Model Development for Health-Care Services in Response to the Needs of the Patient Family Members in the ICU of Surat Thani Hospital
Keywords:model, health-care services, needs of the patient’s family members, ICU
providing health-care services in Intensive Care Unit (ICU) must also be extended to the patient's family members to provide holistic care to all of them. .
Research objectives: This mixed methods study aimed to: 1) analyze the situations and expectations for health-care services of patient’s family members in the ICU of Surat Thani hospital; 2) develop a model for health-care services in response to the needs of patient’s family members, and 3) evaluate the appropriateness of the developed model.
Research methodology: Sample were recruited using purposive sampling technique and consisted of two groups. The first group was for analyzing the situation and expectations for health care services of patient’s family members in the ICU. This group consisted of 52 participants (32 for quantitative data, and 20 for qualitative data). The second group was to evaluate the appropriateness of the developed model. This group consisted of 4 experts. Two sets of questionnaires were used: 1) questionnaires and an in depth-interview form for analyzing the situation and expectations of health care services of patient’s family members in the ICU. Nancy C. Molter and Jane Stover Leske (1983) gave us a permission to translate this tool into Thai and then this tool was used in this study; and 2) an evaluation form to evaluate the appropriateness of the developed model. The content validity of these tools were verified by 4 experts, and it was 0.78. Qualitative data were analyzed using content analysis, and descriptive statistics were used to analyze quantitative data.
Results: Research findings were as follows. 1) The patient’s family members in the ICU rated the situation and their expectations for health care services overall at the high level; in order from high to low expectation: assurance, information, support, and comfort, respectively. 2) The developed model consisted of seven components including: (1) communication of clear, true, and continuous information; (2) information about the necessity and benefits of the medical instruments used; (3) patient family members’ participation in decision making and taking care of patients; (4) psychological care and therapy for patient’s family members; (5) knowledge about rights and benefits associated with medical treatment, and coordination with relevant divisions; (6) a suitable environment and services to meet the needs of patient’s family members; and (7) fast medical services with modern equipment. Finally, 3) the developed model for health care services of patient’s family members in the ICU of Surat Thani hospital was evaluated as suitable (88.88%).
Conclusions: This study reflected that patient's family members are the important clients which significantly lead nurses to provide holistic care, and also to improve the quality of nursing care in the ICU.
Implications for practice: The developed model can be used to provide health-care services to meet the needs of patient’s family members in ICU. However, it may take into account that the needs of the family members might be different and it depends on the context of each hospital.
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