The Needs of Family Members of Intensive Care Unit Patients: Needs Assessment Research

Authors

  • Nalinee Niyomthai คณะแพทยศาสตร์โรงพยาบาลรามาธิบดี มหาวิทยาลัยมหิดล
  • Teepatad Chintapanyakun Faculty of Medicine Ramathibodi Hospital, Mahidol University
  • Parunee Wongsri Faculty of Medicine Ramathibodi Hospital, Mahidol University
  • Phunsuk Hiransai Faculty of Medicine Ramathibodi Hospital, Mahidol University
  • Titimaporn Pomrod Faculty of Medicine Ramathibodi Hospital, Mahidol University

Keywords:

Needs, Family members, Critically ill, Needs assessment research

Abstract

Patients in intensive care units, and family members, need to properly obtain continuing care and adequate information to meet their physical, emotional, and spiritual needs. The aims of this study were: 1) to assess the actual needs of family members of ICU patients; and 2) to prioritize the needs of family members of ICU patients based on their perceptions. Needs assessment research was applied as the research approach. The samples were family members selected by purposive sampling from 184 family members of ICU patients admitted to the Faculty of Medicine, Ramathibodi Hospital, Mahidol University. The needs of family members of intensive care unit patients questionnaire was tested for its content validity index (CVI = .85) and construct validity, which showed an overall fit with the empirical data (2 (df = 4, N=184) = 8.651, p = .0705, CFI = .980, TLI = .970, RMSEA = .0079, SRMR = .042). The Cronbach’s alpha coefficient was between .88 and .92. Data were analyzed using descriptive statistics and the modified priority needs index (PNImodified).    
                The results showed that the actual needs of family members of ICU patients were at a high level in the information, physical, emotional, and spiritual domains. In addition, it was found that the emotional needs should be set and developed as the first priority, (PNImodified = 0.39), the physical needs as the second priority (PNImodified = 0.29), and information needs as the third (PNImodified = 0.27).  
          The results of this study will be beneficial for healthcare personnel including physicians, nurses, and persons who are responsible for the needs of family members of ICU patients, especially in relation to their emotional needs, in order to empower them, overcome their fear, and release their anxiety effectively. 

References

Alsharari, A. F. (2019). The needs of family members of patients admitted to the intensive care unit. Patient Prefer Adherence, 13, 465-473.

Altschuld, J. W. (2004). Emerging dimensions of needs assessment. Performance Improvement, 43(1), 10-15.

Altschuld, J. W., Hung, H.-L., & Lee, Y.-F. (2014). Needs assessment and asset/capacity building: A promising development in practice. In J. W. Altschuld & R. Watkins (Eds.), Needs assessment: Trends and a view toward the future (pp 89–103). Hoboken, NJ: Jossey-Bass.

Barth, A. A., Weigel, B. D., Dummer, C. D., Machado, K. C., & Tisott, T. M. (2016). Stressors in the relatives of patients admitted to an intensive care unit. Revista Brasileira de Terapia Intensiva, 28(3), 323–329.

Best, J. W., & Khan, J. V. (2012). Research in education (10th ed.). Englewood Cliffs, NJ: Prentice-Hall.

Bolosi, M., Peritogiannis, V., Tzimas, P., Margaritis, A., Milios, K., & Rizos, D. V. (2018). Depressive and anxiety symptoms in relatives of intensive care unit patients and the perceived need for support. Journal of Neurosciences in Rural Practice, 9(4), 522–528.

Boonyarat, J. & Uppanisakorn, S. (2012). Spiritual care for critically ill patients and families in ICU: Nursing experiences. Princess of Naradhiwas University Journal, 4(1), 1-13. (in Thai).

Fortunatti C. F. P. (2014). Most important needs of family members of critical patients in light of the critical care family needs inventory. Investigacion y Educacion en Enfermeria, 32(2), 306–316.

Gaglione, K. M. (1984). Assessing and intervention with families of CCU patients. Nursing Clinics of North America, 19(3), 427-432.

Khiewchaum, R., Ngamkhum, S., Chantapet, K., & Chantap, R. (2013). Family relative’s information needs in intensive care unit, Prapokklao Hospital. The Journal of Prapokklao Hospital Clinical Medical Education Center, 30(1), 24-34. (in Thai)

Kynoch, K., Chang, A., Coyer, F., & McArdle, A. (2016). The effectiveness of interventions to meet family needs of critically ill patients in an adult intensive care unit: A systematic review update. JBI Database of Systematic Reviews and Implementation Reports, 14(3), 181–234.

Maxwell, K. E., Stuenkel, D., & Saylor, C. (2007). Needs of family members of critically ill patients: A comparison of nurse and family perceptions. Heart & Lung: The Journal of Critical Care, 36(5), 367–376.

Nolen, K. B., & Warren, N. A. (2014). Meeting the needs of family members of ICU patients. Critical Care Nursing Quarterly, 37(4), 393–406.

Padilla-Fortunatti, C., Rojas-Silva, N., Amthauer-Rojas, M., & Molina-Muñoz, Y. (2018). Needs of relatives of critically ill patients in an academic hospital in Chile. Enfermeria Intensiva, 29(1), 32–40.

Pomrod, T., Monkong, S., & Sirapo-ngam, Y. (2011). Responses to needs and coping to stress of patients’ relatives before transferring from the intensive care unit. Rama Nursing Journal, 17(1), 75-89. (in Thai).

Udchumpisai, M. & Sangsongrit, N. (2020). Needs and preparedness of caregivers to care for medical critically-ill patients: A mixed-method study. Thai Red Cross Nursing Journal, 13(1), 261-281. (in Thai).

Uppanisakorn, S. & Boonyarat, J. (2013). Experiences of family members of critically ill patients who received responses to their spiritual needs in a medical intensive care unit. Songklanagarind Journal of Nursing, 33(3), 37-50. (in Thai).

Watson, J. (2012). Human caring science: A theory of nursing (2nd ed.). Sudbury, MA: Jones & Bartlett Learning.

Wongwanich, S. (2019). Needs assessment research (4th ed.). Bangkok: Chulalongkorn University Press. (in Thai).

Yodphet, P., & Ua-Kit, N. (2018). Selected factors associated with the patients’ needs in preoperative phase of coronary artery bypass graft surgery. Thai Journal of Cardio-Thoracic Nursing, 29(1), 58-71. (in Thai).

Zainah, M., Sasikala, M., Nurfarieza, M. A., & Ho, S. E. (2016). Needs of family members of critically ill patients in a critical care unit at University Kebangsaan Malaysia Medical Centre. Medicine & Health, 11(1), 11-21.

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Published

2022-06-30

How to Cite

Niyomthai, N., Chintapanyakun, T., Wongsri, P., Hiransai, P., & Pomrod, T. (2022). The Needs of Family Members of Intensive Care Unit Patients: Needs Assessment Research. Nursing Journal CMU, 49(2), 283–297. Retrieved from https://he02.tci-thaijo.org/index.php/cmunursing/article/view/256363

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Section

Research Article