Needs and Received Needs Responses Among Families of Critically Ill Patients at a University Hospital in Bangkok
Keywords:
Needs, Needs responses, Family of critically ill patientsAbstract
Families of critically ill patients must cope with the changes and instability of the patient's condition. This cross-sectional descriptive study aimed to investigate the needs and received needs responses among families of critically ill patients and to identify relationships between the expressed needs and the responses received by these families. The participants were 178 families of critically ill patients admitted to seven ICUs in a university hospital. The research instruments for data collection consisted of 1) a demographic data sheet; 2) needs and received needs responses of the families of critically ill patients, and 3) an open-ended questionnaire providing feedback on needs and received needs responses during treatment in the ICU. The instruments were validated by three experts and demonstrated validity through Content Validity Index (CVI) scores of .95 and 1, along with reliability coefficients assessed by Cronbach’s alpha coefficients of .93 and .94. Descriptive statistics and Pearson’s correlation coefficient were used to analyze the quantitative data and the content analysis method for the qualitative data.
The results of the study revealed that families of critically ill patients had overall needs at a high level. They desired the strongest response in terms of the information, physical, and emotional aspects, while their spiritual needs were also at a high level. The received needs responses among families of critically ill patients, overall and for each sub-aspect, were at a high level. Furthermore, there was a statistically significant positive relationship between their needs and received needs responses (r = .53, p < 0.001). Families stated their needs in four areas: 1) Information, 2) Physical comfort 3) Emotional, and 4) Spiritual needs.
Assessing the needs among families of critically ill patients is an important role for critical care nurses. Such information can be used to plan for caring in order to fulfill their needs accordingly to ensure enough support for the family transition through their critical time.
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