Developing a model of factors that influence meeting the needs of family with a relative in ICU

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Abstract

Aim

To develop a model of factors influencing meeting family needs when a relative was admitted to the intensive care unit (ICU).

Background

Studies identify individual factors impact on the needs of family members with a relative in ICU. No studies have reported on relationships between these factors and/or the extent of influence of multiple factors on family needs.

Design

Observational, correlational, and predictive study design.

Methods

Data were collected from August 2013 to June 2014 using validated scales and a demographic tool. The setting was a large tertiary referral hospital in Brisbane, Australia. Structural equation modelling was undertaken.

Results

One hundred and seventy ICU family members participated. Factors included in the developed model were consistent with the literature. Family member anxiety had direct and significant influence on ICU family needs (β = 0.21). Gender was also found to have direct influence (β = 0.19), suggesting female family members were more likely to report needs being met. Family member coping self-efficacy (β = −0.40) and family member depression (β = −0.33) were mediating variables.

Discussion

Interventions to meet family needs within the ICU should take into account family member levels of anxiety, depression, and coping self-efficacy with consideration of gender. Further model validation is required to confirm findings.

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