Effectiveness of Caring for Acute Critically Ill Patients Based on Family-Centered Care Concept in the Emergency Department

Authors

  • วรวุฒิ ขาวทอง Professional Nurse, Emergency Department, Sawanpracharak Hospital
  • อัจฉรา สุคนธสรรพ์ Assistant Professor, Faculty of Nursing, Chiang Mai University
  • สุภารัตน์ วังศรีคูณ Lecturer, Faculty of Nursing, Chiang Mai University

Keywords:

Family-Centered Care, Acute Critically Ill Patients, mergency Department

Abstract

When an acute critically ill patient has to be treated at the emergency department (ED), it is a crisis situation for their family members. Anxiety may influence their shared decision making process. The objective of this two-group quasi-experimental post test design study was to study the effectiveness of caring for acute critically ill patients based on a family-centered care (FCC) concept in the ED on anxiety, shared decision-making, and care satisfaction among family members of the patients. The samples were 72 family members of acute critically ill patients who received care at the ED. They were divided equally into those who received routine standard care and those who received FCC. The research instrument was the manual for FCC of acute critically ill patients in the ED; whereas, the data collection instruments were the demographic data recording form, the anxiety scale developed by Gaberson (1991), the shared decision making scale developed by Kriston and colleague (2010), and the care satisfaction scale developed by the researcher based on reviewed literature. Data were analyzed by using descriptive statistics and the Mann-Whitney U-test.

          The results of this study revealed that:

  1. Family members of the acute critically ill patients who received FCC had anxiety score which was statistically significantly lower than those who received routine standard care (p<.01);
  2. Family members of the acute critically ill patients who received FCC had shared decision making score which was statistically significantly higher than those who received routine standard care (p<.01); and
  3. Family members of the acute critically ill patients who received FCC had care satisfaction score which was statistically significantly higher than those who received routine standard care (p<.01).

          The results of this study indicate that the care improved under the FCC implementation for acute critically ill patients and their families in the ED. Therefore, the ED guidelines for FCC for this population should be developed and tested for its effectiveness in real situations to enhance quality care in the ED.

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Published

2019-06-24