College of Nursing and Brain Korea 21 FOUR Project, Yonsei University, Seoul, Republic of Korea.
College of Nursing and Mo-Im Kim Nursing Research Institute, Yonsei University, Seoul, Republic of Korea.
Nurs Crit Care. 2024 Nov;29(6):1290-1302. doi: 10.1111/nicc.13105. Epub 2024 Jun 20.
The need and values of patient- and family-centred care (PFCC) have been globally increasing in the health care landscape. However, the concept of PFCC and the components in adult intensive care units (ICUs) remain wide-ranging.
To elucidate the core concepts of PFCC interventions and evaluate the effects of the interventions in adult ICUs.
We searched electronic databases (PubMed, Cochrane Central, CINAHL, EMBASE, PsycINFO, RISS, KMbase and KoreaMed) from inception to 20 June 2022, for all studies on PFCC interventions. Three authors independently conducted data screening and extraction. The core concepts and the effects of PFCC interventions in adult ICUs were examined. The effects of patient- and family-centred care interventions in adult ICUs were examined. The quality of the included studies was evaluated using the Mixed Methods Appraisal Tool.
Overall, 3507 records were identified, and 14 full-text articles were assessed. Participants in the included studies were patients and/or their family members in adult ICUs. The main concepts of the studies were participation and information-sharing. Only two studies used collaboration as the main concept of intervention. PFCC interventions have shown positive outcomes for patients, including increased satisfaction, improvement of patient health status and reduced incidence of complications. They have also been beneficial for families, leading to higher satisfaction levels and decreased anxiety. Additionally, these interventions have positively impacted health care providers by enhancing satisfaction and improving rounding efficiency. Moreover, they have influenced health care utilization by decreasing hospital costs and length of stay.
This review highlights the advantages of PFCC interventions for patients, families and health care providers in adult ICUs. Future research should focus on developing strategies to incorporate collaboration more comprehensively as a core concept in the implementation of PFCC interventions.
Future research endeavours must prioritize collaborative efforts involving health care providers, patients and their families by deploying an array of strategies within the intensive care unit setting.
在医疗保健领域，以患者和家庭为中心的护理（PFCC）的需求和价值在全球范围内不断增加。然而，PFCC 的概念和成人重症监护病房（ICU）中的组成部分仍然很广泛。
阐明 PFCC 干预措施的核心概念，并评估干预措施在成人 ICU 中的效果。
我们从成立到 2022 年 6 月 20 日，在电子数据库（PubMed、Cochrane Central、CINAHL、EMBASE、PsycINFO、RISS、KMbase 和 KoreaMed）中搜索了所有关于 PFCC 干预措施的研究。三位作者独立进行了数据筛选和提取。检查了成人 ICU 中 PFCC 干预措施的核心概念和效果。检查了成人 ICU 中以患者和家庭为中心的护理干预措施的效果。使用混合方法评估工具评估了纳入研究的质量。
总共确定了 3507 条记录，并评估了 14 篇全文文章。纳入研究的参与者是成人 ICU 中的患者和/或他们的家属。研究的主要概念是参与和信息共享。只有两项研究将合作作为干预的主要概念。PFCC 干预措施已显示出对患者有益的结果，包括增加满意度、改善患者健康状况和减少并发症的发生。它们也对家庭有益，导致更高的满意度和降低的焦虑水平。此外，这些干预措施通过提高满意度和改善巡视效率，对医疗保健提供者产生了积极影响。此外，它们通过降低医院成本和住院时间来影响医疗保健的利用。
本综述强调了成人 ICU 中 PFCC 干预措施对患者、家庭和医疗保健提供者的优势。未来的研究应侧重于制定策略，更全面地将合作作为 PFCC 干预措施实施的核心概念。
未来的研究努力必须通过在重症监护病房环境中部署一系列策略，优先考虑医疗保健提供者、患者及其家属之间的协作努力。
