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首页> 外文期刊>Critical care nursing quarterly >The effect of a family support intervention on physician, nurse, and family perceptions of care in the surgical, neurological, and medical intensive care units
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The effect of a family support intervention on physician, nurse, and family perceptions of care in the surgical, neurological, and medical intensive care units

机译:家庭支持干预对外科,神经科和医疗重症监护室中医生,护士和家庭对护理的看法的影响

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摘要

Many patients in the intensive care unit (ICU) have predictable medical and discharge outcomes, but some trajectories are marked with medical uncertainty. Stressed family-surrogates receive multiple medical updates from a variety of personnel. These circumstances can lead to confusion, which may result in conflicts and dissatisfaction with care. This study examined the effects of adding a family support coordinator to the surgical, neurological, and medical ICUs on family, physician, and nurse satisfaction with communication and care. A quasi-experimental design was conducted in 2 sequential phases (baseline and intervention). The data sources were 2 surveys: (1) Family Satisfaction Survey and (2) Nurse and Physician Perception and Satisfaction Survey. Family Satisfaction Survey data, a combined data set, were collected in the 3 ICUs. Nurse and Physician Perception and Satisfaction Survey data were collected from the attending physicians and critical care nurses in the medical and neurological ICUs. Results show that family ratings of satisfaction with ICU team communication and care generally increased as a result of the intervention. Overall, physician and nurse perceptions of communication and care did not change as a result of the intervention.
机译:重症监护病房(ICU)的许多患者的医疗和出院结果可预测,但某些轨迹带有医疗不确定性。压力大的家庭代理人会从各种人员那里获得多种医疗更新。这些情况可能导致混乱,可能导致冲突和对护理的不满。这项研究检查了在外科,神经科和医疗ICU中增加家庭支持协调员对家庭,医生和护士在沟通和护理方面的满意度的影响。在两个连续的阶段(基线和干预)中进行了准实验设计。数据来源为2个调查:(1)家庭满意度调查和(2)护士和医师的知觉和满意度调查。家庭满意度调查数据是一个综合数据集,来自3个ICU。护士和医师的知觉和满意度调查数据是从医疗和神经ICU中的主治医师和重症监护护士那里收集的。结果表明,干预后家庭对ICU团队沟通和护理的满意度总体上提高了。总体而言,由于干预,医师和护士对沟通和护理的看法没有改变。

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