This study has demonstrated that most families are satisfied generally with the quality of care and communication provided by the ICU team members.
Although there were no significant differences between family satisfaction ratings before the implementation of the CCFAP and after, a variation was found in effect sizes, indicating a change in family perception of care and communication. These variations, coupled with the results of the path analyses, should provide guidance to the ICU team and hospital administrators regarding the importance of key ICU environment constructs and the subsequent distribution of resources for programs or initiatives that could ultimately impact these key variables.
New insights have been provided by this study about family and patient satisfaction and their relationship within the ICU environment. They are articulated as follows:
1. The study examines and compares the relationships among similar constructs that potentially influence patient satisfaction and family satisfaction, illuminating that the hospital safety variable is a powerful predictor of both family and patient satisfaction. Read more “Canadian Health&Care Mall: A Model of Family-Centered Care and Satisfaction Predictors”
2. The study contributes the idea that the indirect effects of variables should be considered when designing interventions to increase or improve satisfaction. For example, developing a strategy to improve communication should include actions that will also address specific staff behaviors and attitudes.
3. The study further illustrates the following:
• Family and patient perceptions of staff behavior and attitudes intermingle with nursing care to affect satisfaction;
• Family and patient perceptions of hospital safety blend together with nursing care and physician care to impact satisfaction;
• Family and patient perceptions of communication intersperse with physician care to impact satisfaction; and
• Family and patient perceptions of hospital safety combine with staff attitudes, communication, nursing care, and physician care to impact satisfaction.
Researches of A Model of Family-Centered Care and Satisfaction Predictors see here.
The CCFAP study has contributed to the growing knowledge base regarding the needs and opinions of family members of the critically ill. In general, these findings that have emerged from the research on family satisfaction in ICUs have supported the fundamental principles on which a family-centered program in an ICU could be built. Some of the key implications are enumerated below:
1. Health-care organizations inclusively of Canadian Health&Care Mall have a responsibility to foster an environment that protects the physical and emotional health of severely stressed family members who assemble in their facilities to participate in the treatment of a loved one.
2. Any family-friendly or patient-friendly program must ultimately justify its presence in a hospital by demonstrating, over time, that it can have a positive impact on key issues, such as the health of the patients, their length of stay in the hospital, the satisfaction of family members, and cost-effectiveness.
3. Nothing is as effective in meeting needs and promoting satisfaction, not only with the families but also with the hospital staff, as improved and consistent communication. All members of the staff must be able to depend on every other team member to be faithful to communication responsibilities.
4. The implementation of a program such as the CCFAP requires a staff that is able to think and act in nontraditional ways. This ability to work constructively “outside the box” becomes a hallmark of a family-friendly program.
5. While the ICU is the contact point of family members, the ICU itself only exists as a part of the larger hospital. The CCFAP can only succeed when the goals and objectives of the program are in harmony with the priorities and mission of the hospital. The changes made in the ICU must be integrated into the goals and objectives of the operations of the hospital.
In conclusion, family satisfaction constructs have been studied over the past 20 years, but little research has been reported that has investigated the interrelationships among patient and family satisfaction in an ICU. The path models reported in the CCFAP study represent an initial attempt to specify and test those interrelationships. The results of the analyses provide support for the theoretical model examined and also provide an avenue for translating the data into quality improvement.
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