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BioMed Research International
Volume 2016, Article ID 9025643, 8 pages
http://dx.doi.org/10.1155/2016/9025643
Research Article

Satisfaction Domains Differ between the Patient and Their Family in Adult Intensive Care Units

1Medical Intensive Care Unit, Division of Respiratory and Critical Care Medicine, National University Hospital, National University Health System, Singapore
2National University Hospital, National University Health System, Singapore
3Division of Respiratory and Critical Care Medicine, National University Hospital, National University Health System, Singapore
4Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine & National University Health System, Singapore

Received 26 July 2016; Revised 26 September 2016; Accepted 12 October 2016

Academic Editor: Alberto Raggi

Copyright © 2016 Amartya Mukhopadhyay et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Background. Patients’ and family’s satisfaction data from the Asian intensive care units (ICUs) is lacking. Objective. Domains between patient and family satisfaction and contribution of each domain to the general satisfaction were studied. Method. Over 3 months, adult patients across 4 ICUs staying for more than 48 hours with abbreviated mental test score of 7 or above and able to understand English and immediate family members were surveyed by separate validated satisfaction questionnaires. Results. Two hundred patients and 194 families were included in the final analysis. Significant difference in the satisfaction scores was observed between the ICUs. Patients were most and least satisfied in the communication (4.2 out of 5) and decision-making (2.9 out of 5) domains, respectively. Families were most and least satisfied in the relationship with doctors (3.9 out of 5) and family’s involvement domains (3.3 out of 5), respectively. Domains contributing most to the general satisfaction were the illness management domain for patients (β coefficient = 0.44) and characteristics of doctors and nurses domain for family (β coefficient = 0.45). Discussion. In an Asian ICU community, patients and families differ in their expectations and valuations of health care processes. Health care providers have difficult tasks in attending to these different domains.