2026, Number 4
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Med Crit 2026; 40 (4)
Impact of humanization in critical care on family satisfaction: a cross-sectional observational study using the FS-ICU 34 instrument at a private tertiary-care hospital in Mexico
Rueda OD, Dector LDMB, Enríquez SD, Mercado CE
Language: Spanish
References: 18
Page: 301-307
PDF size: 654.89 Kb.
ABSTRACT
Introduction: technological advancements in intensive care have significantly improved survival rates; however, humanization remains a challenge in ensuring the emotional well-being of both patients and their families.
Objective: to evaluate the level of satisfaction among family members of patients admitted to critical care units at a private tertiary care hospital in Mexico, utilizing the validated Spanish version of the FS-ICU 34 questionnaire 72 hours after admission.
Material and methods: an observational, descriptive, and cross-sectional study was conducted with a sample of 144 family members (non-probabilistic sampling). Raw FS-ICU 34 scores were transformed into a 0-100 scale, where 0 represents the lowest satisfaction and 100 the highest. The analysis included descriptive statistics and inferential testing (Student’s t-test and ANOVA for mean comparisons based on sociodemographic variables, and Pearson correlation coefficients); a p-value < 0.05 was considered statistically significant.
Results: the mean overall satisfaction score was 80.97 ± 9.69; 95%CI: 79.37-82.56). The highest-scoring domains were the perceived competence of medical staff (86.63 ± 16.96) and nursing staff (83.33 ± 17.74). Consistently lower scores were identified in the dimensions of communication, shared decision-making, and emotional/spiritual support (53.54 ± 33.29).
Conclusions: there is a high level of overall satisfaction, primarily
driven by confidence in the clinical and technical expertise of the healthcare team. However, to consolidate the humanization of critical care, it is imperative to systematize the evaluation of family experience and strengthen effective communication strategies, as well as formally integrate pastoral care and emotional support into clinical practice protocols.
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