PICOT Question: Does family presence during multidisciplinary ICU improve patient satisfaction compared to the rounds that do not include patient satisfaction scores during the patient's stay in the hospital?
States why the topic was chosen and how it relates to nursing (20 pts)
The topic that was chosen because of the increasing role of family in patient care. There is a need to involve them, especially in decision making and where patients need social support such as the end of life stage.
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Citation:
Mukhopadhyay, A., Song, G., Sim, P. Z., Ting, K. C., Yoo, J. K., Wang, Q. L., domains differ between the patient and their family in adult intensive care units. BioMed Research International , 2016 , 1 Mascuri, R. B., Ong, V. H., Phua, J., & Kowitlawakul, Y. (2016). Satisfaction -8. https://doi.org/10.1155/2016/9025643
Evaluate the authority of the author
The authors have authority on the topic since all of them work with the medical intensive care unit. Moreover, they are affiliated to the National University Hospital, Singapore.
Research Design and Method
This was a cross-sectional descriptive study. Though 271 family members and 253 patients were invited to take part in the study, the final participants were 194 family members and 200 patients. The inclusion criteria for patients was that they need to be at least 21 years old, have stayed in the ICU for more than 48 hours, have an understanding of English, and needed to be alert and oriented with a mental test score of 7/10. On the other hand, the family participants were required to be at least 21 years of age, an immediate family member, and able to speak English.
Comment on the intended audience
The study is intended for nurses so that they can improve their engagement with family members of patients in the ICU. The study is also intended for the general public to inform them of the benefits of family visitation on patients in ICU.
Compare and contrast with another article
Compared to Mukhopadhyay et al. (2016) that is a cross-sectional descriptive study, the article by Droege et al. (2016) is a review of evidence. The study by Mukhopadhyay et al. (2016) has drawn its data from questionnaires given to participants while the study Droege et al. (2016) has drawn its data from previous research on the topic. The findings of the study by Droege et al (2016) has been arranged the findings into themes on the different drugs used in sepsis treatment while the study Mukhopadhyay et al. (2016) reports the statistical significance of the findings.
Explain how this work increases the body of nursing knowledge and
promotes evidence-based practice
The study increase nurse knowledge of patient and family satisfaction in ICU. In implementing the finding as an EBP, the study recommends accommodation of diversity and open communication. As an EBP, the findings promise to improve patient well-being and outcome.
References
Droege, M. E., Van Fleet, S. L., & Mueller, E. W. (2016). Application of antibiotic pharmacodynamics and dosing principles in patients with sepsis. Critical Care Nurse , 36 (2), 22-32. https://doi.org/10.4037/ccn2016881
Mukhopadhyay, A., Song, G., Sim, P. Z., Ting, K. C., Yoo, J. K., Wang, Q. L., Mascuri, R. B., Ong, V. H., Phua, J., & Kowitlawakul, Y. (2016). Satisfaction domains differ between the patient and their family in adult intensive care units. BioMed Research International , 2016 , 1-8. https://doi.org/10.1155/2016/9025643
