Available online 4 June 2022, 103261
AbstractObjectivesThe study aimed to identify nurse characteristics that influence their self-perceived practice skills in working with families and their attitudes towards engaging families in adult and neonatal intensive care units.
Research methodology/DesignSecondary data analysis using a descriptive, cross-sectional design.
SettingAn online survey was completed by 256 nurses from six adult intensive (73% response rate) and two neonatal intensive and one intermediate care unit (27% response rate) in a Swiss, university affiliated hospital.
Main outcome measuresNurses’ self-perceived practice skills in working with families were assessed with the “Family Nursing Practice Scale”. Attitudes towards families were measured with the “Families’ Importance in Nursing Care – Nurses’ Attitudes Scale”. Data were analysed with multiple linear regression models.
ResultsPrior education in family nursing significantly influenced nurses’ self-perceived practice skills in working with families. Nurses’ clinical speciality had a significant influence on their attitudes towards overall, and on the subscale “family as a burden”. Neonatal intensive care nurses showed more open attitudes towards families overall, but perceived family more often as a burden than nurses in adult intensive care. Nurses’ perceived skills and attitudes in family engagement significantly influenced each other.
ConclusionThe results suggest that nurses’ prior education in family nursing and clinical speciality determine their ability to work with and engage families in critical care. Our study suggests that integration of family nursing engagement practices in critical care requires educational implementation strategies combined with culture change efforts.
KeywordsAdults
Critical care
Family engagement
Family nursing
Practice skills
Practitioners’ attitudes
Neonates
Nurse’ characteristics
© 2022 The Author(s). Published by Elsevier Ltd.
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