Factors influencing critical care nurses' family engagement practices: An international perspective.
Journal article
Price, A., McAndrew, N., Thaqi, Qendresa, Kirk, M., Brysiewicz, P., Eggenberger, S. and Naef, R. 2022. Factors influencing critical care nurses' family engagement practices: An international perspective. Nursing In Critical Care. https://doi.org/10.1111/nicc.12824
| Authors | Price, A., McAndrew, N., Thaqi, Qendresa, Kirk, M., Brysiewicz, P., Eggenberger, S. and Naef, R. |
|---|---|
| Abstract | Family engagement positively impacts patient and family members' experiences of care and health outcomes. While partnering with families denotes best practice in intensive care units (ICUs), its full adoption requires improvement. A better understanding of the factors that influence the implementation of family engagement practices is necessary. To investigate the factors that enable or hinder adult ICU nurse-family engagement and to explore potential international variations. Descriptive, cross-sectional survey. Nurses from 10 countries completed the 'Questionnaire on Factors that Influence Family Engagement' (QFIFE), including five open-ended questions. We performed descriptive statistics on quantitative data and content analysis for open-ended questions, and then integrated the findings according to influencing factors and geographical patterns. This was part of a larger qualitative study where 65 nurses participated from adult intensive care units. Sixty-one nurses completed the questionnaire, making a response rate of 94%. Overall, patient acuity (Md = 5.0) and nurses' attitudes (Md = 4.6) seemed to be the most influential facilitator, followed by nurse workflow (Md = 4.0) and ICU environment (Md = 3.1) (score 1-6 most influential). The open-ended question data showed a more nuanced picture of the complexity of family engagement in care around these four determinants. Adding a fifth determinant, namely Families are complex structures that respond uniquely to the ICU and patient, revealed that difficult family dynamics, miscommunication and family having difficulty in understanding the situation or health literacy, hindered family engagement. Exploring geographical variations, Africa/Middle East consistently differed from others on three of the four QFIFE subscales, showing lower median levels. Some determinants are perceived to be more influential than others, becoming barriers or enablers to nurse-family engagement in adult ICU. Research that investigates contextual determinants and which compares implementation and improvement initiatives tailored to address family engagement practices barriers and enablers are needed. Knowledge of this international study expands our understanding of enablers and barriers in family engagement that may inform family engagement practice improvement efforts around the world. [Abstract copyright: © 2022 The Authors. Nursing in Critical Care published by John Wiley & Sons Ltd on behalf of British Association of Critical Care Nurses.] |
| Keywords | Family nursing; Social factors; Critical care nursing; Communication; Intensive care unit |
| Year | 2022 |
| Journal | Nursing In Critical Care |
| Publisher | Wiley |
| ISSN | 1478-5153 |
| Digital Object Identifier (DOI) | https://doi.org/10.1111/nicc.12824 |
| Official URL | https://onlinelibrary.wiley.com/doi/full/10.1111/nicc.12824 |
| Funder | British Association of Critical Care Nurses |
| Froedtert Foundation in the USA | |
| JSPS KAKENHI Grant-in-Aid for Young Scientists in Japan | |
| The Glen Taylor Nursing Institute for Family | |
| Publication dates | |
| Online | 13 Jul 2022 |
| Publication process dates | |
| Deposited | 28 Jun 2022 |
| Accepted | 24 Jun 2022 |
| Accepted author manuscript | File Access Level Restricted |
| Publisher's version | License |
| Output status | Published |
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