Browsing by Author "Padilla Fortunatti, Cristóbal"
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- ItemAnalysis of the difference between importance and satisfaction of the needs of family members of critical patients(2019) Padilla Fortunatti, Cristóbal; Rojas Silva, Noelia Pilar; Arechabala Mantuliz, Ma. CeciliaObjectiveTo analyze the difference between the degree of importance and satisfaction of the needs of family members of patients in an Intensive Care Unit (ICU).DesignA descriptive, cross-sectional analytical study was carried out.SettingMedical – surgical ICU of a university hospital in Chile.ParticipantsFamily members of critical patients with a length of stay of ≥48 h, over 18 years of age, and with at least one visit to the patient.Variables of interestThe Critical Care Family Needs Inventory questionnaire was used to determine the difference between the degree of importance and satisfaction of the needs of the family members. In addition, the needs were classified according to the categories proposed by importance – performance analysis (IPA).ResultsA total of 253 family members were recruited, observing a negative gap (satisfaction < importance) in 100% of communication needs and in 51.9% of support needs. In turn, 8.9% of the needs were priority needs according to the IPA, including assistance with financial problems, contact in case of changes in the patient condition, talk about the possibility of death, and the reception of guidance at the patient bedside.ConclusionsA high level of importance, compared to low levels of satisfaction, determines a negative gap in most of the needs of the family of the critical patient, particularly those referred to communication. Despite this, a low proportion of the needs should be addressed on a priority basis.
- ItemAssociation between psychosocial factors and satisfaction with communication in family members of intensive care unit patients during COVID-19 pandemic: An exploratory cross-sectional study(2023) Padilla Fortunatti, Cristóbal; Rojas Silva, Noelia; Palmeiro Silva, Yasna; Meneses Canales, Damary; Gajardo Veloso, Gladys; Espinoza Acuña, Jessica; Dois C., Angelina M.Objective To investigate the relationship between satisfaction with communication and perceived stress, depressive symptoms and perceived social support among family members of critically ill. Research Methodology/Design Exploratory, cross-sectional study was conducted. Setting Private teaching hospital in Santiago, Chile. Main Outcomes Measures Family members of critically ill patients with 3–7 days of stay and respiratory support were approached. Questionnaires were used to assess satisfaction with communication (Family Satisfaction in the Intensive Care Unit-24), perceived stress (Perceived Stress Scale-10), depressive symptoms (Patient Health Questionnaire-9) and perceived social support (Medical Outcomes Study Social Support Survey). The relationship between satisfaction with communication and relevant variables was investigated using bivariate analyses and a beta regression. Results The study included 42 family members, with 71.4% being female and 52.4% having prior critical care experience. There was a positive correlation between perceived stress and depressive symptoms (r = 0.32, p = 0.039). According to the beta regression, perceived social support (B; 95% confidence interval, 0.44 [1.05–2.29]) and the number of calls with unit staff (0.17 [1.06–1.32]) were positively associated with satisfaction with communication but negatively with college education (−1.86 [0.04–0.64]) and perceived stress (−0.07 [0.87–0.99]).Conclusion Psychosocial factors, such as higher educational level, perceived stress and perceived social support, can influence family members’ evaluation of communication with staff. Current communication practices in acute care settings should be adapted to family members’ psychosocial context to improve their satisfaction with the communication process.Implications for clinical practice Critical care professionals must be aware of the influence of family member-related factors on the quality and effectiveness of the communication process. Psychosocial features of the family members are likely to impact their satisfaction with communication and should be assessed on admission and during their stay to assist clinicians to adjust and improve their communication practices.
- ItemEffort-Reward Imbalance and Burnout Among ICU Nursing Staff: A Cross-Sectional Study(2017) Padilla Fortunatti, Cristóbal; Palmeiro Silva, Yasna K.
- ItemFamilies on adult intensive care units : are they really satisfied? a literature review(2018) Padilla Fortunatti, Cristóbal; Rojas Silva, Noelia Pilar
- ItemMost important needs of family members of critical patients in light of the Critical Care Family Needs Inventory(2014) Padilla Fortunatti, Cristóbal
- ItemNighttime Sleep Duration Is Associated With Length of Stay Outcomes Among Older Adult Survivors of Critical Illness(2020) Elías, M. N.; Munro, C. L.; Liang, Z.; Padilla Fortunatti, Cristóbal; Calero, K.; Ji, M.
- ItemRecomendaciones para el cuidado y acompañamiento de familiares de pacientes con diagnóstico COVID-19(2020) Amthauer Rojas, Macarena Paz; Espinoza, Jessica; Padilla Fortunatti, Cristóbal; Palma, Alejandra; Rojas Silva, Noelia Pilar; Rojas Abalos, Verónica Eugenia; San Martín, Kelly; Valdebenito Santelices, Carolina; Varela, Loreto; Vargas, Verónica
- ItemThe needs of the relatives in the adult intensive care unit: Cultural adaptation and psychometric properties of the Chilean-Spanish version of the Critical Care Family Needs Inventory(2017) Rojas Silva, Noelia Pilar; Padilla Fortunatti, Cristóbal; Molina Muñoz, Yerko Pablo; Amthauer Rojas, Macarena