Woldring Josien M, Paans Wolter, Gans Reinold O B, van der Werf Hinke M, Luttik Marie Louise
Research Group Nursing Diagnostics, Family Care & Family Nursing, School of Nursing, Hanze University of Applied Sciences, Petrus Driessenstraat 3, Groningen, 9714 CA, The Netherlands.
Department of Internal Medicine, University Medical Center Groningen, University of Groningen, Hanzeplein 1, Groningen, 9713 GZ , The Netherlands.
BMC Nurs. 2025 Jan 8;24(1):25. doi: 10.1186/s12912-024-02664-8.
Healthcare professionals in the hospital setting frequently assume primary caregiving responsibilities, which often leads family members to perceive this as standard practice during hospitalization. This dynamic may create a gap between actual and desired levels of family involvement. The aim of this study is to explore the opinions of families about their involvement in care during the hospitalization of a relative.
A sequential explanatory mixed-method study design was used, where quantitative data collection is followed by qualitative data collection for a deeper understanding of the quantitative findings. Data were collected between November 2023 and April 2024 across 15 wards in a university hospital in the north of the Netherlands. 153 family members of hospitalized patients completed the adapted Families' Importance in Nursing Care-Families' Opinions questionnaire, providing valuable quantitative data. Twenty-three of these family members were subsequently interviewed to gather qualitative insights. Data were analyzed sequentially, with the quantitative results guiding qualitative data collection. The two types of data were integrated to draw comprehensive conclusions about the significance of family involvement during hospitalization. The study adhered to the guidelines of the Good Reporting of A Mixed Method Study (GRAMMS).
The questionnaire scores indicate a high willingness for involvement in care during hospitalization. Subsequent in-depth interviews led to the development of a model demonstrating that this involvement is sequentially related to the themes of acknowledgement, alignment, and collaboration.
Family members expressed a need to be acknowledged by healthcare professionals as partners in care. Role agreements and information sharing during hospital care should be aligned to achieve effective collaboration between family members and healthcare professionals.
医院环境中的医护人员经常承担主要的护理责任，这常常导致家庭成员将此视为住院期间的标准做法。这种动态关系可能会在实际和期望的家庭参与程度之间造成差距。本研究的目的是探讨家庭成员对其在亲属住院期间参与护理的看法。
采用了顺序解释性混合方法研究设计，先收集定量数据，然后收集定性数据，以更深入地理解定量研究结果。2023年11月至2024年4月期间，在荷兰北部一家大学医院的15个病房收集了数据。153名住院患者的家庭成员完成了改编后的《家庭在护理中的重要性-家庭意见问卷》，提供了有价值的定量数据。随后，对其中23名家庭成员进行了访谈，以收集定性见解。数据按顺序进行分析，定量结果指导定性数据收集。将两种类型的数据整合起来，以得出关于住院期间家庭参与重要性的全面结论。该研究遵循了《混合方法研究的良好报告指南》（GRAMMS）。
问卷得分表明，家庭成员在住院期间参与护理的意愿很高。随后的深入访谈形成了一个模型，表明这种参与与认可、协调和合作等主题依次相关。
家庭成员表示，需要医护人员认可他们作为护理伙伴的身份。医院护理期间的角色协议和信息共享应保持一致，以实现家庭成员与医护人员之间的有效合作。
