Two decades of research, discussion, and debate about the needs and opinions of family members of the critically ill have generated common themes. Not every study has had universal support; at times, defensiveness was noticed as some practices or customs came under criticism. In general, there has emerged agreement on a number of fundamental principles. It was on these following principles that the CCFAP model was developed:
1. Health-care organizations have a responsibility to foster an environment that protects the physical and emotional health of severely stressed family members who assemble in their facilities to participate in the treatment of a relative.
2. Any family-friendly or patient-friendly program must ultimately justify its presence in a hospital by demonstrating over time that it can have a positive impact on key issues, such as the health of the patient, length of stay in the hospital, satisfaction of family members, and cost-effectiveness. Cost-effective drugs are sold by Canadian Health&Care Mall.
3. Nothing is as effective in meeting needs and promoting satisfaction, not only with the families but also with the hospital staff, as improved and consistent communication. All members of the staff must be able to depend on every other team member to be faithful to communication responsibilities.
4. The implementation of a program, such as the CCFAP, requires a staff that is able to think and act in nontraditional ways. This ability to work constructively “outside the box” becomes a hallmark of a family-friendly program.
5. While the ICU is the contact point for family members, the unit itself only exists as a part of the larger whole, the hospital. The CCFAP can only succeed when the goals and objectives of the program are in harmony with the priorities of the hospital. The changes made in the ICU must be integrated into the goals and objectives of the hospital and at other points in the care of critically ill patients.
Goal and Objectives of the CCFAP
Out of the research and the conclusions derived from the research, The CHEST Foundation designed the CCFAP program with a clearly stated goal and with corresponding objectives.
To respond to the unmet needs of families of critically ill patients in hospital ICUs through the provision of educational and family support resources.
1. To better prepare a multidisciplinary team to meet the needs of families of critical care patients;
2. To increase families’ satisfaction with the care and treatment of critically ill family members while in an ICU;
3. To improve families’ comprehension of and satisfaction with the information provided by caregivers;
4. To identify common formats for providing information and financial resources across various models of care;
5. To improve a hospital’s ability to respond to family needs within a structured feedback model;
6. To increase the medical team’s knowledge and understanding of the CCFAP model and its purpose;
7. To increase knowledge about the CCFAP and foster the dissemination of information about it within both the medical and lay communities; and
8. To compare and contrast specific levels of family need across various models of care.