C Padilla-Fortunatti1, N Rojas-Silva2, M C Arechabala-Mantuliz3. 1. Escuela de Enfermería, Pontificia Universidad Católica de Chile, Unidad de Paciente Crítico, Hospital Clínico UC-CHRISTUS, Santiago, Chile. 2. Escuela de Enfermería, Pontificia Universidad Católica de Chile, Santiago, Chile. Electronic address: nprojas@uc.cl. 3. Escuela de Enfermería, Pontificia Universidad Católica de Chile, Santiago, Chile.
Abstract
OBJECTIVE: To analyze the difference between the degree of importance and satisfaction of the needs of family members of patients in an Intensive Care Unit (ICU). DESIGN: A descriptive, cross-sectional analytical study was carried out. SETTING: Medical - surgical ICU of a university hospital in Chile. PARTICIPANTS: Family members of critical patients with a length of stay of ≥ 48hours, over 18 years of age, and with at least one visit to the patient. VARIABLES OF INTEREST: The Critical Care Family Needs Inventory questionnaire was used to determine the difference between the degree of importance and satisfaction of the needs of the family members. In addition, the needs were classified according to the categories proposed by importance - performance analysis (IPA). RESULTS: A total of 253 family members were recruited, observing a negative gap (satisfaction <importance) in 100% of communication needs and in 51.9% of support needs. In turn, 8.9% of the needs were priority needs according to the IPA, including assistance with financial problems, contact in case of changes in the patient condition, talk about the possibility of death, and the reception of guidance at the patient bedside. CONCLUSIONS: A high level of importance, compared to low levels of satisfaction, determines a negative gap in most of the needs of the family of the critical patient, particularly those referred to communication. Despite this, a low proportion of the needs should be addressed on a priority basis.
OBJECTIVE: To analyze the difference between the degree of importance and satisfaction of the needs of family members of patients in an Intensive Care Unit (ICU). DESIGN: A descriptive, cross-sectional analytical study was carried out. SETTING: Medical - surgical ICU of a university hospital in Chile. PARTICIPANTS: Family members of critical patients with a length of stay of ≥ 48hours, over 18 years of age, and with at least one visit to the patient. VARIABLES OF INTEREST: The Critical Care Family Needs Inventory questionnaire was used to determine the difference between the degree of importance and satisfaction of the needs of the family members. In addition, the needs were classified according to the categories proposed by importance - performance analysis (IPA). RESULTS: A total of 253 family members were recruited, observing a negative gap (satisfaction <importance) in 100% of communication needs and in 51.9% of support needs. In turn, 8.9% of the needs were priority needs according to the IPA, including assistance with financial problems, contact in case of changes in the patient condition, talk about the possibility of death, and the reception of guidance at the patient bedside. CONCLUSIONS: A high level of importance, compared to low levels of satisfaction, determines a negative gap in most of the needs of the family of the critical patient, particularly those referred to communication. Despite this, a low proportion of the needs should be addressed on a priority basis.
Keywords:
Calidad en salud; Evaluación de necesidades; Familia; Family; Intensive Care Units; Needs assessment; Quality of health care; Unidades de Cuidados Intensivos