RNOtherRevista latino-americana de enfermagem2021

Nursing intervention to meet the family members' needs during the surgery waiting time.

Alejandra Fuentes-Ramirez, Olga Lucia Laverde-Contreras

PMID 34730762

WHAT IT FOUND

Family members of surgical patients reported higher satisfaction with nursing care after a short information and reunion intervention than after usual care.

The intervention had several parts, so their separate effects cannot be identified.

Key findings

01Overall satisfaction with nursing care was 11.35 points higher in the intervention group than in the comparison group (p=0.000).

02The concern and care dimension increased by 4.24 points and was rated excellent; the information dimension was rated excellent versus good (p=0.000).

03Care coordination and discharge instructions scores were significantly better in the intervention group, moving from good to excellent.

STILL TO COME

How it was doneWhat they foundWhat it means for RNs

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What it does not show

The study was quasi-experimental with a non-randomised comparison group, so differences between groups may reflect selection or other factors rather than the intervention. Family members were selected by convenience at one Colombian institution, so results may not transfer to other settings or cultures. The intervention included several components, including a video, surgery start and end information, and family-patient reunion, so the contribution of any single component cannot be separated. The outcome was family satisfaction with nursing care, not patient recovery, complications, anxiety, or clinical outcomes. The paper's reporting of the overall quality dimension is inconsistent: it states both groups were rated good and no significant difference, while also reporting a significant increase. Family members of patients under 18, previously in intensive or specialised care, and family members with mental disorders were excluded, so applicability is narrower.

The easy way to misread this

Do not conclude that the video or the waiting-room information alone caused higher satisfaction. The intervention combined several components, and the groups were not randomised, so the study cannot separate their effects.

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