Scheer Antje, Denhof Michaela, Kaltwasser Arnold, Kortgen Maria, Mason Sabina, Pelz Sabrina, Nydahl Peter
Deutsche Gesellschaft für Fachkrankenpflege Und Funktionsdienste eV, Berlin, Germany.
Department of Education for Skills Development in Healthcare Professions, University Hospital Düsseldorf, Düsseldorf, Germany.
Nurs Crit Care. 2025 Jul;30(4):e70074. doi: 10.1111/nicc.70074.
Involving family members in the daily care of intensive care unit (ICU) patients can increase family satisfaction and improve ICU patient outcomes. The presence of families in the ICU is a quality indicator and key factor for the recovery of patients in the ICU. The German Society for Specialised Critical Care Nursing's project "Family-Friendly Intensive Care Unit" offers certifications to ICUs that implement flexible visiting hours and family-centred care practices. A customizable points-based system evaluates criteria such as educational offerings, architectural design and family involvement, thereby stimulating continuous quality improvement. This project might serve as a model for ICUs in other countries to implement holistic, evidence-based care that supports patients, their families and healthcare staff. Certification as a Family-Friendly ICU includes the following: (1) Patient-centred care: In the model "family-friendly ICU" families and significant others are acknowledged and respected as an important part of a patient's life. (2) Enhanced family support: Policies that prioritize the emotional and psychological needs of families foster a supportive environment during critical care. (3) Improved communication: Clear and compassionate communication protocols are established between healthcare providers and families and ensure involvement in decision-making. (4) Holistic care approach: integration of family-centred practices leads to better patient outcomes and satisfaction for both patients and families. (5) Staff training and well-being: training for staff on family engagement enhances their skills while supporting their emotional well-being in high-stress environments. (6) End-of-life care: family-centred care approach can facilitate care planning and decision-making during end-of-life situations.
让家庭成员参与重症监护病房(ICU)患者的日常护理可以提高家庭满意度,并改善ICU患者的治疗效果。家庭在ICU的陪伴是一项质量指标,也是ICU患者康复的关键因素。德国专科重症护理协会的“家庭友好型重症监护病房”项目为实施灵活探视时间和以家庭为中心护理措施的ICU提供认证。一个可定制的积分系统会评估诸如教育服务、建筑设计和家庭参与等标准,从而推动持续的质量改进。该项目可作为其他国家ICU实施全面、循证护理的典范,这种护理能为患者、其家人和医护人员提供支持。获得“家庭友好型ICU”认证包括以下几点:(1)以患者为中心的护理:在“家庭友好型ICU”模式中,家庭和重要他人被视为患者生活的重要组成部分并得到认可和尊重。(2)加强家庭支持:优先考虑家庭情感和心理需求的政策在重症护理期间营造了一个支持性的环境。(3)改善沟通:在医护人员和家庭之间建立清晰且富有同情心的沟通协议,并确保家庭参与决策。(4)整体护理方法:以家庭为中心的护理措施的整合能为患者及其家庭带来更好的治疗效果和满意度。(5)员工培训与福祉:针对员工进行家庭参与方面的培训可提高他们的技能,同时在高压力环境下支持他们的情感福祉。(6)临终关怀:以家庭为中心的护理方法可在临终情况下促进护理规划和决策制定。