Patient Safety in ICU. The Role of Family Member's Participation in Nursing Care in Patient Safety? A Randomized Controlled Clinical Audit

Introduction:Although there is a defined role for family members in the development of the hospital safety policies, family participation in the health care is a challenging concept and few studies have focused on its role in patient safety. This study designed to determine the effect of the partici...

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Main Authors: Nosaibeh Zeinadini, Zahra Riyahi Paghaleh, Ali Ansari Jaberi, Tayebeh Negahban Bonabi
Format: Article
Language:English
Published: Mashhad University of Medical Sciences 2024-01-01
Series:Patient Safety and Quality Improvement Journal
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Online Access:https://psj.mums.ac.ir/article_23917_92a856634be2ee1db629a9244aa1e4e5.pdf
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author Nosaibeh Zeinadini
Zahra Riyahi Paghaleh
Ali Ansari Jaberi
Tayebeh Negahban Bonabi
author_facet Nosaibeh Zeinadini
Zahra Riyahi Paghaleh
Ali Ansari Jaberi
Tayebeh Negahban Bonabi
author_sort Nosaibeh Zeinadini
collection DOAJ
description Introduction:Although there is a defined role for family members in the development of the hospital safety policies, family participation in the health care is a challenging concept and few studies have focused on its role in patient safety. This study designed to determine the effect of the participation of family member's in nursing care on patient safety in the intensive care unit (ICU).Materials and Methods: The study used a randomized controlled audit. Seventy one ICU nurses, patients and their relatives were selected purposefully, from October to December 2021, in Rafsanjan, Iran. Eligible nurses assigned into 2 study groups (with and without family members' participating in nursing care), by the random minimization method. The ICU nurses' compliance with patient safety standards in nursing care was measured by a checklist. Data were analyzed using SPSS software version 22, by Shapiro and Wilk tests, Chi-Square and t-test for independent groups. A significance level of 0.05 was considered. Results:The study groups were similar in terms of demographic characteristics and baseline scores. The mean ±SD of nurses' observance of patient's safety score in with family participation group (119.20±13.64) was higher than in without family participation group(116.97±13.26), but no statistical difference was observed between the study groups (p=0.488) Also, in the subgroups, no significant statistical difference was observed between the two groups after the intervention (p>0.05). Conclusions: ICU nurses observance of standards in patient safety during caring is not affected by the participation of family members in the nursing cares. These results guide managers and policymakers of the health system to find stronger influencing factors on the level of patient safety compliance during nursing care.
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spelling doaj-art-b3e0a087fa1a455bbdc2bdece3d248ea2025-08-20T03:35:02ZengMashhad University of Medical SciencesPatient Safety and Quality Improvement Journal2345-44822345-44902024-01-011213910.22038/psj.2024.77913.142323917Patient Safety in ICU. The Role of Family Member's Participation in Nursing Care in Patient Safety? A Randomized Controlled Clinical AuditNosaibeh Zeinadini0Zahra Riyahi Paghaleh1Ali Ansari Jaberi2Tayebeh Negahban Bonabi3Department of Critical care Nursing, School of Nursing and Midwifery; Student Research Committee, Rafsanjan University of Medical sciences, Rafsanjan, Iran.Department of Nursing Management, Social Determinants of Health Research Center. School of Nursing and Midwifery. Rafsanjan University of Medical Sciences. Rafsanjan. Iran.Department of Psychiatric and Mental Health Nursing, Social Determinants of Health Research Center, School of Nursing and Midwifery; Rafsanjan University of Medical sciences, Rafsanjan, Iran.Department of Community Health Nursing, Social Determinants of Health Research Center, School of Nursing and Midwifery, Rafsanjan University of Medical sciences, Rafsanjan, Iran.Introduction:Although there is a defined role for family members in the development of the hospital safety policies, family participation in the health care is a challenging concept and few studies have focused on its role in patient safety. This study designed to determine the effect of the participation of family member's in nursing care on patient safety in the intensive care unit (ICU).Materials and Methods: The study used a randomized controlled audit. Seventy one ICU nurses, patients and their relatives were selected purposefully, from October to December 2021, in Rafsanjan, Iran. Eligible nurses assigned into 2 study groups (with and without family members' participating in nursing care), by the random minimization method. The ICU nurses' compliance with patient safety standards in nursing care was measured by a checklist. Data were analyzed using SPSS software version 22, by Shapiro and Wilk tests, Chi-Square and t-test for independent groups. A significance level of 0.05 was considered. Results:The study groups were similar in terms of demographic characteristics and baseline scores. The mean ±SD of nurses' observance of patient's safety score in with family participation group (119.20±13.64) was higher than in without family participation group(116.97±13.26), but no statistical difference was observed between the study groups (p=0.488) Also, in the subgroups, no significant statistical difference was observed between the two groups after the intervention (p>0.05). Conclusions: ICU nurses observance of standards in patient safety during caring is not affected by the participation of family members in the nursing cares. These results guide managers and policymakers of the health system to find stronger influencing factors on the level of patient safety compliance during nursing care.https://psj.mums.ac.ir/article_23917_92a856634be2ee1db629a9244aa1e4e5.pdffamily centerednursing carepatient safetypatient participationrisk management
spellingShingle Nosaibeh Zeinadini
Zahra Riyahi Paghaleh
Ali Ansari Jaberi
Tayebeh Negahban Bonabi
Patient Safety in ICU. The Role of Family Member's Participation in Nursing Care in Patient Safety? A Randomized Controlled Clinical Audit
Patient Safety and Quality Improvement Journal
family centered
nursing care
patient safety
patient participation
risk management
title Patient Safety in ICU. The Role of Family Member's Participation in Nursing Care in Patient Safety? A Randomized Controlled Clinical Audit
title_full Patient Safety in ICU. The Role of Family Member's Participation in Nursing Care in Patient Safety? A Randomized Controlled Clinical Audit
title_fullStr Patient Safety in ICU. The Role of Family Member's Participation in Nursing Care in Patient Safety? A Randomized Controlled Clinical Audit
title_full_unstemmed Patient Safety in ICU. The Role of Family Member's Participation in Nursing Care in Patient Safety? A Randomized Controlled Clinical Audit
title_short Patient Safety in ICU. The Role of Family Member's Participation in Nursing Care in Patient Safety? A Randomized Controlled Clinical Audit
title_sort patient safety in icu the role of family member s participation in nursing care in patient safety a randomized controlled clinical audit
topic family centered
nursing care
patient safety
patient participation
risk management
url https://psj.mums.ac.ir/article_23917_92a856634be2ee1db629a9244aa1e4e5.pdf
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