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Nursing Activities Score as a predictor of family satisfaction in an adult Intensive Care Unit in Greece

Authors

  • Sotiria Gerasimou-Angelidi RN, MSc, PhD,

    ICU Nurse
    1. Department of Critical Care Medicine, General Hospital of Larissa, Larissa, Greece
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  • Pavlos Myrianthefs MD, PhD,

    Associate Professor
    1. Faculty of Nursing, National and Kapodistrian University of Athens, Athens, Greece
    2. Department of Intensive Care at Agioi Anargyroi General Hospital, Athens, Greece
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  • Achileas Chovas MD, PhD,

    Consultant
    1. Department of Intensive Care, General Hospital of Larissa, Larissa
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  • George Baltopoulos MD, PhD,

    Professor
    1. Department of Intensive Care at Agioi Anargyroi General Hospital, Athens, Greece
    2. Faculty of Nursing, National and Kapodistrian University of Athens, Athens
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  • Apostolos Komnos MD, PhD

    Principal Director, Corresponding author
    1. Department of Intensive Care, General Hospital of Larissa, Biomed/Cereteth, Research Institution of Larissa, Larissa, Greece
    • Correspondence

      Apostolos Komnos

      Department of Intensive Care

      General Hospital of Larissa

      Axenidou 9

      41222 Larissa

      Greece

      E-mail: akomnos@yahoo.com

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Abstract

Aim

To study family satisfaction with care in an Intensive Care Unit (ICU) and its association with nursing workload estimated by the Nursing Activities Score (NAS).

Background

Few previous studies have investigated the association between workload in ICUs and family satisfaction.

Methods

Family Satisfaction ICU 24 (FS ICU-24) questionnaires were distributed to 161 family members (106 respondents). Questionnaires’ score, NAS measurements and Simplified Acute Physiology Score II (SAPS-II) data were analysed.

Results

The mean total level of family satisfaction was equal to 80.72% (±9.59). Family members were more satisfied with the level of care compared with decision making. NAS values revealed a shortage of nurses in the morning shift. Moreover, there was a statistically significant positive correlation between NAS and total satisfaction after adjusting for age, length of stay and SAPS-II.

Conclusions

Improvements in clinical practice require the measurement of care quality which particularly includes family satisfaction. Our results indicated that family members were less satisfied with decision making.

Implications for nursing management

Nurse managers should plan for the successful involvement of family members in the decision-making process. Higher levels of nurse staffing might improve the care provided.

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