scholarly journals Relatives' experience of intensive care: the other side of hospitalization

2007 ◽  
Vol 15 (4) ◽  
pp. 598-604 ◽  
Author(s):  
Urizzi Fabiane ◽  
Adriana Katia Corrêa
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Family Member ◽  
Care Delivery ◽  
Family Members ◽  
Family Care ◽  
The Other ◽  
Daily Routine ◽  
Reference Framework ◽  
Critical Patients

This study aims at understanding the experience concerning family members of patients in the Intensive Care Unit (ICU), with the purpose of contributing to care humanization in this context. Considering the nature of the research object, this research was carried out to understand the phenomenon Being a family that experiences the hospitalization of a family member in ICU. Phenomenology was used as a methodological reference framework. Seventeen family members of adult patients in the Intensive Care Unit (ICU) at the Santa Casa in Londrina were interviewed from September to December 2004. Through analysis of these interviews, some theme categories emerged: difficult, painful, speechless experience; experiencing and recognizing somebody's life: approaching the patient's suffering; break-up of the family's daily routine; fear of having a family member die; ICU: a fearsome scene, but necessary; concern with family care. Some issues related to the family's attendance in the ICU were discussed, contributing to the establishment of humanized care delivery to critical patients and their families' uniqueness.

scholarly journals To Identify the Causes of Stress among Nurses Working in Intensive Care Unit of Ittefaq Hospital Lahore

2017 ◽  
Vol 4 (2) ◽  
pp. 96-109 ◽  
Author(s):  
Salma Johan ◽  
Hajra Sarwar ◽  
Iram Majeed
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Work Environment ◽  
Family Members ◽  
Daily Routine ◽  
Statistical Tools ◽  
Insight Into ◽  
Doctors And Nurses

The study is aimed at identifying the causes of stress amongst daily routine of nurses working in the ICU unit of Ittefaq Hospital Lahore. A questionnaire was developed and distributed to gain an insight into factors which may be causing stress to the nurses. The results were analyzed using statistical tools. An overall finding of the study is that all the nurses were suffering from stress however, the reasons of stress are different. Consensus was that three biggest causes of stress are prolonged shifts and extra duties, shortage of staff and excessive workload.The other major causes of stress identified are inappropriate or poor communication between doctors and nurses, lack of support and motivation, unexpected deaths or patients undergoing painful procedures, lack of breaks, lack of cooperation from peers and supervisors/managers. The patients themselves can also be a source of stress for example, problematic patients or their aggressive family members as well as improper work environment also contribute to stress.There is a dire need to develop stress alleviating programs and therapies at the hospitals. Nurses, doctors and managers should be encouraged to participate in such programs towards building stress-free work environment where patients can be served better. Int. J. Soc. Sc. Manage. Vol. 4, Issue-2: 96-109

Enhancing Communication With Family Members in the Intensive Care Unit: A Mixed-Methods Study

2020 ◽  
Vol 40 (6) ◽  
pp. 23-32
Author(s):  
Karen-leigh Edward ◽  
Alessandra Galletti ◽  
Minh Huynh
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Mixed Methods ◽  
Care Delivery ◽  
Clinical Care ◽  
Family Members ◽  
Staff Members ◽  
Confidence Levels ◽  
Decision Making Model ◽  
Intensive Care Unit Nurses

Background Nurses in the intensive care unit are central to clinical care delivery and are often the staff members most accessible to family members for communication. Family members’ ratings of satisfaction with the intensive care unit admission are affected more by communication quality than by the level of care for the patient. Family members may feel that communication in the intensive care unit is inconsistent. Objectives To use a shared decision-making model to deliver a communication education program for intensive care unit nurses, evaluate the confidence levels of nurses who undertook the education, and examine changes in family members’ satisfaction with communication from intensive care unit nurses after the nurses received the education. Methods A mixed-methods design was used. Seventeen nurses and 81 family members participated. Results Staff members were overall very confident with communicating with family members of critically ill patients. This finding was likely linked to staff members’ experience in the position, with 88% of nurses having more than 11 years’ experience. Family members were happy with care but dissatisfied with the environment. Conclusions Environmental factors can negatively affect communication with family members in the intensive care unit.

SATISFACCIÓN DE LOS FAMILIARES DE PACIENTES INGRESADOS EN LA UNIDAD DE CUIDADOS INTENSIVOS DE EMERGENCIA

SCIENTIARVM ◽  
2015 ◽  
Vol 1 (1) ◽  
pp. 37-42
Author(s):  
Ángel Mamani Ruelas ◽  
◽  
Katherine Quispe Medina ◽  
Claudia Butrón Vargas ◽  
Felipe Apaza Huamán ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Family Members ◽  
Family Care ◽  
Family Satisfaction ◽  
Care Quality ◽  
International Studies ◽  
Waiting Room ◽  
Cross Sectional ◽  
Degree Of Satisfaction

The appreciation of care by families is of great importance in the evaluation of the quality of care in an intensive care unit (ICU). This study used the adaptation of the Family Satisfaction with Care in the Intensive Care Unit questionnaire: FS-ICU (24). Our objective was to know the degree of satisfaction of family members for the care received from the patient admitted to the Emergency Intensive Care Unit (UCIE) as well as with the decision-making process for patient care. This is a cross-sectional, observational, descriptive and prospective study for 5 months. A sample of 69 main relatives of patients admitted to the unit with more than 24 hours of stay was studied, applying the FS-ICU (24) questionnaire. The following results were obtained: In relation to the care of the patient in the ICUE, 68.12% of relatives perceived an excellent or very good concern for the patient, a very good pain management in 49.28%, very good management of dyspnea in 40%, regarding family care, 43.48% considered it very good, with good emotional support in 46.38%. 47.83% considered the coordination of care as good, as well as the concern of the staff. When assessing professional care, the nurse's skills and competencies were considered very good at 43.48%, and communication as good at 43.48%; The doctor's skills and competencies were also very good at 43.48%. Regarding the environment of the UCIE, it was considered good in 44,935, the waiting room as sufficient in 47.83%, and the amount of care as very good in 43.48%. We conclude that most family members have a high degree of satisfaction, result that is similar to international studies; it also gives us aspects to improve such as the waiting room and the privacy of the patients. keywords: Satisfaction; Care; Quality; Intensive Care Unit; Emergency; FS-ICU.

A Whirlpool of Stress in Families of Intensive Care Unit Patients: A Qualitative Multicenter Study

2021 ◽  
Vol 41 (3) ◽  
pp. 55-64
Author(s):  
Bahman Aghaie ◽  
Monireh Anoosheh ◽  
Mahshid Foroughan ◽  
Esa Mohammadi ◽  
Anoshirvan Kazemnejad
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Intensive Care Units ◽  
Qualitative Content Analysis ◽  
Family Members ◽  
Family Care ◽  
Critical Care Nurses ◽  
Private Hospitals ◽  
Negative Beliefs ◽  
Semistructured Interviews

Background Family members of patients admitted to the intensive care unit must tolerate high levels of stress, making them emotionally and physically vulnerable. However, little is known about the kinds of stress family members may experience. Objective To explore perceived stress in the families of patients admitted to the intensive care unit. Methods This qualitative content analysis study involved 23 family members of patients admitted to intensive care units. Participants were drawn from family members of patients hospitalized in intensive care units of 3 public and 2 private hospitals. Data were collected through semistructured interviews. Results Three themes emerged from the data: “distrust,” “repeated stress exposure,” and “a whirlpool of persistent negative emotional-physical state.” The first theme had 2 categories: “fearful mindset” and “negative beliefs about professional caregivers.” The second theme also had 2 categories: “fear of the future” and “sustained accumulation of tensions.” The third theme had 3 categories: “impaired mental health,” “impaired physical health,” and “impaired family function.” Conclusions The findings of this study may help critical care nurses better understand the nature and sources of family stresses during a patient’s intensive care unit stay. Supervisory nurses should alert their staff to these issues so that family care programs can address them, thereby reducing family members’ risk of posttraumatic stress disorder and post–intensive care syndrome-family.

scholarly journals PEMENUHAN KEBUTUHAN KELUARGA PASIEN KRITIS DI RUANG INTENSIVE CARE UNIT (ICU) RSUD dr. DRADJAT PRAWIRANEGARA SERANG

2018 ◽  
Vol 9 (1) ◽  
pp. 104
Author(s):  
(E) Lukmanulhakim ◽  
Winda Firdaus
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Nursing Practice ◽  
Family Care ◽  
Total Sample ◽  
Quantitative Approach ◽  
Family Needs ◽  
Holistic Nursing ◽  
The Family ◽  
Critical Patients

Perawatan di ICU dapat menandakan ancaman bagi pasien yang dirawat di unit tersebut, besarnya ancaman kehidupan di ICU tidak hanya menimbulkan kecemasan bagi pasien namun juga bagi keluarga. Keluarga berperan penting dalam upaya penyembuhan dan pemulihan kesehatan pasien untuk itu pihak rumah sakit juga perlu memperhatikan aspek kebutuhan keluarga pasien. Penelitian ini bertujuan untuk mengetahui gambaran pemenuhan kebutuhan keluarga pasien kritis di ICU RSUD dr. Dradjat Prawiranegara Serang Tahun 2017. Desain dalam penelitian ini adalah deskriptif dengan pendekatan kuantitatif. Penelitian ini dilakukan di ICU RSUD dr. Dradjat Prawiranegara Serang dengan jumlah sampel 40 responden. Hasil penelitian ini menunjukan bahwa (55,0%) responden mengatakan kebutuhan keluarga pasien di ICU terpenuhi dan sisanya mengatakan belum terpenuhi (45,0%). Kebutuhan informasi merupakan kebutuhan keluarga yang paling banyak terpenuhi (65,0%), sedangkan kebutuhan dukungan mental merupakan kebutuhan keluarga yang paling sedikit terpenuhi (57,5%). Kesimpulannya pemenuhan kebutuhan keluarga pasien di ICU masih perlu ditingkatkan lagi utamanya pada dukungan mental. Sehingga upaya yang bisa dilakukan untuk memenuhi kebutuhan dukungan mental adalah dengan mengaplikasikan praktik keperawatan secara holistik yang dimana diperlukan pendekatan antara petugas ICU dengan keluarga dalam konteks family center care.Kata Kunci: Intensive Care Unit, Kebutuhan Keluarga, Pasien Kritis.Treatment in the ICU can signal a threat to patients treated in this unit, the magnitude of life threats in the ICU not only raises anxiety for patients but also for families. Families play an important role in healing and restore the health of patients to the hospital also need to pay attention to aspects of family needs of patients. This study aims to find out the description of the fulfillment of family needs of critical patients in ICU RSUD dr. Dradjat Prawiranegara Serang Year 2017. Design in this research is descriptive with quantitative approach. This research was conducted in ICU RSUD dr. Dradjat Prawiranegara Serang with a total sample of 40 respondents. The results showed that (55.0%) respondents said the needs of the patient's family in the ICU are met and the rest is not met (45.0%). The need for information is the most fulfilled family needs (65.0%), while the need for mental support is the most unmet family needs (57.5%). In conclusion, meeting the needs of the patient's family in ICU still needs to be improved especially on mental support. In order for the effort that can be made to meet the needs of mental support is to apply a holistic nursing practice where an approach is needed between the ICU staff and the family in the context of family care center.Keywords: Intensive Care Unit, Family Needs, Critical Patients.

scholarly journals Nurse’s Perception of Family Presence during Dressing Change in the Adult: a Study in Burn Intensive Care Unit

2020 ◽  
Vol 8 (1) ◽  
pp. 56-63
Author(s):  
Laxmi Shah ◽  
Deepak Bagi
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Family Member ◽  
Family Members ◽  
Research Centre ◽  
Research Approach ◽  
Care Hospital ◽  
Family Presence ◽  
Dressing Room ◽  
Dressing Change

Background and Objectives: Burn injuries can be devastating to both the patients affected and the patients’ families who support the injured person. In an effort to shield patients’ family members from and anxiety-provoking experience and protect the patients from potential infections, burn units have historically restricted visitation during dressing change but evidence indicates that these restrictions contribute to patients’ and family’s dissatisfaction and to their knowledge deficit when it comes time to care for burn patients at home. Thus this study assess the nurse’s perception of family presence during dressing change in the adult burn intensive care unit of selected tertiary care hospital in India. Material and Methods: A Non- Experimental Descriptive Survey Design with evaluative research approach was used to evaluate the nurse’s perception of Family Presence during dressing change in the Adult Burn Intensive Care Unit of KLES Dr. Prabhakar Kore Hospital and Medical Research Centre, Belagavi, India. A total of 30 nurses working in Adult Burn Intensive Care Unit (BICU) were selected by using the non-probability convenience method of sampling technique. A 5 points Likert scale was used for data collection. Results: The study findings showed that, Majority 22 (73.3%) of the nurses had performed dressing more than 11 times but 26 (86.7%) of the nurses had never experienced family member in dressing room during dressing and 28 (93.37%) of the nurses had never initiate family member during dressing change as well as majority 21 (70%) of the nurses had never experience of family request to be on dressing room during dressing change. Majority 12 (40%) of the nurses were disagree on family presence during dressing change, 10 (33.3%) of the nurses were had neutral perception where as minority nurses 8 (26.7) had agree regarding family presence during dressing change. Conclusion: The study revealed that majority of the nurses does not agree to have family member to be in room during dressing change even though presence of family members during dressing change will have a positive effect on patient, family, nurse, satisfaction with hospital care.

scholarly journals Families' perception, knowledge, and psychological stressors associated with transition of care from the intensive care unit

2019 ◽  
Vol 2 (1) ◽  
pp. 53-56
Author(s):  
Gustavo Ferrer ◽  
Chi Chan Lee ◽  
Monica Egozcue ◽  
Hector Vazquez ◽  
Melissa Elizee ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Health Care Providers ◽  
Family Members ◽  
Expected Improvement ◽  
Transition Of Care ◽  
Care Providers ◽  
Icu Discharge ◽  
Family Perceptions

Background: During the process of transition of care from the intensive care setting, clarity, and understanding are vital to a patient's outcome. A successful transition of care requires collaboration between health-care providers and the patient's family. The objective of this project was to assess the quality of continuity of care with regard to family perceptions, education provided, and psychological stress during the process. Methods: A prospective study conducted in a long-term acute care (LTAC) facility. On admission, family members of individuals admitted to the LTAC were asked to fill out a 15-item questionnaire with regard to their experiences from preceding intensive care unit (ICU) hospitalization. The setting was an LTAC facility. Patients were admitted to an LTAC after ICU admission. Results: Seventy-six participants completed the questionnaire: 38% expected a complete recovery, 61% expected improvement with disabilities, and 1.3% expected no recovery. With regard to the length of stay in the LTAC, 11% expected < 1 week, 26% expected 1 to 2 weeks, 21% expected 3 to 4 weeks, and 42% were not sure. Before ICU discharge, 33% of the participants expected the transfer to the LTAC. Also, 72% did not report a satisfactory level of knowledge regarding their family's clinical condition or medical services required; 21% did not receive help from family members; and 50% reported anxiety, 20% reported depression, and 29% reported insomnia. Conclusion: Families' perception of patients' prognosis and disposition can be different from what was communicated by the physician. Families' anxiety and emotional stress may precipitate this discrepancy. The establishment of optimal projects to eliminate communication barriers and educate family members will undoubtedly improve the quality of transition of care from the ICU.

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