Browsing by Author "Espinoza Acuña, Jessica"

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    Association between psychosocial factors and satisfaction with communication in family members of intensive care unit patients during COVID-19 pandemic: An exploratory cross-sectional study
    (2023) Padilla Fortunatti, Cristóbal; Rojas Silva, Noelia; Palmeiro Silva, Yasna; Meneses Canales, Damary; Gajardo Veloso, Gladys; Espinoza Acuña, Jessica; Dois C., Angelina M.
    Objective To investigate the relationship between satisfaction with communication and perceived stress, depressive symptoms and perceived social support among family members of critically ill. Research Methodology/Design Exploratory, cross-sectional study was conducted. Setting Private teaching hospital in Santiago, Chile. Main Outcomes Measures Family members of critically ill patients with 3–7 days of stay and respiratory support were approached. Questionnaires were used to assess satisfaction with communication (Family Satisfaction in the Intensive Care Unit-24), perceived stress (Perceived Stress Scale-10), depressive symptoms (Patient Health Questionnaire-9) and perceived social support (Medical Outcomes Study Social Support Survey). The relationship between satisfaction with communication and relevant variables was investigated using bivariate analyses and a beta regression. Results The study included 42 family members, with 71.4% being female and 52.4% having prior critical care experience. There was a positive correlation between perceived stress and depressive symptoms (r = 0.32, p = 0.039). According to the beta regression, perceived social support (B; 95% confidence interval, 0.44 [1.05–2.29]) and the number of calls with unit staff (0.17 [1.06–1.32]) were positively associated with satisfaction with communication but negatively with college education (−1.86 [0.04–0.64]) and perceived stress (−0.07 [0.87–0.99]).Conclusion Psychosocial factors, such as higher educational level, perceived stress and perceived social support, can influence family members’ evaluation of communication with staff. Current communication practices in acute care settings should be adapted to family members’ psychosocial context to improve their satisfaction with the communication process.Implications for clinical practice Critical care professionals must be aware of the influence of family member-related factors on the quality and effectiveness of the communication process. Psychosocial features of the family members are likely to impact their satisfaction with communication and should be assessed on admission and during their stay to assist clinicians to adjust and improve their communication practices.
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    Relationship between perceived stress and health literacy on family satisfaction among family members of critically ill patients: A multicenter exploratory study
    (Elsevier Ltda., 2025) Padilla Fortunatti, Cristóbal Felipe; Palmeiro Silva, Yasna; Ovalle Meneses, Victor; Abaitua Pizarro, María; Espinoza Acuña, Jessica; Bustamante Troncoso, Claudia Raquel; Rojas Silva, Noelia Pilar
    Background: Intensive care unit (ICU) admission is often a stressful experience that can negatively influence family satisfaction (FS) with patient care, communication, and decision-making. Health literacy (HL) is associated with the patient's ability to obtain, process, and understand health-related information. Few studies have explored the influence of perceived stress and HL on FS simultaneously. Objective: To examine the association of perceived stress and HL with FS among family members of ICU patients. Design: A multicenter exploratory cross-sectional study. Methods: An exploratory, cross-sectional, multicenter study was conducted in three ICUs from different hospitals in Chile. Family members of ICU patients with >= 48 h of stay and respiratory support were eligible. The Family Satisfaction in the Intensive Care Unit-24 questionnaire and the Perceived Stress Scale were used. HL was evaluated using three screening questions. Multiple beta regressions were fit to explore the association between perceived stress, HL, and FS. Results: A total of 101 family members with 63.4% identified as at risk of low HL were included. Multiple beta regression revealed that low HL was not associated with FS. Conversely, FS was negatively associated with perceived stress, being admitted to the ICU of the central or southern region, and having a close personal relationship with a healthcare provider but positively associated with the number of communications with ICU staff. Conclusions: While perceived stress can be detrimental to FS, HL seems not to impact FS levels among family members of ICU patients. Further studies are required to explore the influence of HL on FS. Implications of the clinical practice: This study advances the knowledge regarding variables affecting FS in the ICU. Evaluating the family members' emotional status may help ICU healthcare providers in the allocation of resources to support family members and to properly assess their satisfaction. Patient or public contribution: Family members of ICU patients participated in this study.