["Integration of families in hospital": expectations and reticence of patients, relatives and nursing staff? A study in progress at the Clermont-Ferrand academic medical center].
The survey presented here is the preliminary stage to a larger study; it is enriched by structuring concepts in nursing care expressed in the philosophy of the study.
To compare the expectations and hesitation of patients, relatives and nursing staff, about "the integration of families in hospital care".


METHODS
The data were collected in 2 units, cancer-hematology (short stay, chemotherapy) and SSR-rehabilitation and long term care (between treatment, end-of-life care), with the patients, the families and nursing staff included in the study, by means of semi-directive conversations, of questionnaires specific to every group, then common to the three of them. The collected data were analyzed from the statistical SAS software, version 8.


RESULTS
The will of integration of families in care is unanimous, 100% of yes for the patients, the families, and 90% for the nursing staff. However, there are differences among the 3 groups according to the type of practiced treatment. So, patients are reluctant to the participation of relatives in care connected to the intimacy and sometimes to that of technical care. Families generally go in the same way as patients in being always more favorable than patients would wish. Finally, the nursing staff is reluctant to the participation of relatives in technical care, by putting forward the safety of patients. All agree to say that the participation of families in care can bring pleasant moments.


CONCLUSIONS
The integration of families in care could be beneficial from numerous points of view, provided that the nursing staff educates the families, remain responsible and supervise the care. The pursuit of the study suggests studying and testing a clear and confirmed way to teach care concerning only the care accepted by patients and families such as it was revealed by our study. Let us remember that the data are based on verbal expectations which are not confronted with the reality of the experiment The study, in its phase of experimentation, will verify the persistence of the expectations expressed in the survey.
Fedor
Marie Christine
MC
Leyssene-Ouvrard
Claire
C
D000046:Academic Medical Centers; D000203:Activities of Daily Living / Q000523:psychology; D000223:Adaptation, Psychological; D001291:Attitude of Health Personnel; D001294:Attitude to Health; D017028:Caregivers / Q000193:education / Q000523:psychology; D002755:Choice Behavior; D003299:Cooperative Behavior; D005190:Family / Q000523:psychology*; D005602:France; D007722:Health Knowledge, Attitudes, Practice; D006301:Health Services Needs and Demand; D006379:Helping Behavior; D006801:Humans; D007297:Inpatients / Q000523:psychology*; D015404:Nursing Methodology Research; D009741:Nursing Staff, Hospital / Q000523:psychology*; D011368:Professional-Family Relations; D017751:Safety Management; D012648:Self Care / Q000379:methods / Q000523:psychology; D020377:Self Efficacy; D011795:Surveys and Questionnaires