Optimization of the Role and Function of Ward Manager in the Development of the Family Meeting Innovation Program in the Intensive Care Unit

  • Arhamsyah Arhamsyah Universitas Indonesia
  • Krisna Yetti Universitas Indonesia
  • Tuti Afriani Universitas Indonesia
  • Dyah Fitri Wulandari RSUD Khidmat Sehat Afiat Kota Depok
Keywords: family meeting, head nurse, intensive care unit

Abstract

Hospitalization in the ICU has an impact on families, making it essential to meet the needs of families in the care of patients in the ICU. Caring for patients in the Intensive Care Unit (ICU) requires family support and involves various health disciplines, including the active role of the head nurse. The head nurse can facilitate all parties to be involved in patient management, one of which is through family meetings. (family meeting). A family meeting is an important forum to discuss the patient's condition, prognosis, and care preferences, to listen to the family's concerns, and to make decisions about appropriate treatment goals. Objective to enhance family satisfaction in patient care in the ICU through the development of an innovative family meeting program. Using the case report method in managing care in the ICU through stages of data collection, problem identification, discussion, and determining alternative solutions. Utilizing fishbone analysis to find the root cause of the problem. Once the problem is identified, the next steps include prioritizing the issues, developing a plan of action, implementing it, and conducting evaluations along with follow-up plans. The development of the family meeting innovation program with the establishment of guidelines for the implementation of family meetings, Standard Operating Procedures (SOP), and documentation formats for family meetings. The implementation of family meetings serves as a programmed communication medium between families and caregiving professionals, thereby enhancing the satisfaction of patient families.

References

Ahluwalia et al., (2016). Nurses as intermediaries: How Critical Nurses Perceive Their Role in Family Meetings. American Journal Of Critical Care . Vol 25 No 1.

doi: http://dx.doi.org/10.4037/ajcc2016653

Clancy and Jhonson., (2023). Design, organization and staffing of the intensive care unit. Critical illness and intensive care. Surgery 41:12. Elsevier. https://doi.org/10.1016/j.mpsur.2023.09.006

Drago, et al (2021). How to hold an effective NICU family meeting: capturing parent perspectives to build a more robust framework. Journal of Perinatology.

Gambhir et al., (2021) Impact of Structured and Scheduled Family Meetings on Satisfaction in Patients Admitted to Hospitalist Service. Journal of Patient Experience .

Vol 8: 1-5. https://doi.org/10.1186/s13063-017-2379-4

Gay, E.B., Pronovost, P.J., Bassett, R.D., & Nelson, J.E. (2009). The intensive care unit family meeting: Making it happen. Journal of Critical Care , 24 (4), 629.e1-629.e12. https://doi.org/10.1016/j.jcrc.2008.10.003

Glajchen, M., Goehring, A., Johns, H., & Portenoy, R. K. (2022). Family Meetings in Palliative Care: Benefits and Barriers. In Current Treatment Options in Oncology (Vol. 23, Issue 5, pp. 658–667). Springer . https://doi.org/10.1007/s11864-022-00957-1

Heyland et al., (2018). Improving partnerships with family members of ICU patients: study protocol for a randomized controlled trial. Trials. 19:3. https://doi.org/10.1186/s13063-017-2379-4

Kennedy, A.C., Jones, D.A., Eastwood, G.M., Wellington, D., See, E., & Lewis, J.E. (2022). Improving the quality of family meeting documentation in the ICU at the end of life. Palliative Care and Social Practice , 16 . https://doi.org/10.1177/26323524221128838

Kennedy, et.al (2022). Improving the quality of family meeting documentation in the ICU at the end of life. http://journals.sagepub.com/home/pcr . DOI: 10.1177/ 26323524221128838

KMK 1128 (2022) Decree of the Minister of Health No. 1128 of 2022 concerning Hospital Accreditation Standards

KMK No. 1778. (2010). Decree of the Minister of Health Number 1778/MENKES/SK/XII/2010 concerning Guidelines for the Implementation of Intensive Care Unit Services in Hospitals.

Marquis BL & Huston CJ, (2017). Leadership Roles and Management Function in Nursing Theory and Application. Ninth Edition. Wolters Kluwer. Philadelphia

Mercadante, S., Gregoretti, C., & Cortegiani, A. (2018). Palliative care in intensive care units: Why, where, what, who, when, how. In BMC Anesthesiology (Vol. 18, Issue 1). BioMed Central Ltd. https://doi.org/10.1186/s12871-018-0574-9

Moradi Y et al., (2017). Outcomes of Professional Socialization in Nursing: A Systematic Review. Journal of Pharmaceutical Sciences and Research , 9(12). Retrieved from : https://www.researchgate.net/publication/348634930_Outcomes_of_Professional_Socialization_in_Nursing_A_Systematic_Review

Pecanac, K., & King, B. (2019). Nurse–Family Communication During and After Family Meetings in the Intensive Care Unit. Journal of Nursing Scholarship , 51 (2), 129–137. https://doi.org/10.1111/jnu.12459

Piscitello et al., (20 19 ). The Timing of Family Meetings in the Medical Intensive Care Unit. Am J Hosp Palliat if Care. 2019 December ; 36(12): 1049–1056. doi:10.1177/1049909119843133

Pohan VY, Gayatri D, Hidayati E., (2018). Head nurse's experience in implementing the 'Relactor' (MDK'R') nursing delegation model. Indonesian Nursing Journal, Volume 21 No.3. DOI: 10.7454/jki.v21i3.669

Saragih and Novieastari., (2022). Optimizing the implementation of SBAR communication during patient handover between nursing shifts. Silampari Nursing Journal Vol. 6 No 1. DOI: https://doi.org/10.31539/jks.v6i1.3755

Sembiring and Tampuboloen., (2022). The role of the head of the room in supervising the ICU room of Sembiring Delitua Regional Hospital . Journal of Health Sciences . Vol 7 Ed. 4. DOI: 10.30604/jika.v7i4.2074

Schwart et al., (2022). Making Family-Centered Care for Adults in the ICU a Reality. Frontier Pshyciatry.Vol 13 https://doi.org/10.3389%2Ffpsyt.2022.837708

Setyarini et al., (2019). Fulfillment of the Needs of Critical Patient Families with Palliative Care in the Intensive Care Unit: A Study in Yogyakarta. Journal of Clinical and Community Nursing Vol 3 (2). https://doi.org/10.22146/jkkk.71433

Walter et, al (2000), SPIKES—A Six-Step Protocol for Delivering Bad News: Application to the Patient with Cancer. The Oncologist 2000;5:302-311 www.TheOncologist.com

Walter, et.al (2019). Teamwork When Conducting Family Meetings: Concepts, Terminology, and the Importance of Team-Team Practices. Journal of Pain and Symptom Management. Vol 58 No 2 . Published by Elsevier Inc. All rights reserved.

Widera et al., (2020). Family Meeting on Behalf of Patients with serious illness. The New Journal of Medicine. Vol 383 No 11 . https://www.nejm.org/ DOI: 10.1056/NEJMvcm1913056.

Published
2025-02-01
How to Cite
Arhamsyah, A., Yetti, K., Afriani, T., & Wulandari, D. F. (2025). Optimization of the Role and Function of Ward Manager in the Development of the Family Meeting Innovation Program in the Intensive Care Unit. Indonesian Journal of Global Health Research, 7(1), 895-902. https://doi.org/10.37287/ijghr.v7i1.5376