Feasibility of a standardized family participation programme in the intensive care unit: A pilot survey study

Abstract Aim To assess the feasibility and applicability of a standardized programme to facilitate family participation in essential care activities in the intensive care unit. Design Pilot study with a cross‐sectional survey design. Methods A standardized programme to facilitate family participatio...

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Main Authors: Boukje Dijkstra, Lucia Uit het Broek, Johannes van derHoeven, Lisette Schoonhoven, Frank Bosch, Marijke Van der Steen, Paul Rood, Lilian Vloet
Format: Article
Language:English
Published: Wiley 2023-06-01
Series:Nursing Open
Subjects:
Online Access:https://doi.org/10.1002/nop2.1603
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author Boukje Dijkstra
Lucia Uit het Broek
Johannes van derHoeven
Lisette Schoonhoven
Frank Bosch
Marijke Van der Steen
Paul Rood
Lilian Vloet
author_facet Boukje Dijkstra
Lucia Uit het Broek
Johannes van derHoeven
Lisette Schoonhoven
Frank Bosch
Marijke Van der Steen
Paul Rood
Lilian Vloet
author_sort Boukje Dijkstra
collection DOAJ
description Abstract Aim To assess the feasibility and applicability of a standardized programme to facilitate family participation in essential care activities in the intensive care unit. Design Pilot study with a cross‐sectional survey design. Methods A standardized programme to facilitate family participation in essential nursing care activities was implemented in intensive care units of three hospitals in the Netherlands from November 2018 until March 2019. The feasibility and applicability of the programme were assessed with surveys of the patients, relatives and healthcare providers. Results Three intensive care units successfully implemented the standardized programme. Three patients, ten relatives and 37 healthcare providers responded to the surveys. Patients appreciated family participation and recognized that their relatives liked to participate. Relatives appreciated being able to do something for the patient (80%) and to participate in essential care activities (60%). The majority of relatives (60%) felt they had sufficient knowledge and skills to participate and did not feel obliged nor uncomfortable. Healthcare providers felt they were trained adequately and motivated to apply family participation; application was perceived as easy, clear and relatively effortless according to the majority. According to 68% of the healthcare providers, most relatives were perceived to be capable of learning to participate in essential care activities. Some healthcare providers felt uncertain about the patient's wishes regarding family participation, with some indicating the behaviours of relatives and patients discouraged them from offering family participation. Use of a standardized programme to facilitate family participation in essential care activities in the intensive care unit seems feasible and applicable as determined by relatives and healthcare providers.
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spelling doaj.art-2a8c8a8b783448a5ad2b6d902fcacea22023-05-10T12:16:34ZengWileyNursing Open2054-10582023-06-011063596360210.1002/nop2.1603Feasibility of a standardized family participation programme in the intensive care unit: A pilot survey studyBoukje Dijkstra0Lucia Uit het Broek1Johannes van derHoeven2Lisette Schoonhoven3Frank Bosch4Marijke Van der Steen5Paul Rood6Lilian Vloet7Research Department Emergency and Critical Care, HAN University of Applied Sciences School of Health Studies Nijmegen The NetherlandsResearch Department Emergency and Critical Care, HAN University of Applied Sciences School of Health Studies Nijmegen The NetherlandsDepartment of Intensive Care Radboud University Medical Center Nijmegen The NetherlandsNursing Science, Julius Center for Health Sciences and Primary Care University Medical Center Utrecht, Utrecht University Utrecht The NetherlandsDepartment of Intensive Care Rijnstate Arnhem The NetherlandsDepartment of Intensive Care Maasziekenhuis Pantein Boxmeer The NetherlandsResearch Department Emergency and Critical Care, HAN University of Applied Sciences School of Health Studies Nijmegen The NetherlandsResearch Department Emergency and Critical Care, HAN University of Applied Sciences School of Health Studies Nijmegen The NetherlandsAbstract Aim To assess the feasibility and applicability of a standardized programme to facilitate family participation in essential care activities in the intensive care unit. Design Pilot study with a cross‐sectional survey design. Methods A standardized programme to facilitate family participation in essential nursing care activities was implemented in intensive care units of three hospitals in the Netherlands from November 2018 until March 2019. The feasibility and applicability of the programme were assessed with surveys of the patients, relatives and healthcare providers. Results Three intensive care units successfully implemented the standardized programme. Three patients, ten relatives and 37 healthcare providers responded to the surveys. Patients appreciated family participation and recognized that their relatives liked to participate. Relatives appreciated being able to do something for the patient (80%) and to participate in essential care activities (60%). The majority of relatives (60%) felt they had sufficient knowledge and skills to participate and did not feel obliged nor uncomfortable. Healthcare providers felt they were trained adequately and motivated to apply family participation; application was perceived as easy, clear and relatively effortless according to the majority. According to 68% of the healthcare providers, most relatives were perceived to be capable of learning to participate in essential care activities. Some healthcare providers felt uncertain about the patient's wishes regarding family participation, with some indicating the behaviours of relatives and patients discouraged them from offering family participation. Use of a standardized programme to facilitate family participation in essential care activities in the intensive care unit seems feasible and applicable as determined by relatives and healthcare providers.https://doi.org/10.1002/nop2.1603essential carenursingfamily‐centred carefamily participationimplementationintensive care unit
spellingShingle Boukje Dijkstra
Lucia Uit het Broek
Johannes van derHoeven
Lisette Schoonhoven
Frank Bosch
Marijke Van der Steen
Paul Rood
Lilian Vloet
Feasibility of a standardized family participation programme in the intensive care unit: A pilot survey study
Nursing Open
essential care
nursing
family‐centred care
family participation
implementation
intensive care unit
title Feasibility of a standardized family participation programme in the intensive care unit: A pilot survey study
title_full Feasibility of a standardized family participation programme in the intensive care unit: A pilot survey study
title_fullStr Feasibility of a standardized family participation programme in the intensive care unit: A pilot survey study
title_full_unstemmed Feasibility of a standardized family participation programme in the intensive care unit: A pilot survey study
title_short Feasibility of a standardized family participation programme in the intensive care unit: A pilot survey study
title_sort feasibility of a standardized family participation programme in the intensive care unit a pilot survey study
topic essential care
nursing
family‐centred care
family participation
implementation
intensive care unit
url https://doi.org/10.1002/nop2.1603
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