In: Nursing
Family Perspectives on Overall Care in the Intensive Care Unit
Summary:Family members’ perspectives about the care provided in the intensive care unit (ICU) have become an important part of quality assessment and improvement. Satisfaction with care is an important domain in ICU quality assessment. Family members were eligible if they visited a patient who remained in the ICU for more than 48 hours. Nurses in the ICUs approached family members toward the end of patients’ stay,described the study, and provided a study pamphlet. From the study they got 81 comments, included within 241 responses by 106 family members, three main categories and nine subcategories.
The two main categories—competent care and communication, the category environment was evident primarily among critical comments in the first and third questions.
Overall, most comments were complimentary, reflecting positive experiences of care and a focus on interactions with nurses—an expected finding considering nurses provide most direct patient care and have most contact with family members as compared to physicians and other ICU staff.
Three subcategories of care were included in the category of competent care (practical aspects of care, n = 45; emotional/interrelational care, n = 46; and operational care delivery, n = 12) and related to family member perceptions of quality of care provided by HCPs.Only four comments were critical of emotional/ interrelational care, whereas 20 comments were critical of practical aspects of care suggesting improvement such as protecting patient privacy and greater attention to patient discomfort and appearance. The theme overall care included comments about overall satisfaction with medical care provided in the ICU and a high regard for the competency of ICU staff. Despite the large number of responses, subthemes were not identified.