Intervenciones de Enfermería ante la Necesidad de Información de la Familia del Paciente Crítico

Palabras clave: Evaluación de Necesidades, Relaciones Familiares, Cuidados Críticos, Evaluación de Resultados de Intervenciones Terapéuticas

Resumen

Introducción: Durante el ingreso y permanencia del paciente en la unidad de cuidado intensivo, es imperativo considerar la satisfacción de las necesidades comunicacionales e informativas de la familia del paciente. Objetivo: Integrar los resultados de investigación sobre las intervenciones llevadas a cabo para satisfacer la necesidad de información de las familias de los pacientes en la unidad de cuidado intensivo. Materiales y Métodos: Se realizó una revisión integrativa de estudios en bases de datos Sciencedirect, PubMed, Biblioteca Virtual en Salud y Scielo, con la estrategia de búsqueda [Critical care] and [Needs assessment] and [Family] con criterios de inclusión de estudios publicados entre el año 2009 y el 2019 en idioma inglés, español y portugués disponibles en texto completo Resultados: Después de la lectura analítica de 41 estudios seleccionados se organizaron en 5 temas; uso de folletos de información, sesiones educativas, llamadas telefónicas, uso de tecnologías de la información y comunicación y reuniones familiares. Conclusión: Las intervenciones de enfermería que se han utilizado en la satisfacción de la necesidad de información de la familia son muy variadas e incluyen entre otras los folletos o el uso de TICs, sin embargo la intervención que responde en mayor medida a esta necesidad son las reuniones formales con la familia. Las intervenciones reportadas en los resultados de investigación para responder a la necesidad de información son herramientas clave para que el personal de enfermería las utilice según los recursos con los cuales dispone en su entorno laboral como salas de información para la familia.

Como citar este artículo: Guáqueta Parada Sandra Rocio, Henao Castaño Ángela María, Motta Robayo Claudia Lorena, Triana Restrepo Martha Cecilia, Burgos Herrera Juan David, Neira Fernández Karen Daniela, Peña Almanza Berni Alonso. Intervenciones de Enfermería ante la Necesidad de Información de la Familia del Paciente Crítico. Revista Cuidarte. 2021;12(2):e1775. http://dx.doi.org/10.15649/cuidarte.1775    

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Biografía del autor/a

Sandra Rocio Guáqueta Parada, Universidad Nacional de Colombia

Profesor Asociado. Universidad Nacional  de Colombia. Facultad de Enfermería. Sede Bogotá. Grupo de investigación de urgencias y cuidado crítico

Ángela María Henao-Castaño, Universidad Nacional de Colombia

Profesor Asociado. Universidad Nacional de Colombia. Sede Bogotá

Claudia Lorena Motta Robayo, Universidad Nacional de Colombia

Profesor Asistente. Universidad Nacional de Colombia. Facultad de Enfermería. Sede Bogotá. 

Martha Cecilia Triana Restrepo, Universidad Nacional de Colombia

Profesor Asociado. Universidad Nacional de Colombia. Facultad de enfermería. Sede Bogotá

Juan David Burgos Herrera, Universidad Nacional de Colombia

Estudiante de pregrado. Universidad Nacional de Colombia. Facultad de Enfermería. Sede Bogotá. Grupo de investigación de urgencias y cuidado crítico.

Karen Daniela Neira Fernández, Universidad Nacional de Colombia

Estudiante de pregrado. Universidad Nacional de Colombia. Facultad de Enfermería. Sede Bogotá. Grupo de investigación de urgencias y cuidado crítico.

Berni Alonso Peña Almanza, Universidad Nacional de Colombia

Estudiante de pregrado. Universidad Nacional de Colombia. Facultad de Enfermería. Sede Bogotá. Grupo de investigación de urgencias y cuidado crítico.

Citas

Jacob BM, Horton C, Rance-ashley S, Field T, Patterson R, Johnson C, et al. Needs of Patients’ family members in an Intensive Care Unit With Continuous visitation. Am J Crit CARE. 2016;25(2):118–25. https://doi.org/10.4037/ajcc2016258

Padilla-Fortunatti C, Rojas-Silva N, Amthauer-Rojas M, Molina-Muñoz Y. Necesidades de los familiares de pacientes críticos en un hospital académico de Chile. Enferm Intensiva. 2018;29(1):32–40. https://doi.org/10.1016/j.enfi.2017.09.001

Wetzig K, Mitchell M. The needs of families of ICU trauma patients: an integrative review. Intensive Crit Care Nurs [Internet]. 2017;41:63–70 https://doi.org/10.1016/j.iccn.2017.02.006

Sánchez-Vallejo A, Fernández D, Pérez-Gutiérrez A, Fernández-Fernández M. Análisis de las necesidades de la familia del paciente crítico y la opinión de los profesionales de la unidad de cuidados intensivos. Med Intensiva [Internet]. 2016;40(9):527–40. https://doi.org/10.1016/j.medin.2016.03.005

Padilla Fortunatti CF. Most Important Needs of Family Members of Critical Patients in Light of the Critical Care Family Needs Inventory. Investig y Educ en Enfermería. 2014;32(2):30616. https://doi.org/10.17533/udea.iee.v32n2a13

Kynoch K, Chang A, Coyer F, McArdle A. The effectiveness of interventions to meet family needs of critically ill patients in an adult intensive care unit: a systematic review update. JBI database Syst Rev Implement reports. 2016;14(3):181–234. https://doi.org/10.11124/JBISRIR-2016-2477

Batista VC, Coutinho Monteschio LV, de Godoy FJ, de Freitas Góes HL, Misue Matsuda L, Silva Marcon S. Needs of the Relatives of Patients Hospitalized in an Intensive Therapy Unit. Rev Pesqui Cuid e Fundam [Internet]. 2019;11(2):540–6. https://doi.org/10.9789/2175-5361.2019.v11i2.540-546

Maruiti MR, Galdeano LE, Farah OGD. Anxiety and depressions in relatives of patients admitted in intensive care units. ACTA Paul Enferm. 2008;21(4):636–42. https://doi.org/10.1590/S0103-21002008000400016

Carolina L, Quijano B, Rocío S, Parada G. Elementos para abordar la necesidad de información de las familias en una unidad de cuidados intensivos. Imagen y Desarrollo.2019 (21)2: https://doi.org/10.11144/Javeriana.ie21-2.eani

Hoffmann M, Holl AK, Burgsteiner H, Eller P, Pieber TR, Amrein K. Prioritizing information topics for relatives of critically ill patients: Cross-sectional survey among intensive care unit relatives and professionals. Wien Klin Wochenschr. 2018;130(21–22):645–52. https://doi.org/10.1007/s00508-018-1377-1

Cooper H. The integrative research review: a systematic approach. Beverly Hills. Sage Publi. Beverly Hills; 1984. 143 p.

Cabello JB. Lectura crítica de la evidencia clínica. Elsevier. España; 2015. 216 p.

Brooke J, Hasan N, Slark J, Sharma P. Efficacy of information interventions in reducing transfer anxiety from a critical care setting to a general ward: A systematic review and meta-analysis. J Crit Care [Internet]. 2012;27(4):425.e9-425.e15. https://doi.org/10.1016/j.jcrc.2012.01.009

Turnbull AE, Chessare CM, Coffin RK, Needham DM. A brief intervention for preparing ICU families to be proxies: A phase I study. PLoS One. 2017;12(10):1–16. https://doi.org/10.1371/journal.pone.0185483

Mitchell ML, Coyer F, Kean S, Stone R, Murfield J, Dwan T. Patient, family-centred care interventions within the adult ICU setting: An integrative review. Aust Crit Care [Internet]. 2016;29(4):179–93. Available from: https://doi.org/10.1016/j.aucc.2016.08.002

Soltner C, Lassalle V, Galienne-Bouygues S, Pottecher J, Floccard B, Delapierre L, et al. Written information that relatives of adult intensive care unit patients would like to receive - A comparison to published recommendations and opinion of staff members. Crit Care Med. 2009;37(7):2197–202. https://doi.org/10.1097/CCM.0b013e3181a03063

Mistraletti G, Umbrello M, Mantovani ES, Moroni B, Formenti P, Spanu P, et al. A family information brochure and dedicated website to improve the ICU experience for patients’ relatives: an Italian multicenter before-and-after study. Intensive Care Med. 2016;43(1):69–79. https://doi.org/10.1007/s00134-016-4592-0

Azoulay EE, Pochard FF, Chevret SS, Jourdain MM, Bornstain CC, Wernet AA, et al. Impact of a family information leaflet on effectiveness of information provided to family members of intensive care unit patients: a multicenter, prospective, randomized, controlled trial. Am J Respir Crit Care Med [Internet]. 2002;165(4):438–42. https://doi.org/10.1164/ajrccm.165.4.200108-006oc

E A Henneman, J B McKenzie CSD. An Evaluation of Interventions for Meeting the Information Needs of Families of Critically Ill Patients. Am J Crit Care. 1992;1(3):85–93. https://doi.org/10.4037/ajcc1992.1.3.85

Wilson ME, Kaur S, Gallo De Moraes A, Pickering BW, Gajic O, Herasevich V. Important clinician information needs about family members in the intensive care unit. J Crit Care [Internet]. 2015;30(6):1317–23. Available from: https://doi.org/10.1016/j.jcrc.2015.07.028

Chien WT, Chiu YL, Lam LW, Ip WY. Effects of a needs-based education programme for family carers with a relative in an intensive care unit: A quasi-experimental study. Int J Nurs Stud. 2006;43(1):39–50. https://doi.org/10.1016/j.ijnurstu.2005.01.006

Goldfarb MJ, Bibas L, Bartlett V, Jones H, Khan N. Outcomes of patient- and family-centered care interventions in the icu: A systematic review and meta-analysis. Crit Care Med. 2017;45(10):1751–61. https://doi.org/10.1097/CCM.0000000000002624

Tawil I, Brown LH, Comfort D, Crandall CS, West SD, Rollstin AD, et al. Family presence during brain death evaluation: A randomized controlled trial. Crit Care Med. 2014;42(4):934–42. https://doi.org/10.1097/CCM.0000000000000102

Baning KM. Outcomes of a comprehensive patient and family-centered care program in an adult intensive care unit. Outcomes of a Comprehensive Patient & Family-centered Care Program in an Adult Intensive Care Unit. 2012. https://repository.arizona.edu/handle/10150/228151

Kirchhoff KT, Palzkill J, Kowalkowski J, Mork A GE. Preparing families of intensive care patients for withdrawal of life support: a pilot study. J Crit Care. 2008;17(2):113–21. https://doi.org/10.4037/ajcc2008.17.2.123

de Havenon A, Petersen C, Tanana M, Wold J, Hoesch R. A pilot study of audiovisual family meetings in the intensive care unit. J Crit Care [Internet]. 2015;30(5):881–3. https://doi.org/10.1016/j.jcrc.2015.05.027

Kodali S, Stametz R, Clarke D, Bengier A, Sun H, Layon AJ, et al. Implementing family communication pathway in neurosurgical patients in an intensive care unit. Palliat Support Care. 2015;13(4):961–7. https://doi.org/10.1017/S1478951514000650

Seaman, Jennifer B. Arnold, Robert. Scheunemann, Leslie. White D. An Integrated Framework for Effective and Efficient Communication with Families in the Adult Intensive Care Unit Jennifer. Ann Am Thorac Soc. 2017;14(6):1015–20. https://doi.org/10.1513/AnnalsATS.201612-965OI

Wysham NG, Mularski RA, Schmidt DM, Nord SC, Louis DL, Shuster E, et al. Long-term persistence of quality improvements for an intensive care unit communication initiative using the VALUE strategy. J Crit Care [Internet]. 2014;29(3):450–4. https://doi.org/10.1016/j.jcrc.2013.12.006

Wu H, Ren D, Zinsmeister GR, Zewe GE, Tuite PK. Implementation of a nurse-led family meeting in a neuroscience intensive care unit. Dimens Crit Care Nurs. 2016;35(5):268–76. https://doi.org/10.1097/DCC.0000000000000199

Knapp SJ, Sole M Lou, Byers JF. The EPICS Family Bundle and its effects on stress and coping of families of critically Ill trauma patients. Appl Nurs Res [Internet]. 2013;26(2):51–7. https://doi.org/10.1016/j.apnr.2012.11.002

McCannon JB, O’Donnell WJ, Thompson BT, El-Jawahri A, Chang Y, Ananian L, et al. Augmenting communication and decision making in the intensive care unit with a cardiopulmonary resuscitation video decision support tool: A temporal intervention study. J Palliat Med. 2012;15(12):1382–7. https://doi.org/10.1089/jpm.2012.0215

Johnson MJ, Frank DI. Effectiveness of a telephone intervention in reducing anxiety of families of patients in an intensive care unit. Appl Nurs Res. 1995;8(1):42–3. https://doi.org/10.1016/S0897-1897(95)80318-1

Chiang VCL, Lee RLP, Ho FM, Leung CK, Tang YP, Wong WS, et al. Fulfilling the psychological and information need of the family members of critically ill patients using interactive mobile technology: A randomised controlled trial. Intensive Crit Care Nurs [Internet]. 2017;41:77–83. https://doi.org/10.1016/j.iccn.2017.03.006

Holanda Peña MS, Talledo NM, Ots Ruiz E, Lanza Gómez JM, Ruiz Ruiz A, García Miguelez A, et al. Satisfacción en la Unidad de Cuidados Intensivos (UCI): la opinión del paciente como piedra angular. Med Intensiva. 2017;41(2):78–85. https://doi.org/10.1016/j.medin.2016.06.007

Jacobowski, Natalie L. Girard, Timothy D. Mulder, John A. Wesley E. Communication in Critical Care: Family Rounds in the Intensive Care Unit. Am J Crit Care. 2010;19(5):421–30. https://doi.org/10.4037/ajcc2010656

Schubart JR, Wojnar M, Dillard JP, Meczkowski E, Kanaskie ML, Blackall GF, et al. ICU family communication and health care professionals: A qualitative analysis of perspectives. Intensive Crit Care Nurs [Internet]. 2015;31(5):315–21. https://doi.org/10.1016/j.iccn.2015.02.003

Daly BJ, Douglas SL, O’Toole E, Gordon NH, Hejal R, Peerless J, et al. Effectiveness trial of an intensive communication structure for families of long-stay ICU patients. Chest [Internet]. 2010;138(6):1340–8. https://doi.org/10.1378/chest.10-0292

Allen SR, Pascual J, Martin N, Reilly P, Luckianow G, Datner E, et al. A novel method of optimizing patient- and family-centered care in the ICU. J Trauma Acute Care Surg. 2016;82(3):582–6. https://doi.org/10.1097/TA.0000000000001332

White DB, Cua SM, Walk R, Pollice L, Weissfeld L, Hong S, et al. Nurse led intervention to improve surrogate decision making for patients with advanced critical illness. Am Assoc Crit Nurses. 2012;21(6):396–409. https://doi.org/10.4037/ajcc2012223

Velasco Bueno JM, Alonso-Ovies A, Heras La Calle G, Zaforteza Lallemand C. Main information requests of family members of patients in Intensive Care Units. Med Intensiva [Internet]. 2018;42(6):337–45. https://doi.org/10.1016/j.medin.2017.09.007

Briggs D. Improving communication with families in the intensive care unit. Nurs Stand. 2017;32(2):41–8. https://doi.org/10.7748/ns.2017.e10812

Stelson BEA, Carr BG, Golden KE, Martin N, Richmond TS, Delgado MK, et al. perceptions of family participation in intensive care unit rounds and telemedicine: a qualitative assessment. Am Assoc Crit Nurses. 2016;25(5):440–7. https://doi.org/10.4037/ajcc2016465

Cody SE, Sullivan-Bolyai S, Reid-Ponte P. Making a connection: Family experiences with Bedside Rounds in the intensive care unit. Crit Care Nurse. 2018;38(3):18–26. https://doi.org/10.4037/ccn2018128

Gaeeni M, Farahani MA, Seyedfatemi N, Mohammadi N. Informational support to family members of intensive care unit patients: the perspectives of families and nurses. Glob J Health Sci. 2015;7(2):8–19. https://doi.org/10.5539/gjhs.v7n2p8

Jones BC, Csci M, Bäckman C, Griffiths RD. intensive care diaries and relatives’ symptoms of posttraumatic stress disorder after critical illness: a pilot studY. Am J Crit CARE. 2012;21(3):172–6. https://doi.org/10.4037/ajcc2012569

Garrouste-Orgeas M, Périer A, Mouricou P, Grégoire C, Bruel C, Brochon S, et al. Writing in and reading ICU diaries: Qualitative study of families’ experience in the ICU. PLoS One. 2014;9(10):e110146. https://doi.org/10.1371/journal.pone.0110146

Mitchell ML, Aitken LM. Flexible visiting positively impacted on patients, families and staff in an Australian Intensive Care Unit: A before-after mixed method study. Aust Crit Care [Internet]. 2017;30(2):91–7. https://doi.org/10.1016/j.aucc.2016.01.001

Black P, Boore JRP, Parahoo K. The effect of nurse-facilitated family participation in the psychological care of the critically ill patient. J Adv Nurs. 2011;67(5):1091–101. https://doi.org/10.1111/j.1365-2648.2010.05558.x

Bishop, Sarah. Walker, Mandi D. Spivak IM. Family Presence During Dressing Intensive Care Unit in the Adult Burn Changes. Crticial Care Nurse. 2013;33(1):14–23. https://doi.org/10.4037/ccn2013116

Choi YS, Bosch SJ. Environmental affordances: Designing for family presence and involvement in patient care. Heal Environ Res Des J. 2013;6(4):53–75. https://doi.org/10.1177/193758671300600404

Publicado
2021-06-30
Cómo citar
1.
Guáqueta Parada SR, Henao-Castaño Ángela M, Motta Robayo CL, Triana Restrepo MC, Burgos Herrera JD, Neira Fernández KD, Peña Almanza BA. Intervenciones de Enfermería ante la Necesidad de Información de la Familia del Paciente Crítico . Rev Cuid [Internet]. 30 de junio de 2021 [citado 29 de julio de 2021];12(2). Disponible en: https://revistas.udes.edu.co/cuidarte/article/view/1775
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