Patient and family involvement in adult critical and intensive care settings: a scoping review

被引:171
作者
Olding, Michelle [1 ]
McMillan, Sarah E. [2 ]
Reeves, Scott [3 ,4 ]
Schmitt, Madeline H. [5 ]
Puntillo, Kathleen [6 ]
Kitto, Simon [7 ]
机构
[1] British Columbia Ctr Excellence HIV AIDS, Vancouver, BC, Canada
[2] Univ Hlth Network, Collaborat Acad Practice, Toronto, ON, Canada
[3] Univ Kingston, Ctr Hlth & Social Care Res, London, England
[4] St Georges Univ London, London, England
[5] Univ Rochester, Med Ctr, Sch Nursing, Rochester, NY 14642 USA
[6] UCSF, Dept Physiol Nursing, Nursing, San Francisco, CA USA
[7] Univ Ottawa, Fac Med, Dept Innovat Med Educ, RGN 2211 451 Smyth Rd, Ottawa, ON K1H 8M5, Canada
关键词
Critical care; family involvement; family-centred care; Intensive care units; patient involvement; patient-centred care; scoping review; SURROGATE DECISION-MAKING; OF-LIFE CARE; ILL PATIENTS; NURSES EXPERIENCES; CLOSE RELATIVES; VENTILATED PATIENTS; INVASIVE PROCEDURES; PALLIATIVE CARE; CENTERED CARE; TEAM MEMBERS;
D O I
10.1111/hex.12402
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Background Despite international bodies calling for increased patient and family involvement, these concepts remain poorly defined within literature on critical and intensive care settings. Objective This scoping review investigates the extent and range of literature on patient and family involvement in critical and intensive care settings. Methodological and empirical gaps are identified, and a future agenda for research into optimizing patient and family involvement is outlined. Methods Searches of MEDLINE, CINAHL, Social Work Abstracts and PsycINFO were conducted. English-language articles published between 2003 and 2014 were retrieved. Articles were included if the studies were undertaken in an intensive care or critical care setting, addressed the topic of patient and family involvement, included a sample of adult critical care patients, their families and/or critical care providers. Two reviewers extracted and charted data and analysed findings using qualitative content analysis. Findings A total of 892 articles were screened, 124 were eligible for analysis, including 61 quantitative, 61 qualitative and 2 mixed-methods studies. There was a significant gap in research on patient involvement in the intensive care unit. The analysis identified five different components of family and patient involvement: (i) presence, (ii) having needs met/being supported, (iii) communication, (iv) decision making and (v) contributing to care. Conclusion Three research gaps were identified that require addressing: (i) the scope, extent and nature of patient involvement in intensive care settings; (ii) the broader socio-cultural processes that shape patient and family involvement; and (iii) the bidirectional implications between patient/family involvement and interprofessional teamwork.
引用
收藏
页码:1183 / 1202
页数:20
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