Date of Award

9-11-2023

Publication Type

Thesis

Department

Nursing

Keywords

Clinical rounds; Critical care nursing; Family-centered nursing; ICU intensive care units

Supervisor

Jody Ralph

Supervisor

Gina Pittman

Abstract

Background: In critical care settings, family involvement in care is important. Family-centred rounds (FCR) are often seen as a component of family-centred care. Nurses have an important role in implementing FCR and their active participation is crucial. There is currently a lack of rigorous literature that explores nursing perspectives of FCR in adult critical care areas. Purpose: This study explored nursing perspectives (n = 135) of FCR in six adult critical care units across four Southwestern Ontario hospitals. Methods: A 56-question survey was distributed to critical care nurses currently working in one of the adult critical care units under study through an online Qualtrics® link. This research explored nursing perspectives of FCR, so nurses did not need to have experience participating in FCR to take part in this study. Results: The descriptive results highlighted the structures and processes that nurses felt would best support them during FCR. Additionally, nurses noted the greatest advantage of FCR was that the healthcare team can update the family on the patient’s condition, and the greatest barrier to FCR is the inconsistent or unknown timing of rounds. Tests of association revealed that nurses’ overall supportiveness of FCR was statistically significantly related to their ethnicity (p = .01) and hospital site (p =

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