Center for Health Evaluation and Outcome Sciences, St Paul's Hospital, Vancouver, British Columbia, Canada.
Crit Care Med. 2011 May;39(5):1000-5. doi: 10.1097/CCM.0b013e31820a92fb.
To describe the qualitative findings from a family satisfaction survey to identify and describe the themes that characterize family members' intensive care unit experiences.
As part of a larger mixed-methods study to determine the relationship between organizational culture and family satisfaction in critical care, family members of eligible patients in intensive care units completed a Family Satisfaction Survey (FS-ICU 24), which included three open-ended questions about strengths and weaknesses of the intensive care unit based on the family members' experiences and perspectives. Responses to these questions were coded and analyzed to identify key themes.
Surveys were administered in 23 intensive care units from across Canada.
Surveys were completed by family members of patients who were in the intensive care unit for >48 hrs and who had been visited by the family member at least once during their intensive care unit stay.
None.
A total of 1381 surveys were distributed and 880 responses were received. Intensive care unit experiences were found to be variable within and among intensive care units. Six themes emerged as central to respondents' satisfaction: quality of staff, overall quality of medical care, compassion and respect shown to the patient and family, communication with doctors, waiting room, and patient room. Within three themes, positive comments were more common than negative comments: quality of the staff (66% vs. 23%), overall quality of medical care provided (33% vs. 2%), and compassion and respect shown to the patient and family (29% vs. 12%). Within the other three themes, positive comments were less common than negative comments: communication with doctors (18% vs. 20%), waiting room (1% vs. 8%), and patient rooms (0.4% vs. 5%).
The study provided improved understanding of why family members are satisfied or dissatisfied with particular elements of the intensive care unit and this knowledge can be used to modify intensive care units to better meet the physical and emotional needs of the families of intensive care unit patients.
描述家庭满意度调查的定性结果，以确定和描述能体现家庭成员重症监护病房体验特征的主题。
作为一项更大的混合方法研究的一部分，该研究旨在确定重症监护组织文化与家庭满意度之间的关系，重症监护病房符合条件的患者的家庭成员完成了一份《家庭满意度调查》（FS-ICU 24），该调查包括三个关于重症监护病房根据家庭成员的经验和观点的优势和劣势的开放式问题。对这些问题的回答进行了编码和分析，以确定关键主题。
调查在加拿大各地的 23 个重症监护病房进行。
调查由在重症监护病房住院超过 48 小时且在重症监护病房期间至少接受过一次探访的患者的家庭成员完成。
无。
共发放了 1381 份调查问卷，收到了 880 份回复。重症监护病房的体验在不同的重症监护病房内和之间存在差异。有六个主题成为受访者满意度的核心：员工素质、整体医疗质量、对患者和家属的同情和尊重、与医生的沟通、等候室和病房。在三个主题中，积极评价比消极评价更为常见：员工素质（66%比 23%）、提供的整体医疗质量（33%比 2%）和对患者和家属的同情和尊重（29%比 12%）。在另外三个主题中，积极评价比消极评价更为少见：与医生的沟通（18%比 20%）、等候室（1%比 8%）和病房（0.4%比 5%）。
该研究增进了对为什么家庭成员对重症监护病房的某些元素感到满意或不满意的理解，这些知识可用于改进重症监护病房，以更好地满足重症监护病房患者家属的身体和情感需求。
