Family needs of patients in intensive care unit a literature review

Wantiyah Wantiyah; Habibatus Khoirotin Ilmiah; Rismawan Adi Yunanto; Baskoro Setiputro; Ana Nistiandani

doi:10.26714/mki.5.4.2022.334-346

Family needs of patients in intensive care unit a literature review

Wantiyah Wantiyah^(1*), Habibatus Khoirotin Ilmiah⁽²⁾, Rismawan Adi Yunanto⁽³⁾, Baskoro Setiputro⁽⁴⁾, Ana Nistiandani⁽⁵⁾

(1) Departemen Keperawatan Medikal dan Kritis, Fakultas Keperawatan, Universitas Jember
(2) Departemen Keperawatan Medikal dan Kritis, Fakultas Keperawatan, Universitas Jember
(3) Departemen Keperawatan Medikal dan Kritis, Fakultas Keperawatan, Universitas Jember
(4) Departemen Keperawatan Medikal dan Kritis, Fakultas Keperawatan, Universitas Jember
(5) Departemen Keperawatan Medikal dan Kritis, Fakultas Keperawatan, Universitas Jember
(*) Corresponding Author

Abstract

The intensive care room is a room full of pressure for the patient being treated and the family caring for it and focuses more on the physical needs of the patient so that the family feels neglected by the service. Health services do not pay attention to family needs. To identify the needs of the patient's family in the intensive care unit. We used five databases, namely Google Scholar, Science Direct, PubMed, SpringerLink, and ProQuest using the PRISMA Flowchart for our study. The study design was cross-sectional, cohort and qualitative, year of publication 2017-2022, and discussed the needs of the patient's family in the intensive care room. A total of 13 articles were selected for analysis, examining 5 family needs, namely assurance, information, comfort, support and proximity. They were using instruments such as CCFNI, NMI, and NFNI. This instrument is proven to have been used globally to measure the needs of families in intensive care. Priority of family needs with CCFNI and NFNI instruments, namely assurance with proximity. Fulfilment of family needs using NMI instruments, information as a need that is met by health services. The priority of family needs is assurance so that it prioritizes physiological needs above other needs.

Keywords

Assurance; family needs; intensive care unit

Full Text:

PDF

References

Critical Care Nursing Guidelines, Standards and Competencies n.d. https://www.ccnapi.org/news-and-events/critical-care-nursing-guidelines-standards-and-competencies/ (accessed July 18, 2022).

Marbun AS. Faktor-Faktor Yang Mempengaruhi Pencegahan Infeksi Nosokomial Di Ruang Icu Dan Rawat Inap Lantai 3 Rsu Sari Mutiara Medan. Jurnal Online Kperawaan Indonesia 2018;1:10-16

Soury-Lavergne A, Hauchard I, Dray S, Baillot M-L, Bertholet E, Clabault K, et al. Survey of Caregiver Opinions on The Practicalities of Family-Centred Care In Intensive Care Units: Caregiver Opinions On Family Care In The ICU. J Clin Nurs 2012;21:1060–1067. https://doi.org/10.1111/j.1365-2702.2011.03866.x.

Wantiyah, A’La MZ, Setioputro B, Yunanto RA, Setiyarini S. Family Needs in Intensive Care Unit: Study in East Java, Indonesia (Mix-Methods). JMHS 2020;4:1566-1572.

Rojas Silva N, Padilla Fortunatti C, Molina Muñoz Y, Amthauer Rojas M. The needs of the relatives in the adult intensive care unit: Cultural adaptation and psychometric properties of the Chilean-Spanish version of the Critical Care Family Needs Inventory. Intensive Crit Care Nurs 2017;43:123–8. https://doi.org/10.1016/j.iccn.2017.07.006.

Husain F, Setyawan D. Gambaran Pemenuhan Kebutuhan Keluarga Pasien Kritis oleh Perawat di Ruang Perawatan Intensif RSUD Dr. Moewardi. Jurnal Kesehatan STIKES Telogorejo 2020;12:1-53.

Scott P, Thomson P, Shepherd A. Families of patients in ICU: A Scoping review of their needs and satisfaction with care. Nurs Open 2019;6:698–712. https://doi.org/10.1002/nop2.287.

Molter NC. Needs of relatives of critically ill patients: a descriptive study. Heart & Lung: The Journal of Critical Care 1979; 8:332-339. https://pubmed.ncbi.nlm.nih.gov/253712/ (accessed July 20, 2022).

Leske JS. Needs of relatives of critically ill patients: a follow-up. Heart Lung J Crit Care 1986;15:189–93. PMID: 3633247

Atika A, Halimuddin H. Kebutuhan Keluarga Pasien Di Unit Perawatan Intensif. J Ilm Mhs Fak Keperawatan 2018;3:315-321.

Agustin WR. Pendekatan Perawat Pada Keluarga Pasien Yang Mengalami Kecemasaan Karena Anggota Keluarganya Dirawat Di Ruang Icu Rsud Dr. Soehadi Prijonegoro Sragen. J Ilm Kesehatan Media Husada 2019;8:1-7. https://doi.org/10.33475/jikmh.v8i2.183.

Wahono. Literature Review: Pengantar dan Metode 2016. https://romisatriawahono.net/2016/05/07/literature-review-pengantar-dan-metode/ (accessed July 18, 2022).

Sekar Siwi A, Fatimah S, Emaliyawati E. Faktor-Faktor Yang Berhubungan Dengan Kecemasan Dan Analisis Kebutuhan Orangtua Yang Mengalami Kecemasan Dengan Bayi Sakit Kritis Di Nicu Rsud Prof.Dr. Margono Soekardjo Purwokerto. J Holist Nurs Sci 2017:32–44.

Hashim F, Hussin R. Communication Needs of Family Members with a Relative in Intensive Care Unit. J of ASIAN Behavioural Studies 2017;2:19–28. https://doi.org/10.21834/jabs.v2i4.203.

Hendrawati S, Fatimah S, Fitri SYR, Nurhidayah I. Kajian Kebutuhan Family Centered Care dalam Perawatan Bayi Sakit Kritis di Neonatal Intensive Care Unit. J Keperawatan Padjadjaran 2017;5:155–71. https://doi.org/10.24198/jkp.v5i2.453.

Lotfy Abdel-Aziz A. Family Needs of Critically Ill Patients Admitted to the Intensive Care Unit, Comparison of Nurses and Family Perception. Am J Nurs Sci 2017;6:333. https://doi.org/10.11648/j.ajns.20170604.18.

Apriyanti E, Adawiyah R. Kebutuhan Keluarga Saat Anak Dirawat di Paediatric Intensive Care Unit (PICU): Sudut Pandang Keluarga dan Perawat. J Keperawatan Indones 2018;21:159–68. https://doi.org/10.7454/jki.v21i3.777.

Govindaswamy P, Laing S, Waters D, Walker K, Spence K, Badawi N. Needs of parents in a surgical neonatal intensive care unit. Journal of Pediatrics and Child Health 2018:1–7. https://doi.org/10.1111/jpc.14249.

Alsharari AF. The Needs of Family Members Of Patients Admitted To The Intensive Care Unit. Patient Prefer Adherence 2019;13:465–73. https://doi.org/10.2147/PPA.S197769.

Alsaiari EM, Magarey J, Rasmussen P. An Investigation of the Needs of Saudi Parents of Preterm Infants in the Neonatal Intensive Care Unit. Cureus 2019;11:1–12. https://doi.org/10.7759/cureus.3887.

Saleh BS, Saleh SS, Eddy LL, Judeh HS, Toqan DR. Essential Care Needs for Patients’ Family Members at the Intensive Care Units in Palestine. Iran J Nurs Midwivery 2020:154–9. https://doi.org/10.4103/ijnmr.IJNMR.

Govindaswamy P, Laing SM, Waters D, Walker K, Spence K, Badawi N. Fathers’ Needs In A Surgical Neonatal Intensive Care Unit: Assuring The Other Parent. PloS One 2020;15:1-13. https://doi.org/10.1371/journal.pone.0232190.

Al-Akash H, Maabreh R, AbuRuz M, Khader K, Shajrawi A. Jordanian Patients’ Family Members Need Perceptions in the Critical Care Settings: Nurses’ Perspectives versus Family Members’ Perspectives in the Context of Health Informatics. J Healthc Eng 2021:1-8. https://doi.org/10.1155/2021/4071523.

Oktari R, Deli H, Lita L. Kebutuhan Keluarga Pasien Critical Care Unit (CCU). J Keperawatan Abdurrab 2021;4:24–37. https://doi.org/10.36341/jka.v4i2.1471.

Büyükçoban S, Mermi Bal Z, Oner O, Kilicaslan N, Gökmen N, Ciçeklioğlu M. Needs of family members of patients admitted to a university hospital critical care unit, Izmir Turkey: comparison of nurse and family perceptions. PeerJ 2021;9:1-4. https://doi.org/10.7717/peerj.11125.

Abvali A, Peyrovi H, Moradi-Moghaddam O, Gohari M. Effect of Support Program on Satisfaction of Family Members of ICU Patients. Journal of Client-Centered Nursing Care 2015;1:29-36.

Yang S. A Mixed Methods Study on the Needs of Korean Families in the Intensive Care Unit. Aust J Adv Nurs 2008;25:79–86. https://doi.org/10.3316/informit.210304067614334.

McAdam JL, Arai S, Puntillo KA. Unrecognized Contributions Of Families In The Intensive Care Unit. Intensive Care Med 2008;34:1097–1101. https://doi.org/10.1007/s00134-008-1066-z.

Padovani FHP, Linhares MBM, Carvalho AEV, Duarte G, Martinez FE. Anxiety and depression symptoms assessment in pre-term neonates’ mothers during and after hospitalization in neonatal intensive care unit. Braz J Psychiatry 2004;26:251-254. https://doi:10.1590/s1516-44462004000400009.

Hawari D. Psikiater Kanker Payudara. Dimensi Psikoreligi 2004.

Sikorova L, Kucova J. The needs of mothers to newborns hospitalised in intensive care units. Biomed Pap Med Fac Univ Palacky Olomouc Czechoslov 2012;156:330–6. https://doi.org/10.5507/bp.2011.046.

Buus-Frank ME. Principles and Practices of Family Centered Care and The Late Preterm Infant. Dynamic Neonatal Solution 2011.

Maslow AH. A Theory of Human Motivation. Psychol Rev 1943;50:370-96. https://doi.org/10.103/h0054346.

Gooding JS, Cooper LG, Blaine AI, Franck LS, Howse JL, Berns SD. Family support and family-centered care in the neonatal intensive care unit: origins, advances, impact. Semin Perinatol 2011;35:20–8. https://doi.org/10.1053/j.semperi.2010.10.004.

Hashim F. Multidimensional Approach to Nurse Client Communication in Two Malaysian Intensive Care. Edith Cowan University. Grants Regist. 2021. https://doi.org/10.1057/978-1-349-96042-2_425.

Wantiyah W, A’la MZ, Setioputro B, Siswoyo. Validity and Reliability of Critical Care Family Needs Inventory (CCFNI) in Indonesian Version. NurseLine J 2020;5:226-230. https://doi.org/10.19184/nlj.v3i2.9127.

Omari FH. Perceived and unmet needs of adult Jordanian family members of patients in ICUs. J Nurs Scholarsh 2009;41:28–34. https://doi.org/10.1111/j.1547-5069.2009.01248.x.

Mundy CA. Assessment of family needs in neonatal intensive care units. Am J Crit Care Off Publ Am Assoc Crit-Care Nurses 2010;19:156–63. https://doi.org/10.4037/ajcc2010130.