dc.contributor.author | Ngui, ML | |
dc.date.accessioned | 2013-05-23T13:07:03Z | |
dc.date.available | 2013-05-23T13:07:03Z | |
dc.date.issued | 2005 | |
dc.identifier.citation | M.Sc Nursing (Critical Care Nursing) | en |
dc.identifier.uri | http://erepository.uonbi.ac.ke:8080/xmlui/handle/11295/24929 | |
dc.description | Master of Science in Nursing | en |
dc.description.abstract | This was a descriptive cross sectional study carried out over a period of two and half
months i.e. from mid May to July 2006. The purpose of the study was to determine families'
needs of patients admitted in the Intensive Care Unit (ICU) and the extent to which these needs
are met as perceived by patients' families and nurses working in ICU at the Kenyatta National
Hospital (KNH).
The data was collected from patients' family members and from the nurses working in
the Intensive Care Unit. The Critical Care Family Needs Inventory (CCFNI) was used for data
collection. This tool had thirty- nine (39) need statements with one additional open-ended
question. The need statements were grouped into five domains i.e. information, assurance,
support, proximity and comfort. A total of two hundred and eighty two (282) family members
and eighty-four (84) nurses were recruited. Four (4) close family members of each patient in ICU
were conveniently recruited and interviewed using the questionnaire while all the nurses available
at the time of data collection filled the questionnaire. The data was analysed by use of computer
software package for statistical solutions (SPSS). Presentation of data was done in tables, pie
charts, column graphs, line graphs, means and percentages.
Authority to carry out the study was given by the Kenyatta National Hospital Ethical
Committee and the office of the president through the Ministry of Education.
Among the 39 family needs expressed in the questionnaire, 37 (94.9%) were ranked by
the family respondents as necessary while nurses ranked 34 (87.1%) as necessary. The need for
information was ranked the most important followed by the needs for assurance, proximity,
support and comfort in that order by the family respondents. The need for information was also
ranked the most important by the nurses followed by the needs for assurance, support, comfort,
and proximity in that order. There were significant differences (p<O.O1) in perception of the
necessity and extent to which family needs are met amongst the families and amongst the nurses.
It was concluded that families of patients admitted in the ICU have needs relating to
information, assurance, proximity, support and comfort. The meeting of these needs falls below
the expectation of the families and of the nurses at the Kenyatta National Hospital ICU hence
compromising the quality of family centered nursing.' Some of the reasons contributing to low
quality of family centered nursing were: low nurse: patient ratio, lack of written protocol for
interacting with patients' families, lack of a conducive waiting room with adequate amenities for
the patient's visitors.
It's recommended that the families' needs identified and ranked in order of their
perceived importance should be used in planning and implementing care for lCU patients and
their families. This would also require adequate staff and a conducive environment for staff:
patient: family interaction | en |
dc.description.sponsorship | University of Nairobi | en |
dc.language.iso | en | en |
dc.title | Determination of families' needs of patients admitted in the intensive care unit (ICU) and the extent to which these needs are met as perceived by the family members and the icu nurses at Kenyatta National Hospital | en |
dc.type | Thesis | en |
dc.description.department | a
Department of Psychiatry, University of Nairobi, ; bDepartment of Mental Health, School of Medicine,
Moi University, Eldoret, Kenya | |
local.publisher | Department of Medicine, University of Nairobi | en |