. Alharbi, T. S. J., Olsson, L. E., Ekman, I., & Carlstrom, E. (2014). The impact of organizational culture on the outcome of hospital care: After the implementation of person-centred care. Scandinavian Journal of Public Health, 42(1), 104-110. https://doi.org/10.1177/1403494813500593
  2. Ahn, Y. M., Jang, K. S., & Park, H. (2018). Effects of compassion competence, professional self-concept and nursing practice environment on caring behaviors of clinical nurses in a tertiary hospital. Korean Society of Health Service Management, 12(4), 17-30. https://doi.org/10.12811/kshsm.2018.12.4.017
  3. Cabrini, L., Landoni, G., Antonelli, M., Bellomo, R., Colombo, S., Negro, A., . . . Zangrillo, A. (2015). Critical care in the near future: Patient-centered, beyond space and time boundaries. Minerva Anestesiologica, 82(5), 599-604.
  4. Charmel, P. A., & Frampton, S. B. (2008). Building the business care for patient-centered care. Healthcare Financial Management, 62(3), 80-85.
  5. Choi, Y. L. (2015). Influencing factors on the personcentered care of emergency room (ER) nurses (Unpublished master's thesis). Hanyang University, Seoul, Korea.
  6. Christmas, K. (2008). How work environment impacts retention. Nursing Economics, 26(5), 316.
  7. Dabney, B. (2008). Effect of patient centered care on patient satisfaction and quality of care. Journal of Nursing Care Quality, 23(4), 316-321. https://doi.org/10.1097/01.NCQ.0000336672.02725.a5
  8. Gooding, J. S., Cooper, L. G., Blaine, A. I., Franck, L. S., Howse, J. L., & Berns, S. D. (2011). Family support and family-centered care in the neonatal intensive care unit: Origins, advances, impact. Seminars in Perinatology, 35(1), 20-28. https://doi.org/10.1053/j.semperi.2010.10.004
  9. Health Insurance Review & Assessment Service. (2018). Patient-experience. Retrieved September 10, 2018, from http://hirawebzine.or.kr/15467
  10. Hong, H. J., & Kang, J. (2018). A qualitative content analysis of the person-centered care experienced by critical care patients. Journal of Korean Critical Care Nursing, 11(2), 21-33.
  11. Institute of Medicine. (2001). Crossing the quality chasm; A new health system for the 21stcentury. Washington, D.C: National Academy Press.
  12. Jakimowicz, S., & Perry, L. (2015). A concept analysis of patient-centred nursing in the intensive care unit. Journal of Advanced Nursing, 71(7), 1499-1517. https://doi.org/10.1111/jan.12644
  13. Jeong, H., & Park, M. (2019). A predictive model on patient-centered care of hospital nurses in Korea. Journal of Korean Academy of Nursing, 49(2), 191-202. https://doi.org/10.4040/jkan.2019.49.2.191
  14. Jung, H. J., & Kang, J. (2014). Critical care nursing work environment and family satis faction. Journal of Korean Critical Care Nursing, 7(2), 58-67.
  15. Kang, H. (2006). Comparison between nurses and family members of patients in ICUs in critical care family needs and the needs satisfaction (Unpublished master's thesis). Seoul National University, Seoul, Korea.
  16. Kang, J., & Suh, E. E. (2015). Perceptions of quality of patient-centered nursing care among women with breast cancer. Perspectives in Nursing science, 12(2), 115-123. https://doi.org/10.16952/pns.2015.12.2.115
  17. Kang, J., Cho, Y. S., Jeong, Y. J., Kim, S. G., Yun, S., & Shim, M. (2018). Development and validation of a measurement to assess person-centered critical care nursing. Journal of Korean Academy of Nursing, 48(3), 323-334. https://doi.org/10.4040/jkan.2018.48.3.323
  18. Kramer, M., Brewer, B. B., & Maguire, P. (2013). Impact of healthy work environments on new gradate nurses' environmental reality shock. Western Journal of Nursing Research, 35(3), 348-383. https://doi.org/10.1177/0193945911403939
  19. Lee, L., & Lau, Y. L. (2003). Immediate needs of adult family members of adult intensive care patients in Hong Kong. Journal of Clinical Nursing, 12(4), 490-500. https://doi.org/10.1046/j.1365-2702.2003.00743.x
  20. Lee, M., & Yi, M. (2017). Experiences of families in the intensive care unit; Interactions with health care providers. Korean Journal of Adult Nursing, 29(1), 76-86. https://doi.org/10.7475/kjan.2017.29.1.76
  21. Lee, J. E. (2015). Patient and nurse's perception of patient-centered care (Unpublished master's thesis). Chungnam National University, Daejeon, Korea.
  22. Lee, Y., & Kang, J. (2011). The effects of extended family visiting hours in the intensive care unit. Journal of Korean Critical Care Nursing, 4 (1), 51-63.
  23. Lusk J. M., & Fater K. A. (2013). Concept analysis of patient-centered care. Nursing Forum, 48(2), 89-98. https://doi.org/10.1111/nuf.12019
  24. Molter, N. C. (1979). Needs of relatives of critically ill patients: A descriptive study. Humane Aspects of Critical Care, 8(2), 332-339.
  25. O'Connell, E., & Landers, M. (2008). The importance of critical care nurses' caring behaviors as perceived by nurses and relatives. Intensive and Critical Care Nursing, 24(6), 349-358. https://doi.org/10.1016/j.iccn.2008.04.002
  26. Price, A. M. (2013). Caring and technology in an intensive care unit: An ethnographic study. Nursing in Critical Care, 18(6), 278-288. https://doi.org/10.1111/nicc.12032
  27. Schleyer, A. M., & Curtis, J. R. (2013). Family satisfaction in the ICU: Why should ICU clinicians care? Intensive Care Medicine, 39(6), 1143-1145. https://doi.org/10.1007/s00134-013-2939-3
  28. Soe, M. S. (2008). A study on the expectations of inpatients for the quality of nursing service, their satisfaction level and hospital reuse intention (Unpublished master's thesis). Ewha University, Seoul, Korea.
  29. Suhonen, R., Efastathiou, G., Tsangari, H., Jarosova, D., Leinokilpi, H., Patiraki, E., . . . Papastavrou, E. (2012). Patients' and nurses' perceptions of individualised care: An international comparative study. Journal of Clinical Nursing, 21(7-8), 1155-1167. https://doi.org/10.1111/j.1365-2702.2011.03833.x
  30. Wall, R. J., Curtis, J. R., Cooke, C. R., & Engelberg, R. A. (2007). Family satisfaction in the ICU. Critical Care Medicine, 132(5), 1425-1433.

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