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Capturing the Work of Patients' Family Members in the Medical Intensive Care Unit Using Naturalistic Observations
Elizabeth Lerner Papautsky1, Ummesalmah Abdulbaseer2
1Department of Biomedical and Health Information Sciences, University of Illinois Chicago, IL, USA.
HERD
|August 9, 2023
Summary
Family members’ intensive care unit (ICU) work is often overlooked. This study developed a framework to describe observable family activities and interactions within the ICU physical space.
Area of Science:
- Healthcare research
- Family studies
- Critical care nursing
Background:
- Family members perform significant cognitive and behavioral work in intensive care units (ICUs).
- This crucial family work is frequently unrecognized by healthcare professionals.
- Understanding this work is essential for improving family-centered care.
Purpose of the Study:
- To develop a framework for outwardly observable family work in the ICU.
- To specifically describe the physical space and family activities within it.
- To provide a foundation for recognizing and supporting family contributions.
Main Methods:
- Naturalistic observations of family activities were conducted over approximately 50 hours.
- Observations took place in a medical intensive care unit (MICU) at a large teaching hospital.
- Focus was on describing physical spaces and family interactions.
Main Results:
- A framework of family activities was created, including requesting, receiving, or delivering information or action.
- Clinician and staff roles involved in family interactions were identified.
- The physical spaces where these interactions occurred were characterized.
Conclusions:
- The proposed framework, 'Knowledge Contribution,' outlines family activities in the MICU.
- This framework can guide future research and the development of interventions.
- It aims to support the cognitive and behavioral work of families in critical care settings.
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