Needs and Responses to the Needs of Relatives Among Emergency and Critical Patients in the Emergency Department, Maharaj Nakorn Chiang Mai Hospital
Keywords:
Need, Need response, Relatives of emergency and crisis patient, Emergency departmentAbstract
The urgent delivery of life-saving care for patients in emergency and critical conditions in the emergency department may lead to varying needs for the patients' relatives compared to those in standard inpatient wards. This cross-sectional study aimed to 1) study the needs and responses to the needs of relatives of patients in emergency and critical conditions and 2) examine relationship between needs and responses to the needs of relatives of patients in emergency and critical conditions receiving treatment in the emergency department of Maharaj Nakorn Chiang Mai Hospital. The participants were selected by purposive sampling, consisting of 416 primary caregivers who were relatives of patients receiving treatment in the emergency department. The research tools consisted of a demographic data form and a questionnaire on the needs and responsiveness of family members of critically ill patients. The reliability of the questionnaire, tested by Cronbach's alpha coefficient, was 0.84. Data were analyzed using descriptive statistics and Pearson's correlation coefficient.
The study found that the mean score of the needs of relatives of patients in emergency and critical conditions was significantly high (M = 90.6, SD = 11.33). In terms of specific needs, the highest score was for receiving attentive care and concern from healthcare providers, while the lowest was for the need to be encouraged to cry. As for the mean score of the responsiveness to the needs of the sample group, it was at a moderate level (M = 74.5, SD = 14.93). The highest responsiveness to specific needs was for receiving prompt medical care assistance for the illness, while the lowest was for the need to be encouraged to cry. Furthermore, there was a moderate positive correlation between the needs of relatives of patients and the responsiveness received (r = .47, p < .01).
Therefore, hospitals and medical personnel should prioritize responding to the needs of patients’ relatives, considering various aspects of their needs, and establish policies or caring guidelines for relatives of patients receiving services at the emergency department.
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