Influence of perceived benefits, barriers and activities of family engagement in care on family nursing practice: A cross-sectional correlational study.
family-centred care
nursing
quantitative content analysis
workforce issues
Journal
Journal of advanced nursing
ISSN: 1365-2648
Titre abrégé: J Adv Nurs
Pays: England
ID NLM: 7609811
Informations de publication
Date de publication:
Sep 2023
Sep 2023
Historique:
revised:
08
03
2023
received:
20
10
2022
accepted:
07
04
2023
medline:
11
8
2023
pubmed:
18
4
2023
entrez:
17
4
2023
Statut:
ppublish
Résumé
To describe nurses' perceptions of family nursing practice and to explore the influence of their perceptions of the benefits, barriers and activities of family engagement in care on family nursing practice. A cross-sectional correlational study. In total, 460 nurses from two tertiary hospitals in the central region of Uganda participated. Quantitative and qualitative data were collected between August 2020 and January 2021 using the Family Nursing Practice Scale. Analyses included descriptive statistics, t-test, Pearson correlation, analysis of variance and ordinal logistics regression. Quantitative content analysis was carried out on the textual data. Nurses who perceived that family engagement in care improves patient and family outcomes were more likely to rate family nursing practice highly. Perceived barriers to family engagement in care particularly time constraints, work overload and family-related conflicts have a negative and significant influence on family nursing practice. Nurse characteristics such as education, usual shift pattern and personal experience of having a family member in hospital are significantly associated with family nursing practice; nurses who work morning shifts were likely to report higher family nursing practice. The study reveals that several parameters (perceived barriers, perceived benefits and nurse characteristics) influence nursing practice with families. Thus, bearing in mind the diversity of healthcare contexts, the findings show that multiple interacting factors are important for advancing family nursing interventions and practice. Probabilistic factor-specific predictions of nursing practice with families are provided in this study - this addresses a gap in the evidence regarding the elements that should be optimized when designing well-informed policies and interventions to advance family nursing practice. A comparison of results in the literature with the present study's findings suggests a need to broaden the scope and context perspective in future research and broaden the understanding of how nurses´ perceptions influence family engagement in care. The study adheres to the STROBE reporting guidelines. Family members/caregivers were involved in the design of the study particularly in assessment of validation of the tools used in the study.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
3487-3497Subventions
Organisme : FIC NIH HHS
ID : R25 TW011213
Pays : United States
Organisme : FIC NIH HHS
Pays : United States
Informations de copyright
© 2023 The Authors. Journal of Advanced Nursing published by John Wiley & Sons Ltd.
Références
Alfaro Díaz, C., Esandi Larramendi, N., Gutiérrez-Alemán, T., & Canga-Armayor, A. (2019). Systematic review of measurement properties of instruments assessing nurses' attitudes towards the importance of involving families in their clinical practice. Journal of Advanced Nursing, 75(11), 2299-2312. https://doi.org/10.1111/jan.14049
Årestedt, L., Persson, C., & Benzein, E. (2014). Living as a family in the midst of chronic illness. Scandinavian Journal of Caring Sciences, 28(1), 29-37. https://doi.org/10.1111/scs.12023
Barnes, M. D., Hanson, C. L., Novilla, L. B., Magnusson, B. M., Crandall, A. C., & Bradford, G. (2020). Family-centered health promotion: Perspectives for engaging families and achieving better health outcomes. Inquiry, 57, 46958020923537. https://doi.org/10.1177/0046958020923537
Barreto, M. D. S., Marquete, V. F., Camparoto, C. W., García-Vivar, C., Barbieri-Figueiredo, M. D. C., & Marcon, S. S. (2022). Factors associated with nurses' positive attitudes towards families' involvement in nursing care: A scoping review. Journal of Clinical Nursing, 31(23-24), 3338-3349. https://doi.org/10.1111/jocn.16226
Coe, K., & Scacco, J. M. (2017). Content analysis, quantitative. In J. Matthes, C. S. Davis, & R. F. Potter (Eds.), The international encyclopedia of communication research methods (pp. 1-11). John Wiley & Sons. https://doi.org/10.1002/9781118901731.iecrm0045
Duque-Ortiz, C., & Arias-Valencia, M. M. (2020). Nurse-family relationship. Beyond the opening of doors and schedules. Relación enfermera-familia. Más allá de la apertura de Puertas y horarios. Enfermeria Intensiva, 31(4), 192-202. https://doi.org/10.1016/j.enfi.2019.09.003
Finlayson, K., Dixon, A., Smith, C., Dykes, F., & Flacking, R. (2014). Mothers' perceptions of family centred care in neonatal intensive care units. Sexual & Reproductive Healthcare, 5(3), 119-124. https://doi.org/10.1016/j.srhc.2014.06.003
Hagedoorn, E. I., Paans, W., Jaarsma, T., Keers, J. C., van der Schans, C. P., & Luttik, M. (2021). The importance of families in nursing care: Attitudes of nurses in The Netherlands. Scandinavian Journal of Caring Sciences, 35(4), 1207-1215. https://doi.org/10.1111/scs.12939
Hamilton, R., Kleinpell, R., Lipman, J., & Davidson, J. E. (2020). International facilitators and barriers to family engagement in the ICU: Results of a qualitative analysis. Journal of Critical Care, 58, 72-77. https://doi.org/10.1016/j.jcrc.2020.04.011
Hengeveld, B., Maaskant, J. M., Lindeboom, R., Marshall, A. P., Vermeulen, H., & Eskes, A. M. (2021). Nursing competencies for family-centered care in the hospital setting: A multinational Q-methodology study. Journal of Advanced Nursing, 77(4), 1783-1799. https://doi.org/10.1111/jan.14719
Hsiao, C. Y., & Tsai, Y. F. (2015). Factors associated with the perception of family nursing practice among mental health nurses in Taiwan. Journal of Family Nursing, 21(4), 508-528. https://doi.org/10.1177/1074840715606543
Imanipour, M., & Kiwanuka, F. (2020). Family nursing practice and family importance in care-attitudes of nurses working in intensive care units. International Journal of Africa Nursing Sciences, 13, 100265.
Kaakinen, J. R., Coehlo, D. P., Steele, R., & Robinson, M. (2018). Family health care nursing: Theory, practice, and research (Fifth ed.). FA Davis.
Kiwanuka, F., Shayan, S. J., & Tolulope, A. A. (2019). Barriers to patient and family-centred care in adult intensive care units: A systematic review. Nursing Open, 6(3), 676-684. https://doi.org/10.1002/nop2.253
Kokorelias, K. M., Gignac, M., Naglie, G., & Cameron, J. I. (2019). Towards a universal model of family centered care: A scoping review. BMC Health Services Research, 19(1), 564. https://doi.org/10.1186/s12913-019-4394-5
Luttik, M. L. (2020). Family nursing: The family as the unit of research and care. European Journal of Cardiovascular Nursing, 19(8), 660-662. https://doi.org/10.1177/1474515120959877
McAndrew, N. S., Schiffman, R., & Leske, J. (2019). Relationships among climate of care, nursing family care, and family well-being in ICUs. Nursing Ethics, 26(7-8), 2494-2510. https://doi.org/10.1177/0969733019826396
Misto, K. (2018). Nurse perceptions of family nursing during acute hospitalisations of older adult patients. Applied Nursing Research, 41, 80-85. https://doi.org/10.1016/j.apnr.2018.04.009
Naef, R., Brysiewicz, P., Mc Andrew, N. S., Beierwaltes, P., Chiang, V., Clisbee, D., de Beer, J., Honda, J., Kakazu, S., Nagl-Cupal, M., Price, A. M., Richardson, S., Richardson, A., Tehan, T., Towell-Barnard, A., & Eggenberger, S. (2021). Intensive care nurse-family engagement from a global perspective: A qualitative multi-site exploration. Intensive & Critical Care Nursing, 66, 103081. https://doi.org/10.1016/j.iccn.2021.103081
Naef, R., Ernst, J., Müeller, M., & Schmid-Mohler, G. (2021). Translation and psychometric validation of the german version of the family nursing practice scale. Journal of Family Nursing, 27(1), 34-42. https://doi.org/10.1177/1074840720969387
Naef, R., Kläuser-Troxler, M., Ernst, J., Huber, S., Dinten-Schmid, B., Karen, T., & Petry, H. (2020). Tranlsating family systems care into neonatology practice: A mixed method study of practitioners'attitudes, practice skills and implementation experience. International Journal of Nursing Studies, 102, 103448. https://doi.org/10.1016/j.ijnurstu.2019.103448
Park, M., Suh, E. E., & Yu, S. Y. (2021). Uncertainty and nursing needs of parents with pediatric cancer patients in different treatment phases: A cross-sectional study. International Journal of Environmental Research and Public Health, 18(8), 4253. https://doi.org/10.3390/ijerph18084253
Polit, D. F., & Beck, C. T. (2006). The content validity index: Are you sure you know what's being reported? Critique and recommendations. Research in Nursing & Health, 29(5), 489-497. https://doi.org/10.1002/nur.20147
Price, A. M., McAndrew, N. S., Thaqi, Q., Kirk, M., Brysiewicz, P., Eggenberger, S., & Naef, R. (2022). Factors influencing critical care nurses' family engagement practices: An international perspective. Nursing in Critical Care.
Rodrigues, W., Badagnan, H. F., Nobokuni, A. C., Fendrich, L., Zanetti, A., Giacon, B., & Galera, S. (2021). Family nursing practice scale: Portuguese language translation, cross-cultural adaptation, and validation. Journal of Family Nursing, 10748407211002152. https://doi.org/10.1177/10748407211002152
Shamali, M., Esandi Larramendi, N., Østergaard, B., Barbieri-Figueiredo, M., Brødsgaard, A., Canga-Armayor, A., Dieperink, K. B., Garcia-Vivar, C., Konradsen, H., Nordtug, B., Lambert, V., Mahrer-Imhof, R., Metzing, S., Nagl-Cupal, M., Imhof, L., Svavarsdottir, E. K., Swallow, V., & Luttik, M. L. (2022). Nurses' attitudes towards family importance in nursing care across Europe. Journal of Clinical Nursing, 1-12. https://doi.org/10.1111/jocn.16456
Simpson, P., & Tarrant, M. (2006). Development of the family nursing practice scale. Journal of Family Nursing, 12(4), 413-425. https://doi.org/10.1177/1074840706290806
Svavarsdottir, E. K., Sigurdardottir, A. O., Konradsdottir, E., & Tryggvadottir, G. B. (2018). The impact of nursing education and job characteristics on nurses' perceptions of their family nursing practice skills. Scandinavian Journal of Caring Sciences, 32(4), 1297-1307. https://doi.org/10.1111/scs.12573
Zwicky, A., Thaqi, Q., Hediger, H., & Naef, R. (2022). The influence of nurse characteristics on practice skills and attitudes towards working with families in critical care: A regression analysis. Intensive & Critical Care Nursing, 103261. Advance online publication. https://doi.org/10.1016/j.iccn.2022.103261