Factors Related to the Implementation of Family Center Care in Critical Nursing Rooms at Karawang Hospital
DOI:
https://doi.org/10.33755/jkk.v9i2.510Abstract
Aims: Nursing Services strive to provide a source of support for the patient’s family by implementing the Family Centered Care model in critical care rooms, focusing on providing family-centered nursing care services has not been fully applied in hospitals optimally.
Objective: To Analyze the factors related to the implementation of family center care in critical nursing rooms at the Karawang district hospital.
Methods: The research is a quantitative research with a correlational analytic descriptive research design with a cross-sectional design and the sample used is total sampling. The independent variables include Knowledge, Attitudes Bahavior and Facilities, while the dependent variable is Implementation of Family Center Care. Data analysis used univariate median tests, standard deviation or frequency, while bivariate tests used chi square and multivariate tests used logistic regression tests.
Results: The results showed that the average implementation of Family Center Care was 64.00%, with the lowest implementation being 23% and the highest being 65%. From the bivariate results it was found that half of the respondents had good knowledge (57.4%), and more than half of the respondents had a supportive attitude (57.4%), complete facilities (68.5%), and good behavior (53.7%). The results of the logistic regression analysis showed that the implementation of Family Center Care by nurses in the critical care room was influenced by the most dominant factor, namely attitude, with a p-value (0.000) less than (0.05).
Conclusion: In the study is that the implementation of Family Center Care by nurses in the Critical Care Room at Karawang Hospital is influenced by the attitude of the nurse, where from the supportive attitude of the nurse it can encourage the behavior of nurses towards the implementation of Family Center Care in the Critical Care Room at Karawang Hospital. With the implementation of Family Center Care properly, it will improve the quality nursing services.
References
Bailey JJ, Sabbagh M, Loiselle CG, Boileau J, McVey L. Supporting families in the ICU: A descriptive correlational study of informational support, anxiety, and satisfaction with care. Intensive Crit Care Nurs. 2010;26(2):114–22.
Nolan JP, Soar J, Cariou A, Cronberg T, Moulaert VRM, Deakin CD, et al. European resuscitation council and European society of intensive care medicine 2015 guidelines for post-resuscitation care. Intensive Care Med. 2015;41:2039–56.
Suwardianto H. Buku Ajar Keperawatan Kritis: Pendekatan Evidence Base Practice Nursing. Lembaga Chakra Brahmana Lentera; 2020.
de Souza Menezes F, Leite HP, Nogueira PCK. Malnutrition as an independent predictor of clinical outcome in critically ill children. Nutrition. 2012;28(3):267–70.
Schulman RC, Mechanick JI. Metabolic and nutrition support in the chronic critical illness syndrome. Respir Care. 2012;57(6):958–78.
Padilla Fortunatti CF. Most important needs of family members of critical patients in light of the critical care family needs inventory. Invest Educ Enferm. 2014;32(2):306–16.
De Beer J, Brysiewicz P. The conceptualization of family care during critical illness in KwaZulu-Natal, South Africa. health sa gesondheid. 2017;22:20–7.
CARE CONH, PATIENT IFOR, CARE FC. Patient-and family-centered care and the pediatrician’s role. Pediatrics. 2012;129(2):394–404.
Hadi YMW, Munir Z, Siam WN. Efektifitas Penerapan Metode Family-Centered Care terhadap Pasien Anak dengan Stress Hospitalisasi. Citra Delima: Jurnal Ilmiah STIKES Citra Delima Bangka Belitung. 2020;3(2):106–9.
Committee on Quality of Health Care in America I of M. Crossing the quality chasm: a new health system for the 21st century. National Academy Press Washington, DC; 2001.
Beesley SJ, Brown SM. Family Involvement in ICU. Evidence-Based Critical Care: A Case Study Approach. 2020;805–12.
Eldawati E, Said FM, Umar NS. Self-Care in Patients With Hypertension in Indonesia. KnE Life Sciences. 2022;488–96.
Nurjanah U. The effectiveness pre-operative exercise of muscle strength for early ambulation on lower limb fracture with measurement tool–The Modified Iowa Level of Assistance Scale (MILAS)–in hospital inpatients. Enferm Clin. 2020;30:151–6.
Mariyam M, Utami MD, Samiasih A, Alfiyanti D, Hidayati E. Nurse’s Perspective in the Implementation of Family Centered Care in PICU NICU. Jurnal Aisyah: Jurnal Ilmu Kesehatan. 2022;7(S2):111–8.
Azoulay É, Sprung CL. Family-physician interactions in the intensive care unit. Crit Care Med. 2004;32(11):2323–8.
Gerritsen RT, Hartog CS, Curtis JR. New developments in the provision of family-centered care in the intensive care unit. Intensive Care Med. 2017;43:550–3.
Selig HF, Lumenta DB, Giretzlehner M, Jeschke MG, Upton D, Kamolz LP. The properties of an “ideal” burn wound dressing–what do we need in daily clinical practice? Results of a worldwide online survey among burn care specialists. Burns. 2012;38(7):960–6.
Frampton S, Gil H, Guastello S, Kinsey J, Boudreau-Scott D, Lepore M, et al. Improvement Guide. Patient-Centred Care. 2008;
Hill C, Knafl KA, Santacroce SJ. Family-centered care from the perspective of parents of children cared for in a pediatric intensive care unit: an integrative review. J Pediatr Nurs. 2018;41:22–33.
Coyne I, O’Neill C, Murphy M, Costello T, O’Shea R. What does family‐centred care mean to nurses and how do they think it could be enhanced in practice. J Adv Nurs. 2011;67(12):2561–73.
Shirazi ZH, Sharif F, Rakhshan M, Pishva N, Jahanpour F. The obstacles against nurse-family communication in family-centered care in neonatal intensive care unit: a qualitative study. J Caring Sci. 2015;4(3):207.
Babiker A, El Husseini M, Al Nemri A, Al Frayh A, Al Juryyan N, Faki MO, et al. Health care professional development: Working as a team to improve patient care. Sudan J Paediatr. 2014;14(2):9.
Oude Maatman SM, Bohlin K, Lilliesköld S, Garberg HT, Uitewaal-Poslawky I, Kars MC, et al. Factors influencing implementation of family-centered care in a neonatal intensive care unit. Front Pediatr. 2020;8:222.
Emaliyawati E, Sutini T, Ibrahim K, Trisyani Y, Prawesti A. Pengalaman psikologis pasien infark miokard akut selama dirawat di ruang intensif. Jurnal Pendidikan Keperawatan Indonesia. 2017;3(1):32–8.
Tina Shinta P, Setyarini NEA, Prtahama MD. Hubungan pengetahuan dengan sikap perawat dalam pelaksanaan family centered care di ruang rawat inap anak. 2015;
Silalahi DA, Deli H, Jumaini J. GAMBARAN TINGKAT PENGETAHUAN PERAWAT TENTANG FAMILY CENTERED CARE. Jurnal Ilmu Keperawatan. 2021;9(2):48–61.
Yugistyowati A. PENERAPAN FAMILY CENTERED-CARE (FCC) TERHADAP PERUBAHAN PERILAKU ORANG TUA DALAM PERAWATAN BAYI PREMATUR. Jurnal Kesehatan Masyarakat. 2016;9(1).