disentanglement OF A FAMILY LIAISON...

disentanglement OF A FAMILY LIAISON gauge DURING OPERATIVE PROCEDURES

C K Madigan, D D Donaghue, E V Carpenter Maternal-Child Nursing Vol 24 (July/August 1999) 185-189

Family-centered care involves the delivery of the couple physically and emotionally supportive care by means of all health care professionals. spread communication and timely information exchange are critical aspects of family-centered care, especially when a pediatric patient and family members are physically separated, as come to one's minds in surgery and critical care. Data from a observe of parents of children who had been hospitalized at a large hospital indicated that lack of communication was the mostly common reason for being les than completely satisfied with the care received. Literature supports family members' ne for timely, accurate communication related to children in critical care settings and that chiefly parents believe information is the chiefly important factor in decreasing anxiety.

project This study describes an innovative original for the development of particular nursing strategies used to deliver family-centered care for pediatric patients during surgery and in the cardiac intensive care unit (CICU) after surgery

system To develop the model, a pilot program was structur via interdisciplinary input. A form into groups of senior staff nurses from the CICU was culled to form a family liaison cherish team. The role of the liaison team was to

* proper with family members immediately preoperatively,

* provide support as the child was taken into the OR,

* take family members into the waiting area and review the calculate uponed occurrences for the upcoming scarcely any hours,

* obtain an in-person update in the OR each 45 to 60 minutes and relay this to the family members, and

* admit the child to CICU and make sure that family members could view their child within 30 to 45 minutes of admission.

Before implementing the program, liaison supply with nourishments participated in a two-week orientation that included classes forward cardiac surgical procedures and review of information identified by the agency of parents as being important to families. Additionally, the liaison fosters familiarized themselves with social work and bereavement services moveed by their hospital.

Implementation. After completion of the orientation activities, the program was implemented. A not many conflicts were encountered during the implementation of the program. Liaison succors found that time management in relationship to their various responsibilities, which included liaison activities, setting up the area for postoperative admission, and preparing assigned CICU patients for transfer to the stepdown unit, was a challenge. This was alleviated from the assistance of the charge give suck to who did not have a patient assignment, when the liaison nourish became involved in multiple activities.

inferences The program was evaluated according to the liaison nurses and by means of families who participated in the program. The majority of the give suck tos reported that they enjoyed the liaison character knew more pertinent clinical information about their patients, and improved their time management skills. All cherishs identified the delivery of bad stranges as the most challenging aspect of the liaison role

Families indicated increased overall satisfaction when compared to previous observe results. Particular areas of improved satisfaction were related to nursing support of family member participation in care and meeting family members' extremitys Verbal feedback supported the inspect results and was consistently positive concerning exchange of information and continuity of care.

Discussion. This design for the delivery of perioperative patient care has several advantages. It allows the early establishment of a therapeutic relationship with the liaison suckle and provides a mechanism for continuity of patient care and family member support during a critical time period. spread communication and exchange of information is facilitated by the agency of the use of this pattern Liaison nurses improved their knowledge of pathological processe and their interventions within their orientation to the program and their ongoing interaction with members of the surgical team. This original provides an opportunity for the creation of a perioperative family liaison give suck to to work collaboratively with other acute care setting supply with nourishments These nurses can develop their practices and provide appropriate education for their patients' family members.

The family liaison gauge includes strategies that incorporate the principles of family-centered care in acme care settings, of that kind as the OR and CICU. These activities could be applied in other perioperative situations and with diverse age groups

ROSIE CALVIN RN DN RESEARCH COMMITTEE

KATHRYN R KOLAR RN PHD CPNP ASSOCIATE PROFESSOR OF NURSING UNIVERSITY OF MISSISSIPPI MEDICAL CENTER place of education OF NURSING

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