Cypress Brigitte, Gharzeddine Rida, Rosemary Fu Mei, Dahan Thomas, Abate Samantha
Rutgers University School of Nursing, Camden, NJ, United States.
University of Missouri, Kansas City, KS, United States.
Intensive Crit Care Nurs. 2025 Apr;87:103896. doi: 10.1016/j.iccn.2024.103896. Epub 2024 Nov 29.
Family engagement in the intensive care unit (ICU) is a crucial aspect of healthcare delivery, yet it remains an inconsistent practice and an understudied area of healthcare for adult patients in the ICU. This study aimed to explore the attitudes of healthcare professionals (e.g., registered nurses (RNs), physicians, pharmacists, respiratory therapists, social workers, and dietitians) on family engagement in the adult ICU and to elucidate factors that impact these attitudes.
We used descriptive cross-sectional analysis to explore the attitudes of a sample of 90 healthcare professionals toward family engagement in the ICU for adult patients. Data were collected using the Families' Importance in Nursing Care-Nurses' Attitudes (FINC-NA) questionnaire. The data were analyzed using descriptive statistics and multiple linear regression.
Healthcare professionals' attitudes towards family engagement in the ICU varied across different professional roles and were associated with years of experience. Results demonstrated that physicians had the highest positive attitude score towards family engagement on the total attitude scale and the family as a resource.
Understanding the attitudes of healthcare professionals is a crucial step toward developing evidence-based interventions that can facilitate family engagement in care for adult patients in the ICU. Cultivating a partnership culture with patients' families in the ICU is crucial, but interventions are needed to enhance nurses' and other healthcare professionals' attitudes toward family engagement. Specialized training, resources, and institutional policies supporting nurses and other providers in family care are essential to promote positive attitudes toward family engagement. A collective effort is required to change the culture and practice of family engagement by implementing evidence-based policies and guidelines. The study's findings provided significant insights that may shape and improve healthcare practice, particularly in the ICU.
家庭参与重症监护病房（ICU）护理是医疗服务的一个关键方面，但在成人ICU患者护理中，这仍是一种不一致的做法，也是一个研究不足的领域。本研究旨在探讨医护人员（如注册护士、医生、药剂师、呼吸治疗师、社会工作者和营养师）对成人ICU中家庭参与护理的态度，并阐明影响这些态度的因素。
我们采用描述性横断面分析方法，探讨90名医护人员对成人ICU患者家庭参与护理的态度。使用“护理中家庭的重要性-护士态度”（FINC-NA）问卷收集数据。采用描述性统计和多元线性回归分析数据。
医护人员对ICU中家庭参与护理的态度因专业角色不同而有所差异，且与工作年限有关。结果表明，在总体态度量表和将家庭视为一种资源方面，医生对家庭参与护理的积极态度得分最高。
了解医护人员的态度是制定循证干预措施的关键一步，这些措施有助于促进家庭参与成人ICU患者的护理。在ICU中与患者家属建立合作文化至关重要，但需要采取干预措施来增强护士和其他医护人员对家庭参与护理的态度。提供专门培训、资源以及支持护士和其他医护人员进行家庭护理的机构政策，对于促进对家庭参与护理的积极态度至关重要。需要共同努力，通过实施循证政策和指南来改变家庭参与护理的文化和做法。该研究结果提供了重要见解，可能会塑造和改善医疗实践，尤其是在ICU中。
