A qualitative analysis of family member needs and concerns in the population of patients with burns

The importance of family support to ameliorate the recovery of a patient wi th burns has been documented in the literature. However, there is a dearth of research that identifies family members' needs and concerns during the h ospitalization of patients with burns. Study aims were as follows: (1) iden tify support needs and concerns of family members of adult and pediatric pa tients currently in a burn center and (2) explore the relationship between family needs and the patient's severity of injury. An observational design was used that incorporated semistructured interviews with family members 1 to 3 days after the burn. A convenience sample of family members of burn ce nter patients (n = 97) was recruited over 9 months. Content analysis was us ed to establish themes from interview data. Interrater reliability on codin g of thematic units from 15% of the interviews was 86%; discrepancies were corrected to 100%. The average family member was 42.3 years old, female, wh ite, and at least a high school graduate. Family members concerns included general patient concerns, physical concerns about the patient, satisfaction of personal needs, and psychologic concerns about the patient. Major sourc es of support were family and friends, burn center staff, and spirituality. Family members of pediatric patients identified pain and skin graft surger y as priority worries. Satisfaction of personal needs, financial support, a nd information needs were greater among family members of intensive care un it patients in comparison with step-down patients. These findings underscor e the importance of communication and reassurance between the burn team and the family members. Alterations to the support provided to families san be made on the basis of study subjects' responses.