Needs and Preparedness for Caregivers to care for Medical Critically-Ill Patients: A Mixed-Method Study
Keywords:
caregiver need, caregiver preparedness, medical critically-ill patient, mixed-method studyAbstract
This mixed-method study was conducted employing Timing It Right (TIR) as its conceptual framework. It aimed to study 1) the level and types of caregiver needs, and 2) the level of preparedness, barriers, and supporting factors promoting the preparedness of caregivers in caring for medical critically-ill patients. Seventy participants who met the inclusion criteria were enrolled in the study. Data collection involved questionnaires inquiring about the caregivers’ personal information, needs, and preparedness, as well as interviews with open-ended questions. Descriptive statistical and content analyses using Schreier’s method were used to scrutinize and interpret the data and to describe the phenomena related to needs and preparedness of caregivers to medical critically-ill patients
The findings revealed that the needs of caregivers to medical critically-ill patients were at a moderate level (average score 3.57) (S.D .49), and the dimension of needs regarding confidence and the reduction of anxiety had the highest scores (3.99) (S.D .12). In addition, the caregivers needed to know about the symptoms and treatment of patients, chance of patient death, and receipt of financial assistance from hospitals to support the cost of care. The preparedness of caregivers to care for medical critically-ill patients was also at a moderate level (average score 2.91) (S.D .64); the dimension of preparedness to make caregiving activities pleasant for both the caregiver and the patient exhibited the highest score (3.07) (S.D .76). Barriers to caregiving included lack of time to take full care due to work, and lacking confidence about how to prepare to be a caregiver. Meanwhile, the feeling of duty, the love for and attachment to patients, and receipt of instruction on how to provide care were supporting factors for caregiving preparedness.
The results of this study highlight the needs and levels of preparedness of caregivers to medical critically-ill patients. Further research is recommended to develop programs aimed at responding to the needs and promoting preparedness of caregivers to medical critically-ill patients.
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