The Indian Journal of Pediatrics

, Volume 84, Issue 8, pp 601–606 | Cite as

Psychosocial Needs of Patient’s Relatives and Health Care Providers in a Pediatric Critical Care Unit

  • Sasidaran Kandasamy
  • Niranjan Vijayakumar
  • Rupesh Kumar Natarajan
  • Thangavelu Sangaralingam
  • Nedunchelian Krishnamoorthi
Original Article

Abstract

Objective

To describe the needs of relatives of children admitted to an Intensive Care Unit and compare their needs with the perspectives of doctors, nurses and administrators.

Methods

This is a descriptive comparative study done at a tertiary care PICU from South India. A modified Critical Care Family Needs Inventory (CCFNI) (internal consistency reliability =0.93) was used to assess the needs of 35 family members, 30 nurses, 30 doctors and 30 administrators. Four needs pertaining to developing countries were included. Their responses were ranked by means and analysed by multivariate analysis of variance.

Results

The responses were significantly different between the groups for 13 needs (28%) and two domain items of proximity and support. Needs of relatives correlated with doctors more strongly than with nurses (rs = 0.80 vs. 0.68; p < 0.001). No significant difference was found between the perceived needs of family members and hospital staff for assurance, information and comfort. Both doctors and administrators underestimated the proximity needs but overestimated the support needs of relatives.

Conclusions

The CCFNI with minor modifications can be used in developing countries for assessing the needs of families of children in ICU. Making sure that the relative feels assured about the care given to the child and timely information regarding the child’s condition, are the two most important domains from the perspective of family members and hospital staff. Meeting these needs might help family members to cope better and be more supportive to their critically ill child.

Keywords

CCFNI Family needs Critically ill children 

References

  1. 1.
    Maxwell KE, Stuenkel D, Saylor C. Needs of family members of critically ill patients: a comparison of nurse and family perceptions. Heart Lung. 2007;36:367–76.CrossRefPubMedGoogle Scholar
  2. 2.
    Leske JS. Internal psychometric properties of the critical care family needs inventory. Heart Lung. 1991;20:236–44.PubMedGoogle Scholar
  3. 3.
    Padilla Fortunatti CF. Most important needs of family members of critical patients in light of the critical care family needs inventory. [Article in English, Spanish]. Invest Educ Enferm. 2014;32:306–16.PubMedGoogle Scholar
  4. 4.
    Forrester DA, Murphy PA, Price DM, Monaghan JF. Critical care family needs: nurse-family member confederate pairs. Heart Lung. 1990;19:655–61.PubMedGoogle Scholar
  5. 5.
    Quinn S, Redmond K, Begley C. The needs of relative visiting adult critical care units as perceived by relatives and nurses. Part I Intensive Crit Care Nurs. 1996;12:168–72.CrossRefPubMedGoogle Scholar
  6. 6.
    Kinrade T, Jackson AC, Tomnay J. Social workers’ perspectives on the psychosocial needs of families during critical illness. Soc Work Health Care. 2011;50:661–81.CrossRefPubMedGoogle Scholar
  7. 7.
    Daley L. The perceived immediate needs of families with relatives in the intensive care setting. Heart Lung. 1984;13:231–7.PubMedGoogle Scholar
  8. 8.
    Hinkle JL, Fitzpatrick E. Needs of American relatives of intensive care patients: perceptions of relatives, physicians and nurses. Intensive Crit Care Nurs. 2011;27:218–25.CrossRefPubMedGoogle Scholar
  9. 9.
    Bijttebier P, Vanoost S, Delva D, Ferdinande P, Frans E. Needs of relatives of critical care patients: perceptions of relatives, physicians and nurses. Intensive Care Med. 2001;27:160–5.CrossRefPubMedGoogle Scholar
  10. 10.
    Leung KK, Chien WT, Mackenzie AE. Needs of Chinese families of critically ill patients. West J Nurs Res. 2000;22:826–40.CrossRefPubMedGoogle Scholar
  11. 11.
    Molter NC. Needs of relatives of critically ill patients: a descriptive study. Heart Lung. 1979;8:332–9.PubMedGoogle Scholar
  12. 12.
    Omari FH. Perceived and unmet needs of adult Jordanian family members of patients in ICUs. J Nurs Scholarsh. 2009;41:28–34.CrossRefPubMedGoogle Scholar
  13. 13.
    Azoulay E, Pochard F, Chevret S, et al. Meeting the needs of intensive care unit patient families: a multicenter study. Am J Respir Crit Care Med. 2001;163:135–9.CrossRefPubMedGoogle Scholar
  14. 14.
    Scott LD. Perceived needs of parents of critically ill children. J Soc Pediatr Nurses. 1998;3:4–12.CrossRefGoogle Scholar
  15. 15.
    Sturdivant L, Warren NA. Perceived met and unmet needs of family members of patients in the pediatric intensive care unit. Crit Care Nurs Q. 2009;32:149–58.CrossRefPubMedGoogle Scholar

Copyright information

© Dr. K C Chaudhuri Foundation 2017

Authors and Affiliations

  1. 1.Department of Pediatric Intensive CareMehta Children’s HospitalChennaiIndia
  2. 2.Department of Pediatrics and Pediatric Intensive CareMehta Children’s HospitalChennaiIndia
  3. 3.Department of PediatricsMehta Children’s HospitalChennaiIndia
  4. 4.Department of Research & AcademicsMehta Children’s HospitalChennaiIndia

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