影响重症监护护士积极促进家庭参与护理的因素
Factors Influencing Active Family Engagement in Care Among Critical Care Nurses.
作者信息
Hetland Breanna, Hickman Ronald, McAndrew Natalie, Daly Barbara
机构信息
Breanna Hetland is Postdoctoral Fellow, Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, OH (
出版信息
AACN Adv Crit Care. 2017 Summer;28(2):160-170. doi: 10.4037/aacnacc2017118.
Critical care nurses are vital to promoting family engagement in the intensive care unit. However, nurses have varying perceptions about how much family members should be involved. The Questionnaire on Factors That Influence Family Engagement was given to a national sample of 433 critical care nurses. This correlational study explored the impact of nurse and organizational characteristics on barriers and facilitators to family engagement. Study results indicate that (1) nurses were most likely to invite family caregivers to provide simple daily care; (2) age, degree earned, critical care experience, hospital location, unit type, and staffing ratios influenced the scores; and (3) nursing work-flow partially mediated the relationships between the intensive care unit environment and nurses' attitudes and between patient acuity and nurses' attitudes. These results help inform nursing leaders on ways to promote nurse support of active family engagement in the intensive care unit.
重症监护护士对于促进家庭参与重症监护病房的工作至关重要。然而，护士对于家庭成员应参与的程度看法不一。《影响家庭参与因素调查问卷》被分发给全国范围内433名重症监护护士作为样本。这项相关性研究探讨了护士及组织特征对家庭参与的障碍和促进因素的影响。研究结果表明：（1）护士最有可能邀请家庭护理人员提供简单的日常护理；（2）年龄、学历、重症护理经验、医院位置、科室类型和人员配备比例影响得分；（3）护理工作流程部分介导了重症监护病房环境与护士态度之间以及患者病情严重程度与护士态度之间的关系。这些结果有助于为护理领导者提供信息，以便他们了解如何促进护士支持家庭积极参与重症监护病房的工作。
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