Effect of Patient's Family Engagement in Nursing Care on Nurses' Perception and Patients' Clinical Outcome at Neurological Intensive Care Unit

Saied, Eslam Ebrahim Abd-El Hak; Ahmed, Safaa Eid Said; Tag Eldin, El Sayed Ali Mohamed; Gad, Sheren Mohammd Abed El Latief

doi:10.21608/tsnj.2025.435926

Effect of Patient's Family Engagement in Nursing Care on Nurses' Perception and Patients' Clinical Outcome at Neurological Intensive Care Unit

Document Type : Original Article

Authors

¹ Assistant lecturer at Critical care and Emergency Nursing, Faculty of Nursing, Tanta University, Egypt

² Professor of Critical Care and Emergency Nursing, Faculty of Nursing, Tanta University, Egypt

³ Professor of Neuropsychiatry Diseases, Faculty of Medicine, Tanta University, Egypt

⁴ Assistant Professor of Critical Care and Emergency Nursing, Faculty of Nursing, Tanta University, Egypt

10.21608/tsnj.2025.435926

Abstract

Background: Family engagement means active partnerships between health
care providers' families. Family engagement in ICU takes different forms
depending on the needs of critically ill patients. IT can improve patients' clinical
outcomes. Aim: Evaluate effect of patient's family engagement in nursing care
on nurse's perception and patients' clinical outcome at Neurological Intensive
Care Unit. Subjects and Method: Design: A quasi-experimental study was used
at the Neurological Intensive Care Unit of Tanta University Hospital. Subjects:
A convenience sample of all nurses working in previously setting and 60 adult
critically ill patients in ICU. Tools: Three tools were developed by the
researcher as follow. Tool (I): Patient's socio-demographic characteristics, and
patients' clinical data. Tool (II): Nurses perception about family engagement.
Tool (III): Clinical Outcome Measurement of Critically Ill Patient. Results: The
family engagement protocol show an improvement in clinical patient condition
which in study group there were significant differences regarding level of
consciousness، physiological parameters monitoring and Richmond Agitation-
Sedation Scale (RASS) with p level=0.012 respectively. The most of critical
care nurses (72.5%) have high level of knowledge after family engagement
protocol implementation. Conclusions: Application of protocol of family
engagement had significance effectiveness on improvement of clinical outcome
among critically ill patients. The nurses made an encouraging and positive
outlook on the involvement of family. Recommendations: Create polices,
protocols, and procedure for family engagement in ICUs, assessment tool to
assess family readiness to be actively contributing to their patients' care and the
aspects of care they can be engaged in should be available.