Family presence in the adult burn intensive care unit during dressing changes

Crit Care Nurse. 2013 Feb;33(1):14-24. doi: 10.4037/ccn2013116.


Objectives: To improve communication, discharge readiness, and satisfaction of burn patients and their families.

Methods: In March 2009, the burn intensive care unit at University of Louisville Hospital, Louisville, Kentucky, incorporated family presence during dressing changes. Adverse family events during observation, measures of patient- and family-centered care according to a standardized patient satisfaction survey, infection rates, and staff members' response to the intervention were tracked.

Results: Through December 2011, no adverse family events occurred, patients' satisfaction scores increased, and infection rates did not increase. Staff members responded positively to the project.

Conclusions: Allowing family presence during dressing changes provides an opportunity to educate and include patients' family members in care delivery.

MeSH terms

  • Bandages*
  • Burn Units*
  • Burns / therapy*
  • Family*
  • Humans
  • Patient Satisfaction*