The Needs of Critical Care Unit Patient's Family Members in East Cost Malaysia : A Cross-Sectional Study

Authors

  • Nor Ayliwati Ali Faculty of Health Sciences, UiTM Selangor Puncak Alam Campus, 42300 Puncak Alam, Selangor, Malaysia
  • Noraini Hashim Faculty of Medicine, Universiti Sultan Zainal Abidin, Kampung Gong Badak, 21300 Terengganu, Malaysia https://orcid.org/0000-0003-0077-7584

DOI:

https://doi.org/10.31674/mjn.2024.v15i04.018

Abstract

Introduction: Involving family members is integral to the healing process and the patient's well-being in the Critical Care Unit (CCU). However, having a patient hospitalised in the CCU is quite challenging for the patient's family members and has become a traumatic experience for them. Therefore, the study objectives are to identify the important needs of CCU patients' family members and determine the relationship between their needs and sociodemographic characteristics. Methods: A cross-sectional study was conducted among family members of patients who were admitted to the CCU in one government hospital in East Malaysia. About 96 participants were identified using convenience sampling and answered 42 questions in the Malay Critical Care Family Needs Inventory (CCFNI-M). The data were analysed using IBM-SPSS Statistics Version 25. Results: Most of the family members who cared for the patient in the ICU were female, 76% (n = 73). The findings demonstrated that family members ranked assurance (3.69 ± 0.26) and information (3.59±0.34) as the most important needs compared to proximity (3.18±0.46), support (3.04±0.50), and comfort (2.53±0.46). There was no association between family members' age, gender, and experience with assurance, support, comfort, proximity, and information needs when the p-value > 0.05. Conclusions: In conclusion, recognising and addressing the needs of the ICU patient's family members is crucial for the strategy of CCU patient-family-centered care. The result of the study informs the importance of the involvement of family members in supporting CCU patients. By prioritising their needs and offering tailored support, healthcare providers can contribute to better patient outcomes and improved family well-being.

Keywords:

Critical Care, Family Need, Intensive Care, Relative Need

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References

Abdul Halain, A., Tang, L. Y., Chong, M. C., Ibrahim, N. A., & Abdullah, K. L. (2022). Psychological distress among the family members of Intensive Care Unit (ICU) patients: A scoping review. Journal of Clinical Nursing, 31(5-6), 497-507.https://doi.org/10.1111/jocn.15962

Akhlak, S., & Shdaifat, E. (2016). Needs of families with a relative in a Critical Care Unit. Malaysian Journal of Public Health Medicine, 16(3), 75-81.https://doi.org/10.7717/peerj.11125

Alsharari, A. F. (2019). The needs of family members of patients admitted to the intensive care unit. Patient Preference and Adherence, 465-473. https://doi.org/10.2147/PPA.S197769

Azoulay, É., Pochard, F., Chevret, S., Arich, C., Brivet, F., Brun, F., ... & French Famirea Group. (2003). Family participation in care to the critically ill: opinions of families and staff. Intensive Care Medicine, 29, 1498-1504. https://doi.org/10.1007/s00134-003-1904-y

Barth, A. A., Weigel, B. D., Dummer, C. D., Machado, K. C., & Tisott, T. M. (2016). Stressors in the relatives of patients admitted to an intensive care unit. Revista Brasileira de Terapia Intensiva, 28, 323-329. https://doi.org/10.5935/0103-507X.20160055

Björk, K., Lindahl, B., & Fridh, I. (2019). Family members’ experiences of waiting in intensive care: a concept analysis. Scandinavian Journal of Caring Sciences, 33(3), 522-539. https://doi.org/10.1111/scs.12660

Brookes, O., Brown, C., Tarrant, C., Archer, J., Buckley, D., Buckley, L. M., ... & Bion, J. (2019). Patient experience and reflective learning (PEARL): a mixed methods protocol for staff insight development in acute and intensive care medicine in the UK. BMJ Open, 9(7), e030679. https://doi.org/10.1136/bmjopen-2019-030679

Davidson J. E. (2009). Family-centered care: meeting the needs of patients' families and helping families adapt to critical illness. Critical Care Nurse, 29(3), 28–35. https://doi.org/10.4037/ccn2009611

Dharmalingam, T. K., Kamaluddin, M. R., & Hassan, S. K. (2016). Factorial validation and psychometric properties establishment of Malay version critical care family need inventory. IIUM Medical Journal Malaysia, 15(1). https://doi.org/10.31436/imjm.v15i1.407

Dharmalingam, T., Kamaluddin, M., Hassan, S., & Zaini, R. (2016). The needs of Malaysian family members of critically ill patients treated in intensive care unit, Hospital Universiti Sains Malaysia. Malaysian Journal of Medicine and Health Sciences, 12(2), 9-17. https://medic.upm.edu.my/upload/dokumen/FKUSK1_MJMHS_V2_NO2_2.pdf

Dijkstra, B. M., Felten-Barentsz, K. M., van der Valk, M. J., Pelgrim, T., van der Hoeven, H. G., Schoonhoven, L., ... & Vloet, L. C. (2023). Family participation in essential care activities: Needs, perceptions, preferences, and capacities of intensive care unit patients, relatives, and healthcare providers—An integrative review. Australian Critical Care, 36(3), 401-419. https://doi.org/10.1016/j.aucc.2022.02.003

Frakking, T., Michaels, S., Orbell-Smith, J., & Le Ray, L. (2020). Framework for patient, family-centred care within an Australian Community Hospital: development and description. BMJ Open Quality, 9(2), e000823. https://doi.org/10.1136/bmjoq-2019-000823

Hashim, F., & Hussin, R. (2012). Family needs of patient admitted to intensive care unit in a public hospital. Procedia-Social and Behavioral Sciences, 36, 103-111.https://doi.org/10.1016/j.sbspro.2012.03.012

Hutchison, P. J., McLaughlin, K., Corbridge, T., Michelson, K. N., Emanuel, L., Sporn, P. H., & Crowley-Matoka, M. (2016). Dimensions and role-specific mediators of surrogate trust in the ICU. Critical Care Medicine, 44(12), 2208. https://doi.org/10.1097/CCM.0000000000001957

Iglesias, J., Martín, J., Alcañiz, M., Ezquiaga, E., & Vega, G. (2022). The Psychological Impact on Relatives of Critically Ill Patients: The Influence of Visiting Hours. Critical Care Explorations, 4(2). https://doi.org/10.1097/CCE.0000000000000625

Josepha op’t, S. A. J., Dautzenberg, M., Eskes, A. M., Vermeulen, H., & Vloet, L. C. M. (2020). The experiences and needs of relatives of intensive care unit patients during the transition from the intensive care unit to a general ward: a qualitative study. Australian Critical Care, 33(6), 526-532. https://doi.org/10.1016/j.aucc.2020.01.004

Kang, J., Cho, Y. J., & Choi, S. (2020). State anxiety, uncertainty in illness, and needs of family members of critically ill patients and their experiences with family-centered multidisciplinary rounds: A mixed model study. PloS One, 15(6), e0234296. https://doi.org/10.1371/journal.pone.0234296

Kotfis, K., Olusanya, S., & Modra, L. (2024). Equity in patient care in the intensive care unit. Intensive Care Medicine, 1-3. https://doi.org/10.1007/s00134-023-07310-6

Koukouli, S., Lambraki, M., Sigala, E., Alevizaki, A., & Stavropoulou, A. (2018). The experience of Greek families of critically ill patients: Exploring their needs and coping strategies. Intensive and Critical Care Nursing, 45, 44-51.https://doi.org/10.1016/j.iccn.2017.12.001

Liew, S. L., Dharmalingam, T. K., Ganapathy, G. K., Muniandy, R. K., Johnny, N. G. U., & Lily, N. G. (2018). Need domains of family members of critically-ill patients: A Borneo perspective. Borneo Journal of Medical Sciences, 12(2), 27-33.https://doi.org/10.51200/bjms.v12i2.1222

Marshall, J. C., Bosco, L., Adhikari, N. K., Connolly, B., Diaz, J. V., Dorman, T., ... & Zimmerman, J. (2017). What is an intensive care unit? A report of the task force of the World Federation of Societies of Intensive and Critical Care Medicine. Journal of Critical Care, 37, 270-276. https://doi.org/10.1016/j.jcrc.2016.07.015

Mitchell, M. L., Coyer, F., Kean, S., Stone, R., Murfield, J., & Dwan, T. (2016). Patient, family- centred care interventions within the adult ICU setting: An integrative review. Australian Critical Care, 29(4), 179-193. https://doi.org/10.1016/j.aucc.2016.08.002

Moss, K. O., Douglas, S. L., Baum, E., & Daly, B. (2019). Family surrogate decision-making in chronic critical illness: A qualitative analysis. Critical Care Nurse, 39(3), e18-e26. https://doi.org/10.4037/ccn2019176

Rückholdt, M., Tofler, G. H., Randall, S., & Buckley, T. (2019). Coping by family members of critically ill hospitalised patients: An integrative review. International Journal of Nursing Studies, 97, 40-54. https://doi.org/10.1016/j.ijnurstu.2019.04.016

Salameh, B. S. S., Basha, S. S. S., Eddy, L. L., Judeh, H. S., & Toqan, D. R. (2020). Essential care needs for patients' family members at the intensive care units in Palestine. Iranian Journal of Nursing and Midwifery Research, 25(2), 154. https://doi.org/10.4103/ijnmr.IJNMR_9_19

Valle, M., & Lohne, V. (2021). The significance of hope as experienced by the next of kin to critically ill patients in the intensive care unit. Scandinavian Journal of Caring Sciences, 35(2), 521-529. https://doi.org/10.1111/scs.12864

Wong, P., Liamputtong, P., Koch, S., & Rawson, H. (2015). Families’ experiences of their interactions with staff in an Australian intensive care unit (ICU): a qualitative study. Intensive and Critical Care Nursing, 31(1), 51-63. https://doi.org/10.1016/j.iccn.2014.06.005

Yoo, H. J., & Shim, J. (2021). The effect of a multifaceted family participation program in an adult cardiovascular surgery ICU. Critical Care Medicine, 49(1), 38-48. https://doi.org/10.1097/CCM.0000000000004694

Zainah, M., Sasikala, M., Nurfarieza, M. A., & Ho, S. (2016). Needs of family members of critically ill patients in a critical care unit at Universiti Kebangsaan Malaysia Medical Centre. Medicine and Health, 11(1), 11-21. https://doi.org/10.17845/MH.2016.1101.03

Published

20-04-2024

How to Cite

Ali, N. A. ., & Hashim, N. (2024). The Needs of Critical Care Unit Patient’s Family Members in East Cost Malaysia : A Cross-Sectional Study . The Malaysian Journal of Nursing (MJN), 15(4), 158-166. https://doi.org/10.31674/mjn.2024.v15i04.018

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