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. 28 (6), pp. 1031-1044. https://doi.org/10.1111/nicc.12824
| Authors | Price, A., McAndrew, N., Thaqi, Qendresa, Kirk, M., Brysiewicz, P., Eggenberger, S. and Naef, R. |
|---|---|
| Abstract | AbstractBackgroundFamily 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.AimTo investigate the factors that enable or hinder adult ICU nurse‐family engagement and to explore potential international variations.Study DesignDescriptive, 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.ResultsSixty‐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.ConclusionsSome 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.Relevance to Clinical PracticeKnowledge 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. |
| Keywords | Critical Care Nursing |
| Year | 2022 |
| Journal | Nursing In Critical Care |
| Journal citation | 28 (6), pp. 1031-1044 |
| Publisher | Wiley |
| ISSN | 1362-1017 |
| 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 |
| 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 | |
| Output status | Published |
| Additional information | Publications router: Date 2022-06-24 of type 'accepted_date' included in notification. |
Publications router: License for VOR version of this article starting on 2022-07-13: http://creativecommons.org/licenses/by/4.0/ included in notification | |
| License | http://creativecommons.org/licenses/by/4.0/ |
Permalink -
https://repository.canterbury.ac.uk/item/9151y/factors-influencing-critical-care-nurses-family-engagement-practices-an-international-perspective
Download files
106
total views53
total downloads6
views this month3
downloads this month
Export as
Related outputs
Constructing a survey to assess the menopause and its implications for the higher education workforce
Kirk, M., Lewis, E., Chen, M., McCusker, S., Hunter, C., Hutton, M. and O'Leary, S. 2024. Constructing a survey to assess the menopause and its implications for the higher education workforce. Graduate College Working Papers.Dementia carers’ experience of long-term care during the COVID-19 pandemic: an international grounded theory study
Chung, P. and Naef, R. 2023. Dementia carers’ experience of long-term care during the COVID-19 pandemic: an international grounded theory study.Innovations in collaborative family research methods: exploring meaningful family and family-nurse interactions to inform nursing actions
Chung, P., Brysiewicz, P., Eggenberger, S. and Naef, R. 2023. Innovations in collaborative family research methods: exploring meaningful family and family-nurse interactions to inform nursing actions.A global examination of nurse practices to engage families in the intensive care unit
McAndrew, N., Clisbee, D., Brysiewicz, P., Eggenberger, S., Richardson, A., Richardson, S., Price, A., de Beer, J., Towell-Barnard, M., Honda, J. and Chiang, V. 2023. A global examination of nurse practices to engage families in the intensive care unit.Family experiences and trajectory of care received during and after a relative’s admission to ICU: A scoping review
Burns, M., De Goumoens, V., Naef, R., Brysiewicz, P., McAndrew, N., Eggenberger, S., MacPhail, K., Kiwanuka, F., Luttik, M., Nagl-Cupal, M. and Price, A. 2023. Family experiences and trajectory of care received during and after a relative’s admission to ICU: A scoping review.Factors affecting critical care nurses engagement with families
Price, A. 2023. Factors affecting critical care nurses engagement with families.EMPOWERing older people and their communities to manage their own CARE (EMPOWERCARE): Evaluation study of a social innovation initiative across four European countries
Hatzidimitriadou, E., Wright, T., Stirrup, V., Kuzbit, P., Thompson, T., DeBraal, P, Burton, C., Price, A., Stein, M., Wells, G., Manship, S., Martin, A. and Chung, P. 2022. EMPOWERing older people and their communities to manage their own CARE (EMPOWERCARE): Evaluation study of a social innovation initiative across four European countries. International Journal of Integrated Care. https://doi.org/10.5334/ijic.ICIC22333Staff perceptions of spiritual care in intensive care: A preliminary survey.
Price, Ann M. 2022. Staff perceptions of spiritual care in intensive care: A preliminary survey. Intensive and Critical Care Nursing. https://doi.org/10.1016/j.iccn.2022.103341‘Doing the best we can’: Registered Nurses' experiences and perceptions of patient safety in intensive care during COVID-19
Stayt L., Merriman, Clair, Bench, Suzanne, Price, A., Vollam, Sarah, Walthall, Helen, Credland, Niki, Gerber, Karin and Calovski, Vid 2022. ‘Doing the best we can’: Registered Nurses' experiences and perceptions of patient safety in intensive care during COVID-19. Journal of Advanced Nursing. 78 (10), pp. 3371-3384. https://doi.org/10.1111/jan.15419Intensive care nurse-family engagement from a global perspective: A qualitative multi-site exploration.
Naef, Rahel, Brysiewicz, Petra, Mc Andrew, Natalie S, Beierwaltes, Patricia, Chiang, Vico, Clisbee, David, de Beer, Jennifer, Honda, Junko, Kakazu, Shota, Nagl-Cupal, Martin, Price, A., Richardson, Sandra, Richardson, Anna, Tehan, Tara, Towell-Barnard, Amanda and Eggenberger, Sandra 2021. Intensive care nurse-family engagement from a global perspective: A qualitative multi-site exploration. Intensive and Critical Care Nursing. https://doi.org/S0964-3397(21)00070-7Reflections on international research collaborations: decolonising our research approach
Price, A. M. and Southgate, A. 2021. Reflections on international research collaborations: decolonising our research approach. Council of Deans of HealthCardiac competency statements: time for a refresh
Butterfield, Liz and Kirk, Mary 2021. Cardiac competency statements: time for a refresh. British Journal of Cardiac Nursing. 16 (9), pp. 1-2. https://doi.org/10.12968/bjca.2021.0097Ethics in critical care research: scratching the surface
Price, A. M. 2021. Ethics in critical care research: scratching the surface . Intensive and Critical Care Nursing. https://doi.org/10.1016/j.iccn.2021.103013Nurses’ perspectives on spiritual care in ICU: results of a survey
Price, A. M. 2020. Nurses’ perspectives on spiritual care in ICU: results of a survey.Comparing undergraduate student nurses understanding of sustainability in two countries: a mixed method study
Chen, M. and Price, A.M. 2020. Comparing undergraduate student nurses understanding of sustainability in two countries: a mixed method study. Nurse Education Today.Innovative global family research: lessons learnt from the IFNA Acute Care Research Cluster
Brysiewicz, P., Naef, R., Eggenberger, S., Beierwaltes, P., Chiang, V., Clisbee, D., de Beer, J., Ewens, B., Honda, J., McAndrew, N., Meiers, S., Nagl-Cupal, M., Richardson, A., Richardson, S., Tehan, T., Towell-Barnard, A. and Price, A. M. 2019. Innovative global family research: lessons learnt from the IFNA Acute Care Research Cluster.Engaging with families during critical illness: an international study of nurses’ descriptions and practices of family engagement in intensive care units
Naef, R., Brysiewicz, P., Eggenberger, S., Beierwaites, P., Chiang, V., Clisbee, D., Honda, J., McAndrew, N., Meiers, S., Nagl-Cupal, M., Ricardson, A., Richardson, S., Tehan, T., de Beer, J., Towell-Barnard, A., Ewens, B. and Price, A. M. 2019. Engaging with families during critical illness: an international study of nurses’ descriptions and practices of family engagement in intensive care units.Engagement of families in ICU from the nursing staff perspective
Price, A. M., Brysiewicz, P., Eggenberger, S. and Naef, R. 2019. Engagement of families in ICU from the nursing staff perspective.Spiritual intelligence as a method to improve spiritual care in nursing students
Price, A. M. 2019. Spiritual intelligence as a method to improve spiritual care in nursing students.Editorial comment: Nursing in Critical Care journal survey 2018
Scholes, J., Albarran, J. and Price, A. M. 2018. Editorial comment: Nursing in Critical Care journal survey 2018. Nursing In Critical Care. https://doi.org/10.1111/nicc.12384Spiritual care: can student nurses learning contribute to leading person-centred practice?
Price, A. M. 2018. Spiritual care: can student nurses learning contribute to leading person-centred practice?First year nursing students use of social media within education: Results of a survey
Price, A. M., Devis, K., Le Moine, G., Crouch, S., South, N. and Hossain, R. 2017. First year nursing students use of social media within education: Results of a survey. Nurse Education Today. 61, pp. 70-76. https://doi.org/10.1016/j.nedt.2017.10.013Using phenomenology to explore student nurses experiences of spiritual care
Price, A. M. 2017. Using phenomenology to explore student nurses experiences of spiritual care.Exploring spiritual care in nurse education: is phenomenology the right tool for the job?
Price, A. M. 2017. Exploring spiritual care in nurse education: is phenomenology the right tool for the job?The National Competency Framework for Registered Nurses in Adult Critical Care: an overview
Deacon, K., Baldwin, A., Donnelly, K., Freeman, P., Himsworth, A., Kinoulty, S., Kynaston, M., Platten, J., Price, A. M., Rumsby, N., Witton, N. and on behalf of the Critical Care Nurse Education Review Forum (CCNERF) 2017. The National Competency Framework for Registered Nurses in Adult Critical Care: an overview. Journal of the Intensive Care Society.The significance of Personal Learning Environments (PLEs) in nursing education: extending current conceptualizations’
Patterson, C., Stephens, M., Chiang, V., Price, A. M., Work, F. and Snelgrove-Clarke, E. 2017. The significance of Personal Learning Environments (PLEs) in nursing education: extending current conceptualizations’. Nurse Education Today. 48, pp. 99-105. https://doi.org/10.1016/j.nedt.2016.09.010Oesophageal varices
Canavan, R. and Price, A. 2016. Oesophageal varices. in: Price, A., Smith, S. and Challiner, A. (ed.) Ward-Based Critical Care: A Guide for Health Professionals Cumbria M & K Publishing. pp. 229-236