title: Analysis of needs of the critically ill relatives and critical care professional's opinion.
abstract: OBJECTIVE
  To describe the needs of the families of patients admitted to the Intensive Care Unit (ICU) and the opinion of ICU professionals on aspects related to the presence of patient relatives in the unit.
  
  
  METHODS
  A prospective descriptive study was carried out between March and June 2015.
  
  
  METHODS
  Polyvalent ICU of León University Healthcare Complex (Spain).
  
  
  METHODS
  Two samples of volunteers were studied: one comprising the relatives emotionally closest to the primarily non-surgical patients admitted to the Unit for over 48hours, and the other composed of ICU professionals with over three months of experience in the ICU.
  
  
  METHODS
  One self-administered questionnaire was delivered to each relative and another to each professional.
  
  
  METHODS
  Sociodemographic data were collected. The variables in the questionnaire for relatives comprised the information received, closeness to the patient, safety of care, the support received, and comfort. In turn, the questionnaire for professionals addressed empathy and professional relationship with the family, visiting policy, and the effect of the family upon the patient.
  
  
  RESULTS
  A total of 59% of the relatives (35/61) answered the questionnaire. Of these subjects, 91.4% understood the information received, though 49.6% received no information on nursing care. A total of 82.9% agreed with the visiting policy applied (95.2% were patient offspring; P<.05). Participation on the part of the professionals in turn reached 76.3% (61/80). A total of 59.3% would flexibilize the visiting policy, and 78.3% considered that the family afforded emotional support for the patient, with no destabilizing effect. On the other hand, 62.3% routinely informed the family, and 88% considered training in communication skills to be needed.
  
  
  CONCLUSIONS
  Information was adequate, though insufficient in relation to nursing care. The professionals pointed to the need for training in communication skills.
authors.affiliation: Servicio de Medicina Intensiva Complejo Asistencial Universitario de León (CAULE), León, España; Departamento de Enfermería y Fisioterapia, Facultad de Ciencias de la Salud, Universidad de León, León, España. Electronic address: asanv@unileon.es.
authors.forename: A
authors.initials: A
authors.lastname: Sánchez-Vallejo
authors.affiliation: Departamento de Enfermería y Fisioterapia, Facultad de Ciencias de la Salud, Universidad de León, León, España.
authors.forename: D
authors.initials: D
authors.lastname: Fernández
authors.affiliation: Departamento de Enfermería y Fisioterapia, Facultad de Ciencias de la Salud, Universidad de León, León, España.
authors.forename: A
authors.initials: A
authors.lastname: Pérez-Gutiérrez
authors.affiliation: Departamento de Enfermería y Fisioterapia, Facultad de Ciencias de la Salud, Universidad de León, León, España.
authors.forename: M
authors.initials: M
authors.lastname: Fernández-Fernández
mesh_terms: D001290:Attitude; D003422:Critical Care; D016638:Critical Illness; D005190:Family; D006801:Humans; D007362:Intensive Care Units; D011368:Professional-Family Relations; D011446:Prospective Studies; D013030:Spain; D011795:Surveys and Questionnaires
keywords: Critical care; Cuidados críticos; Decision making; Evaluación de necesidades; Familia; Family; Intensive care unit; Needs assessment; Toma de decisiones; Unidades de cuidados intensivos