Adaptación cultural y propiedades psicométricas de la versión en español-chileno del cuestionario Family Satisfaction in the Intensive Care Unit – 24 item / Cultural adaptation and psychometric properties of the Chilean-Spanish version of the 24-item Family Satisfaction in the Intensive Care Unit questionnaire

Objetivo Adaptar y validar la versión en español del cuestionario 24-item Family Satisfaction in the Intensive Care Unit (FS ICU-24) en familiares de pacientes críticos en un hospital universitario en Chile. Diseño Estudio observacional, prospectivo, de adaptación y validación de un instrumento de medición. Ámbito Unidad de Cuidados Intensivos médico-quirúrgica de un hospital universitario en Chile. Pacientes o participantes Doscientos cuarenta familiares de pacientes críticos con estadía superior a 48h, mayores de 18 años y con al menos una visita al paciente. Intervenciones Ninguna. Variables de interés principales Se evaluó la validez de contenido, la validez de constructo y se realizó un análisis de confiabilidad de la versión en español del FS ICU-24. Resultados La versión en español del FS ICU-24 fue adaptada, mejorando su comprensión y claridad. El análisis factorial de la versión español-chilena del FS ICU-24 mostró una solución óptima de 3 factores, los cuales explican un 51% de la varianza total. La confiabilidad fue adecuada para la escala global (α=0,93) y las dimensiones de satisfacción con el cuidado del paciente y familia (α=0,82), satisfacción con la comunicación (α=0,91) y satisfacción con la toma de decisiones (α=0,71). Conclusiones La versión español-chilena del FS ICU-24 demostró ser válida y confiable para la evaluación de la satisfacción familiar en la Unidad de Cuidados Intensivos. El contar con un instrumento válido permitirá a las instituciones de salud objetivar e identificar posibles áreas de mejora en el cuidado de la familia y el paciente crítico (AU)

Objective To adapt and validate the Spanish version of the 24-item Family Satisfaction in the Intensive Care Unit (FS ICU-24) questionnaire among relatives of critically ill patients in a teaching hospital in Chile. Design Prospective observational study aimed to validate a measuring instrument. Setting Medical-surgical intensive care unit of a teaching hospital in Chile. Patients or participants Two hundred and forty relatives of critically ill patients with at least 48h in the ICU, older than 18 years, and with at least one visit to the patient. Interventions None. Main variables of interest Content validity, construct validity, and reliability analysis of the Spanish version of the FS ICU-24 were evaluated. Results The Spanish version of the FS ICU-24 was adapted, improving its understanding and clarity. The factor analysis showed an optimal solution of 3 factors for the Chilean-Spanish version of the FS ICU-24, which explain 51% of the total variance. Reliability was adequate for the global scale (α=0.93) and the dimensions of satisfaction with patient and family care (α=0.82), satisfaction with communication (α=0.91) and satisfaction with decision-making (α=0.71). Conclusions The Chilean-Spanish version of the FS ICU-24 proved to be valid and reliable for the evaluation of family satisfaction in the Intensive Care Unit. Having a valid instrument will allow health institutions to accurately identify areas for improvement in the care of the family members and the critically ill patient (AU}

Family participation in the care of the critical patient: An exploratory study.

OBJECTIVES: To determine the level of readiness of the healthcare team regarding family participation in the care of the critically ill adult and their relationship with the individual characteristics of the participants in a medical-surgical intensive care unit (ICU) in Santiago de Chile. METHOD: A cross-sectional correlational study using a quantitative method and including a focus group to explore the perception of healthcare staff of family participation in the care of the critically ill patient. RESULTS: The level of readiness of the healthcare team for family participation in the care of the critically ill patient is medium, at 13.81 out of a total 20. The greater the readiness, the lower the age (r = -0.215; P = 0.019), the higher the rating of previous experience working with families (r = 0.304; P = 0.006), and the higher the perception of being comfortable with different activities in the care of the critical patient (r = 0.495: P < 0.001). The participants also state that the work environment of the unit, the patient's condition, the relatives' characteristics, personal judgement, and the preparedness of relatives affect their readiness. CONCLUSIONS: The results contribute towards determining the healthcare team's level of readiness in a setting where the subject of the study has not been implemented. The readiness of the healthcare team is medium, and is related to individual characteristics of the healthcare staff, and to organizational and family aspects. Therefore, strategies are required to address these aspects that might increase readiness.

Participación de la familia en el cuidado del paciente crítico: un estudio exploratorio / Family participation in the care of the critical patient: An exploratory study

Objetivos: Identificar el nivel de disposición (readiness) del equipo de salud frente a la participación familiar en el cuidado del paciente crítico adulto y su relación con las características individuales de los participantes, en una unidad de paciente crítico (UCI) médico-quirúrgica de Santiago de Chile. Método: Estudio correlacional de corte transversal que utiliza un método cuantitativo e incorpora un grupo focal para profundizar en la percepción del personal de salud respecto a la participación familiar en el cuidado del paciente crítico. Resultados: El nivel de readiness (disposición) del equipo de salud frente la participación familiar en el cuidado del paciente crítico es medio, siendo 13,81 puntos de un total de 20. A mayor nivel de disposición menor edad (r=−0,215; p=0,019), mejor calificación de la experiencia previa de trabajo con familias (r=0,304; p=0,006) y mayor percepción de comodidad frente a diferentes actividades del cuidado del paciente crítico (r=0,495; p<0,001). Los participantes afirman además que el contexto laboral de la unidad, la condición del paciente, las características de los familiares, el criterio personal y la preparación del familiar afectan su nivel de disposición. Conclusiones: Los resultados aportan al conocimiento de la disposición (readiness) del equipo de salud en un contexto donde la temática no se ha implementado. El nivel de disposición del equipo de salud es medio; se relaciona con algunas características individuales del personal de salud, así como con aspectos organizacionales y familiares, de modo que se requieren estrategias que aborden estos aspectos y así el nivel de disposición podría aumentar.(AU)

Objectives: To determine the level of readiness of the healthcare team regarding family participation in the care of the critically ill adult and their relationship with the individual characteristics of the participants in a medical-surgical intensive care unit (ICU) in Santiago de Chile. Method: A cross-sectional correlational study using a quantitative method and including a focus group to explore the perception of healthcare staff of family participation in the care of the critically ill patient. Results: The level of readiness of the healthcare team for family participation in the care of the critically ill patient is medium, at 13.81 out of a total 20. The greater the readiness, the lower the age (r=−.215; P=.019), the higher the rating of previous experience working with families (r=.304; P=.006), and the higher the perception of being comfortable with different activities in the care of the critical patient (r=.495: P<.001). The participants also state that the work environment of the unit, the patient's condition, the relatives’ characteristics, personal judgement, and the preparedness of relatives affect their readiness. Conclusions: the results contribute towards determining the healthcare team's level of readiness in a setting where the subject of the study has not been implemented. The readiness of the healthcare team is medium, and is related to individual characteristics of the healthcare staff, and to organizational and family aspects. Therefore, strategies are required to address these aspects that might increase readiness.(AU)

Análisis de la diferencia entre importancia y satisfacción de las necesidades de los familiares de pacientes críticos / Analysis of the difference between importance and satisfaction of the needs of family members of critical patients

Objetivo: Analizar la diferencia entre el grado de importancia y satisfacción de las necesidades de los familiares de pacientes en una unidad de cuidados intensivos (UCI). Diseño: Estudio descriptivo de corte transversal, analítico. Ámbito: UCI médico-quirúrgica de un hospital universitario en Chile. Participantes: Familiares de pacientes críticos con estancia igual o superior a 48 horas, mayores de 18 años y con al menos una visita al paciente. Variables de interés: Se utilizó el cuestionario Critical Care Family Needs Inventory para determinar la diferencia entre el grado de importancia y satisfacción de las necesidades de los familiares. Además, se clasificaron las necesidades según las categorías propuestas por el análisis de importancia-rendimiento (AIR). Resultados: Un total de 253 familiares fueron reclutados, observándose una diferencia negativa (satisfacción

Objective: To analyze the difference between the degree of importance and satisfaction of the needs of family members of patients in an Intensive Care Unit (ICU). Design: A descriptive, cross-sectional analytical study was carried out. Setting: Medical - surgical ICU of a university hospital in Chile. Participants: Family members of critical patients with a length of stay of ≥ 48hours, over 18 years of age, and with at least one visit to the patient. Variables of interest: The Critical Care Family Needs Inventory questionnaire was used to determine the difference between the degree of importance and satisfaction of the needs of the family members. In addition, the needs were classified according to the categories proposed by importance - performance analysis (IPA). Results: A total of 253 family members were recruited, observing a negative gap (satisfaction

Analysis of the difference between importance and satisfaction of the needs of family members of critical patients. / Análisis de la diferencia entre importancia y satisfacción de las necesidades de los familiares de pacientes críticos.

OBJECTIVE: To analyze the difference between the degree of importance and satisfaction of the needs of family members of patients in an Intensive Care Unit (ICU). DESIGN: A descriptive, cross-sectional analytical study was carried out. SETTING: Medical - surgical ICU of a university hospital in Chile. PARTICIPANTS: Family members of critical patients with a length of stay of ≥ 48hours, over 18 years of age, and with at least one visit to the patient. VARIABLES OF INTEREST: The Critical Care Family Needs Inventory questionnaire was used to determine the difference between the degree of importance and satisfaction of the needs of the family members. In addition, the needs were classified according to the categories proposed by importance - performance analysis (IPA). RESULTS: A total of 253 family members were recruited, observing a negative gap (satisfaction

Necesidades de los familiares de pacientes críticos en un hospital académico de Chile / Needs of relatives of critically ill patients in an academic hospital in Chile

Objetivo: Identificar el grado de importancia de las necesidades de los familiares de pacientes en una unidad de cuidados intensivos (UCI). Método: Estudio descriptivo, comparativo y transversal realizado a partir de un análisis secundario de datos de 251 familiares de pacientes de una UCI en un hospital universitario en Santiago, Chile. Utilizando un muestreo no aleatorio se aplicó el instrumento Critical Care Family Needs Inventory para conocer las necesidades familiares, además de un cuestionario sociodemográfico que incluyó: edad, género, nivel educacional, relación con el paciente y experiencia previa en UCI. Se realizó análisis estadístico descriptivo, prueba t de Student y ANOVA. Resultados: Las necesidades familiares más importantes se relacionaron con las dimensiones de «seguridad» (X¯=3,90) e «información» (X¯=3,76), mientras que las de menor importancia se relacionaron con la de «apoyo» (X¯=3,09). En esta última, se observaron diferencias a mayor edad (p<0,05), nivel educacional (p<0,001) y relación con el paciente (p<0,05). Conclusiones: Las necesidades más relevantes para los familiares en la UCI se relacionan con la seguridad e información. Las necesidades de menor importancia están influidas por ciertas variables sociodemográficas. La identificación del grado de importancia de las necesidades familiares permitirá al equipo de salud mejorar su relación con las familias en las UCI (AU)

Objective: To identify the importance of the needs of family members of patients in an intensive care unit (ICU). Method: Descriptive, comparative and cross-sectional study based on a secondary data analysis of 251 relatives of ICU patients at a university hospital in Santiago, Chile. Using non-random sampling, the 'Critical Care Family Needs Inventory' was used to establish the family needs, as well as a sociodemographic questionnaire that included: age, gender, educational level, patient relationship and previous ICU experience. A descriptive statistical analysis, Student's T test and ANOVA were performed. Results: The most important family needs related to the dimensions of 'security' (mean=3.90) and 'information' (mean=3.76), while those of minor importance with 'support' (mean=3.09). In the latter, differences were observed at an older age (P<.05), an educational level (P<.001) and relationship with the patient (P<.05). Conclusions: The most relevant needs for family members in the ICU are related to safety and information. Less important needs are influenced by certain sociodemographic variables. Identifying the degree of importance of family needs will allow the health team to improve its relationship with families in ICUs (AU)

Needs of relatives of critically ill patients in an academic hospital in Chile. / Necesidades de los familiares de pacientes críticos en un hospital académico de Chile.

OBJECTIVE: To identify the importance of the needs of family members of patients in an intensive care unit (ICU). METHOD: Descriptive, comparative and cross-sectional study based on a secondary data analysis of 251 relatives of ICU patients at a university hospital in Santiago, Chile. Using non-random sampling, the 'Critical Care Family Needs Inventory' was used to establish the family needs, as well as a sociodemographic questionnaire that included: age, gender, educational level, patient relationship and previous ICU experience. A descriptive statistical analysis, Student's T test and ANOVA were performed. RESULTS: The most important family needs related to the dimensions of 'security' (mean=3.90) and 'information' (mean=3.76), while those of minor importance with 'support' (mean=3.09). In the latter, differences were observed at an older age (P<.05), an educational level (P<.001) and relationship with the patient (P<.05). CONCLUSIONS: The most relevant needs for family members in the ICU are related to safety and information. Less important needs are influenced by certain sociodemographic variables. Identifying the degree of importance of family needs will allow the health team to improve its relationship with families in ICUs.