2.50
Hdl Handle:
http://hdl.handle.net/10755/157855
Type:
Presentation
Title:
Professional Nursing Support for Mexican American Families
Abstract:
Professional Nursing Support for Mexican American Families
Conference Sponsor:Western Institute of Nursing
Conference Year:2006
Author:Palmer, Beth, MS, RN, CCRN, ANP-BC, CNS
P.I. Institution Name:VA San Diego Healthcare System
Title:Clinical Nurse Specialist
Contact Address:1235 Parker Place #2A, San Diego, CA, 92109, USA
Contact Telephone:858-552-8585 X6169
Co-Authors:Lorraine Fitzsimmons, RN, DNS, FNP
Purposes/Aims: Previous research studies attempting to identify the professional nursing support needs of families of critically ill adults have been conducted using predominantly White participants. Because Mexican Americans are the fastest growing ethnic group in the United States (US), research to identify culturally competent nursing care for this ethnic minority is a priority. The objectives of this study were (1) to identify the professional nursing support desired by Mexican American family members of critically ill adults, and (2) to determine if the support desired differed from the support they received from the critical care nursing staff. Rationale/Background/Conceptual Framework: An examination of research-identified professional support priorities for nurses, Mexican American cultural values, and the ethical ideal of patient autonomy in the US, led to the following suppositions: (1) Mexican Americans would prioritize Assurance-support higher than Information-support or Comfort-support, and (2) Family members' actual professional nursing support would differ significantly from their desired (ideal) support. Methods: This quantitative replication study utilized a non-experimental repeated measures, descriptive-comparative design. The Professional Support Questionnaire for Critical Care Nurses Working With Family Members (PSQ) was administered twice to a convenience sample of 36 Mexican American family members who were visiting a critically ill adult relative in a medical center in southern California. The PSQ is a 36-item instrument that measures three domains of professional nursing support including information, assurance, and comfort. The response set is a 4-point Likert scale, with a score of 4 indicating a high expectation of nursing support. PSQ validity and reliability were previously established. Results: The study sample (n=36) ranged from 20-66 years of age (M=40, SD=10.6), with 78% visiting an ill parent. Family members desired: (1) Assurance that their ill relative was receiving the best possible care, M=3.92, SD 0.28, (2) Assurance that their relative was stable enough for the family member to leave the hospital M=3.83, SD=0.38, (3) Questions answered honestly, M=3.83 SD 0.51, (4) Nursing procedures explained in understandable terms, M=3.75 SD=0.50, and (5) Participation in the care of their relative, M=3.72, SD 0.51. Family members desired significantly more information-type professional nursing support (M=3.61, SD=0.44) than assurance (M=3.15, SD=0.55) or comfort-type support (M=2.79, SD=0.62). The actual professional nursing support received by the family members was significantly less than the support they desired.
Implications: Although the universality of some desired professional nursing support items was reinforced, the family members in this study ranked several items notably higher than participants of previous studies. These included allowing participation in care and assurance that the family member was receiving the best possible care. These findings support the need for further cross-cultural professional nursing support research, and can serve as a guide for nurses in establishing priorities for the professional support they provide to Mexican American family members of critically ill adults.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Western Institute of Nursing

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleProfessional Nursing Support for Mexican American Familiesen_GB
dc.identifier.urihttp://hdl.handle.net/10755/157855-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Professional Nursing Support for Mexican American Families</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Western Institute of Nursing</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2006</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Palmer, Beth, MS, RN, CCRN, ANP-BC, CNS</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">VA San Diego Healthcare System</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Clinical Nurse Specialist</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">1235 Parker Place #2A, San Diego, CA, 92109, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">858-552-8585 X6169</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">beth.palmer@med.va.gov</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Lorraine Fitzsimmons, RN, DNS, FNP</td></tr><tr><td colspan="2" class="item-abstract">Purposes/Aims: Previous research studies attempting to identify the professional nursing support needs of families of critically ill adults have been conducted using predominantly White participants. Because Mexican Americans are the fastest growing ethnic group in the United States (US), research to identify culturally competent nursing care for this ethnic minority is a priority. The objectives of this study were (1) to identify the professional nursing support desired by Mexican American family members of critically ill adults, and (2) to determine if the support desired differed from the support they received from the critical care nursing staff. Rationale/Background/Conceptual Framework: An examination of research-identified professional support priorities for nurses, Mexican American cultural values, and the ethical ideal of patient autonomy in the US, led to the following suppositions: (1) Mexican Americans would prioritize Assurance-support higher than Information-support or Comfort-support, and (2) Family members' actual professional nursing support would differ significantly from their desired (ideal) support. Methods: This quantitative replication study utilized a non-experimental repeated measures, descriptive-comparative design. The Professional Support Questionnaire for Critical Care Nurses Working With Family Members (PSQ) was administered twice to a convenience sample of 36 Mexican American family members who were visiting a critically ill adult relative in a medical center in southern California. The PSQ is a 36-item instrument that measures three domains of professional nursing support including information, assurance, and comfort. The response set is a 4-point Likert scale, with a score of 4 indicating a high expectation of nursing support. PSQ validity and reliability were previously established. Results: The study sample (n=36) ranged from 20-66 years of age (M=40, SD=10.6), with 78% visiting an ill parent. Family members desired: (1) Assurance that their ill relative was receiving the best possible care, M=3.92, SD 0.28, (2) Assurance that their relative was stable enough for the family member to leave the hospital M=3.83, SD=0.38, (3) Questions answered honestly, M=3.83 SD 0.51, (4) Nursing procedures explained in understandable terms, M=3.75 SD=0.50, and (5) Participation in the care of their relative, M=3.72, SD 0.51. Family members desired significantly more information-type professional nursing support (M=3.61, SD=0.44) than assurance (M=3.15, SD=0.55) or comfort-type support (M=2.79, SD=0.62). The actual professional nursing support received by the family members was significantly less than the support they desired. <br/>Implications: Although the universality of some desired professional nursing support items was reinforced, the family members in this study ranked several items notably higher than participants of previous studies. These included allowing participation in care and assurance that the family member was receiving the best possible care. These findings support the need for further cross-cultural professional nursing support research, and can serve as a guide for nurses in establishing priorities for the professional support they provide to Mexican American family members of critically ill adults.</td></tr></table>en_GB
dc.date.available2011-10-26T20:16:08Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T20:16:08Z-
dc.description.sponsorshipWestern Institute of Nursingen_GB
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