Intervenciones de Enfermería ante la Necesidad de Información de la Familia del Paciente Crítico
DOI:
https://doi.org/10.15649/cuidarte.1775Palabras clave:
Evaluación de Necesidades, Relaciones Familiares, Cuidados Críticos, Evaluación de Resultados de Intervenciones TerapéuticasResumen
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
Referencias
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
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