Comparing Norwegian nurses' and physicians' perceptions of the needs of significant others in intensive care units.
OBJECTIVE
To illuminate and compare the perceptions of registered nurses (n = 243) and physicians (n = 29) in medical and surgical ICUs for adults on the needs of significant others.


BACKGROUND
Previous studies have established the necessity for healthcare professionals in Intensive Care Units (ICUs) to identify and meet the needs of critically ill adult patients' significant others.


METHODS
A survey was conducted and data from the Critical Care Family Needs Inventory were analysed using descriptive and inferential statistics.


RESULTS
The findings revealed four factors: 'attentiveness and assurance', 'taking care of themselves', 'involvement', and 'information and predictability'. Nurses scored higher than physicians on 'attentiveness and assurance'. Nurses with experience of being a patient or a significant other in an ICU placed a higher value on 'involvement' compared with nurses without such experience, while physicians with such experience scored higher on 'information and predictability' compared with those without such experience. Older physicians and those with extensive professional and ICU experience had a low score on 'involvement', but scored higher on 'information and predictability' compared with physicians with less experience. Nurses with extensive ICU and professional experience also scored higher on 'information and predictability' than nurses with less experience. Women placed a higher value on each of the four factors than men.


CONCLUSIONS
The study revealed variations in ICU professionals' perceptions of significant others' needs.


CONCLUSIONS
There is a need for nurses and physicians to acknowledge that varying perceptions on significant others needs could lead to different ways of conducting themselves in encounters with significant others in ICUs. There is also a risk that the patients' significant others could be forced to adapt themselves to professionals' different and perhaps contradictory perceptions of their needs in ICUs.
Takman
Christina
C
Institute of Nursing and Health Sciences, University of Oslo, Blindern, Oslo, Norway. catakman@telia.com
Severinsson
Elisabeth
E
D000223:Adaptation, Psychological; D000328:Adult; D001291:Attitude of Health Personnel; D001294:Attitude to Health; D002983:Clinical Competence / Q000592:standards; D003422:Critical Care / Q000458:organization & administration / Q000523:psychology*; D005163:Factor Analysis, Statistical; D005190:Family / Q000523:psychology*; D005260:Female; D033062:Friends / Q000523:psychology; D007722:Health Knowledge, Attitudes, Practice; D006301:Health Services Needs and Demand; D006785:Hospitals, University; D006801:Humans; D007362:Intensive Care Units / Q000458:organization & administration; D008297:Male; D008505:Medical Staff, Hospital / Q000193:education / Q000523:psychology*; D008875:Middle Aged; D009664:Norway; D015404:Nursing Methodology Research; D009741:Nursing Staff, Hospital / Q000193:education / Q000523:psychology*; D011368:Professional-Family Relations; D012944:Social Support; D011795:Surveys and Questionnaires