Experiences of Patient Family Members and Nurses on Family-Centered Care in Critical Care Unit at Coast General Hospital, Mombasa County: Phenomenological Study
Abstract
Abstract:
Background: Family Centered Care utilizes the holistic approach of care by focusing on both the patient and their family members in caring for the critically ill patients. Despite family satisfaction with care being an aspect in evaluation of quality of care, FCC utilization remains low.Study objective: The aim of the study was to explore the experiences of nurses and patient family members on FCC in Coast General Hospital.
Materials and Methods: Using the phenomenological method of qualitative research - deductive approach, interviews were conducted among six nurses and seven family members. Purposive sampling technique was used. Interview guides with open ended questions were used to collect data which was audio recorded and transcribed verbatim and data analysis done manually and data classified into themes and subthemes.
Results: Four themes were extracted from the interviews based on the conceptual framework: 1) Communication as a pillar of care 2) Involvement inpatient care decisions 3) Physical presence and proximity to the patient 4) Cultural sensitivity in care. The critical care nurses recognized family involvement and effective communication as a critical aspect in the critical care setting. However, constraints such as time limitations, staffing shortages, workload and prioritization of patient safety hindered the ability to fully engage with families. Conversely, family members expressed a strong desire for proximity to their loved ones admitted in the critical care unit, advocating for flexible or increased visitation times and transparent, consistent communication from health care providers even in cases of poor prognosis.
Conclusion and Recommendations: Bridging this gap necessitates the implementation of policies and interventions aimed at fostering a collaborative environment that aligns the needs and expectations of both family members and nurses in the critical care unit.
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