Objective: Assessing and enhancing family satisfaction are imperative for the provision of comprehensive intensive care. There is a paucity of Indian data exploring family′s perception of Intensive Care Unit (ICU) patients. We wanted to explore family satisfaction and whether it differed in families of patients admitted under intensivists and nonintensivists in our semi-open ICU.
Methodology: We surveyed family members of 200 consecutive patients, between March and September 2009 who were in ICU for >3 days. An internationally validated family satisfaction survey was adapted and was administered to a family member, on day 4 of the patient′s stay. The survey consisted of 15 questions in five categories - patient care, medical counseling, staff interaction, visiting hours, and facilities and was set to a Likert scale of 1-4. Mean, median, and proportions were computed to describe answers for each question and category.
Results: A total of 515 patients were admitted during the study period, of which 200 patients stayed in the ICU >3 days. One family member each of the 200 patients completed the survey with 100% response rate. Families reported the greatest satisfaction with patient care (94.5%) and least satisfaction with visiting hours (60.5%). Chi-square tests performed for each of the five categories revealed no significant difference between satisfaction scores of intensivists and nonintensivists′ patients.
Conclusion: Family members of ICU patients were satisfied with current care and communication, irrespective of whether they were admitted under intensivists or nonintensivists. Family members preferred open visiting hours policy than a time limited one.
Kulkarni HS, Kulkarni KR, Mallampalli A, Parkar SR, Karnad DR, Guntupalli KK. Comparison of anxiety, depression, and post-traumatic stress symptoms in relatives of ICU patients in an American and an Indian public hospital. Indian J Crit Care Med 2011;15:147-56.
da Silva Ramos FJ, Fumis RR, Azevedo LC, Schettino G. Perceptions of an open visitation policy by intensive care unit workers. Ann Intensive Care 2013;3:34.
Netzer G, Sullivan DR. Recognizing, naming, and measuring a family intensive care unit syndrome. Ann Am Thorac Soc 2014;11:435-41.
Jones C, Bäckman C, Griffiths RD. Intensive care diaries and relatives′ symptoms of posttraumatic stress disorder after critical illness: A pilot study. Am J Crit Care 2012;21:172-6.
Curtis JR, Ciechanowski PS, Downey L, Gold J, Nielsen EL, Shannon SE, et al. Development and evaluation of an interprofessional communication intervention to improve family outcomes in the ICU. Contemp Clin Trials 2012;33:1245-54.
Price AM. Intensive care nurses′ experiences of assessing and dealing with patients′ psychological needs. Nurs Crit Care 2004;9:134-42.
Heyland DK, Rocker GM, Dodek PM, Kutsogiannis DJ, Konopad E, Cook DJ, et al. Family satisfaction with care in the intensive care unit: Results of a multiple center study. Crit Care Med 2002;30:1413-8.
de Vos M, Graafmans W, Keesman E, Westert G, van der Voort PH. Quality measurement at intensive care units: Which indicators should we use? J Crit Care 2007;22:267-74.
The CARENET - Family Satisfaction Survey. Available from: http://www.thecarenet.ca/resources/family-satisfaction-survey. [Last cited on 2015 Apr 07].
Schleyer AM, Curtis JR. Family satisfaction in the ICU: Why should ICU clinicians care? Intensive Care Med 2013;39:1143-5.
Stricker KH, Kimberger O, Schmidlin K, Zwahlen M, Mohr U, Rothen HU. Family satisfaction in the intensive care unit: What makes the difference? Intensive Care Med 2009;35:2051-9.
Malacrida R, Bettelini CM, Degrate A, Martinez M, Badia F, Piazza J, et al. Reasons for dissatisfaction: A survey of relatives of intensive care patients who died. Crit Care Med 1998;26:1187-93.
Santana Cabrera L, Ramírez Rodríguez A, García Martul M, Sánchez Palacios M, Martín González JC, Hernández Medina E. Satisfaction survey administered to the relatives of critical patients. Med Intensiva 2007;31:57-61.
Heyland DK, Tranmer JE; Kingston General Hospital ICU Research Working Group. Measuring family satisfaction with care in the intensive care unit: The development of a questionnaire and preliminary results. J Crit Care 2001;16:142-9.
Wall RJ, Curtis JR, Cooke CR, Engelberg RA. Family satisfaction in the ICU: Differences between families of survivors and nonsurvivors. Chest 2007;132:1425-33.
Fumis RR, Ranzani OT, Faria PP, Schettino G. Anxiety, depression, and satisfaction in close relatives of patients in an open visiting policy intensive care unit in Brazil. J Crit Care 2015;30:440.e1-6.
Berwick DM, Kotagal M. Restricted visiting hours in ICUs: Time to change. JAMA 2004;292:736-7.
Schnell D, Abadie S, Toullic P, Chaize M, Souppart V, Poncet MC, et al. Open visitation policies in the ICU: Experience from relatives and clinicians. Intensive Care Med 2013;39:1873-4.
Fumagalli S, Boncinelli L, Lo Nostro A, Valoti P, Baldereschi G, Di Bari M, et al. Reduced cardiocirculatory complications with unrestrictive visiting policy in an intensive care unit: Results from a pilot, randomized trial. Circulation 2006;113:946-52.
Biancofiore G, Bindi LM, Barsotti E, Menichini S, Baldini S. Open intensive care units: A regional survey about the beliefs and attitudes of healthcare professionals. Minerva Anestesiol 2010;76:93-9.
Quinio P, Savry C, Deghelt A, Guilloux M, Catineau J, de Tinténiac A. A multicenter survey of visiting policies in French intensive care units. Intensive Care Med 2002;28:1389-94.
Slota M, Shearn D, Potersnak K, Haas L. Perspectives on family-centered, flexible visitation in the intensive care unit setting. Crit Care Med 2003;31 5 Suppl:S362-6.
Schwarzkopf D, Behrend S, Skupin H, Westermann I, Riedemann NC, Pfeifer R, et al. Family satisfaction in the intensive care unit: A quantitative and qualitative analysis. Intensive Care Med 2013;39:1071-9.
