scholarly journals A Literature Review: Stress Management in The Family of Intensive Care Patients

2019 ◽  
Vol 3 (1) ◽  
pp. 44
Author(s):  
Gusti Pandi Liputo ◽  
Zulfainda Eka PU ◽  
Nisa Aruming Sila ◽  
Zaenal Abidin ◽  
Alwan Revai ◽  
...  
Keyword(s):  
Decision Making ◽  
Intensive Care ◽  
Literature Review ◽  
Stress Management ◽  
Complex Case ◽  
Good Communication ◽  
Intensive Care Patients ◽  
Final Sample ◽  
The Family

ABSTRACT Introduction: Intensive care unit is a unit with a complex case and a stressor strainer. When patients enter intensive care families have a variety of stressors such as rapid decision making and costs are not small. The role of nurse as educator is very important in reducing family anxiety with patients treated in intesive units. Mothers of intensive care babies feel a great deal of anxiety over their child's condition, so there needs to be a good system support for the healing of her and her baby. Various ways nurses do in reducing stress experienced by the patient's family such as good communication between nurses and families of patients with intensive care. This review aims to get a picture of stress management that can be done on the family of intensive care patients. Methods: A literature review was conducted in the fields of ebscho, sience direct, elseiver, sage journals, scopus, and proquest, limited the range of the last 10 years from 2007-2017. The final sample included 18 articles. Results: The literature found that the causes of family stressors include rapid decision-making, fear of family emergency conditions, maintenance costs and length of care. Good communication and good information and skill support can decrease the stress experienced by intensive care patients' families. Conclussions: Intensive care is a unit with high complexity, unstable conditions and sophisticated technology. Conditions that require rigorous monitoring not only cause stressors for the patient, but become a stressor for the patient's family.

Family involvement in the end-of-life decisions of competent intensive care patients

2012 ◽  
Vol 20 (1) ◽  
pp. 61-71 ◽  
Author(s):  
Ranveig Lind ◽  
Per Nortvedt ◽  
Geir Lorem ◽  
Olav Hevrøy
Keyword(s):  
Decision Making ◽  
Intensive Care ◽  
End Of Life ◽  
Family Involvement ◽  
Decision Making Process ◽  
Primary Role ◽  
Her Family ◽  
Intensive Care Patients ◽  
The Family ◽  
End Of Life Decision

In this article, we report the findings from a qualitative study that explored how relatives of terminally ill, alert and competent intensive care patients perceived their involvement in the end-of-life decision-making process. Eleven family members of six deceased patients were interviewed. Our findings reveal that relatives narrate about a strong intertwinement with the patient. They experienced the patients’ personal individuality as a fragile achievement. Therefore, they viewed their presence as crucial with their primary role to support and protect the patient, thereby safeguarding his values and interests. However, their inclusion in decision making varied from active participation in the decision-making process to acceptance of the physicians’ decision or just receiving information. We conclude that models of informed shared decision making should be utilised and optimised in intensive care, where nurses and physicians work with both the patient and his or her family and regard the family as partners in the process.

scholarly journals Kebutuhan Keluarga Pasien yang Dirawat di Intensive Care Unit (ICU): Literature Review

2019 ◽  
Vol 9 (1) ◽  
pp. 1
Author(s):  
Alfi Rusdianti ◽  
Fitri Arofiati
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Literature Review ◽  
Information Needs ◽  
Health Workers ◽  
Holistic Care ◽  
Family Needs ◽  
The Family ◽  
Long Time

Intensive care unit (ICU) is in principle not designed to accept the presence of a patient's visitor or family for a long time. One of the effects that arises is an increase in the patient's family anxiety. In general, nurses do not consider the patient's family as part of his holistic care. So, it takes the role of nurses to identify the patient's family needs, in order to realize holistic care. This review aims to identify the family needs of patients treated in the intensive care unit. Literature is obtained from the Ebsco database, ProQuest and Science Direct, using keywords: family needs, nursing strategy and intensive care unit. From 7 literature sources obtained about what is needed by the patient's family. This review produced 5 themes, namely family needs for information, closeness, support, involvement, and knowing the care received by patients. This review only focuses on the patient's family needs in general. The family is part of the patient. Identified family needs, namely information needs, closeness, support, involvement and knowledge of care received by patients. The participation of health workers is needed in identifying and encouraging the fulfillment of family needs. Keyword: family needs, nursing strategies, intensive care unit

scholarly journals Revealing Meaning From Story: The Application of Narrative Inquiry to Explore the Factors That Influence Decision Making in Relation to the Withdrawal of Life-Sustaining Treatment in The Intensive Care Unit

2021 ◽  
Vol 20 ◽  
pp. 160940692110283
Author(s):  
Fiona Foxall ◽  
Deborah Sundin ◽  
Amanda Towell-Barnard ◽  
Beverly Ewens ◽  
Vivien Kemp ◽  
...  
Keyword(s):  
Decision Making ◽  
Intensive Care ◽  
Transformative Learning ◽  
Narrative Inquiry ◽  
Narrative Analysis ◽  
Moral Distress ◽  
The Family ◽  
Narrative Process ◽  
Life Sustaining Treatment

This paper considers the effectiveness of narrative inquiry as a research method in collecting and analyzing stories from a purposive sample of intensive care nurses and doctors, regarding their perceptions of the factors that influence decision-making in relation to the withdrawal of life sustaining treatment. Delaying the withdrawal of treatment when it is clearly indicated, may result in unnecessary patient suffering at the end of life, distress for the family as well as moral distress for staff. In narrative inquiry participants’ first-hand accounts of their experiences are told through story; the focus of analysis is the story, with the story becoming the object of investigation. Initially, participants’ stories were restoried to produce narratives that were co-constructed between researcher and participant. Narrative analysis, employing McCormack’s lenses and the interconnected analytical lenses, facilitated vertical analysis of each narrative. Horizontal analysis through thematic analysis facilitated the derivation of themes that were consistent within or across narratives. We detail here how narrative inquiry methodology was effective in revealing the meaning participants gave to their decision-making experiences through story, offering a broader understanding of the factors that impact on decision-making regarding the withdrawal of life-sustaining treatment. The study’s findings were powerful, derived from narratives rich and thick in description, depicting a multi-dimensional interpretation of the participants’ perceptions of their decision-making experiences. Participants experienced transformative learning through the narrative process, which led to changes in ways of working in the study setting. Recommendations arose to enhance clinical practice and education in this vital area of practice as a result of this study. The application of narrative inquiry enabled the discovery of significant findings as an avenue to challenge legislation and current opinion regarding the autonomy and role of the family in decision-making.

The role of parents in teenagers' independent decision-making

2020 ◽  
Vol 3 (6) ◽  
pp. 45-47
Author(s):  
Sodiqova Gulbarno Odiljon qizi
Keyword(s):  
Decision Making ◽  
The Family ◽  
Role Of Parents ◽  
Independent Decision

This article provides an overview of the role of parents and parenting methods in teenager independent decision-making in the family, and provides relevant conclusions

scholarly journals How reliable is procalcitonin as an inflammatory marker?1)

2012 ◽  
Vol 35 (6) ◽  
pp. ---
Author(s):  
Katharina Biller ◽  
Peter Fae ◽  
Reinhard Germann ◽  
Autar K. Walli ◽  
Peter Fraunberger
Keyword(s):  
Intensive Care ◽  
Diagnostic Tool ◽  
Plasma Levels ◽  
Bacterial Infections ◽  
Respiratory Tract Infections ◽  
Inflammatory Marker ◽  
Antibiotic Use ◽  
Intensive Care Patients ◽  
Tract Infections

Abstract The role of procalcitonin (PCT) plasma levels as a diagnostic tool for intensive care patients has been intensively investigated during the past years. In particular for recognition of bacterial infections, PCT levels have been shown to be superior to other clinical and biochemical markers. Furthermore, some very recent studies show that in patients with lower respiratory tract infections PCT guided antibiotic therapy reduces antibiotic use and thereby may also reduce duration of stay of patients in hospital and thus cut hospitalisation costs. However, various studies indicate that the value of PCT as a prognostic marker is limited because of false positive or negative values. Despite these limitations PCT plasma levels are currently measured in intensive care units. The present study summarises the possible clinical uses of this laboratory marker as a diagnostic tool for the assessment of critically ill patients.

scholarly journals The Role of Decision Making for Family Activities by Industrial Labour of Women Migrant Based on Their Migration Characteristics

2020 ◽  
Vol 34 (1) ◽  
Author(s):  
Dewi Susilongtyas ◽  
Tuty Handayani ◽  
Nurul Sri Rahatiningtyas ◽  
Sigit Candra Winata Kusuma ◽  
Della Ayu Lestari
Keyword(s):  
Decision Making ◽  
Migrant Workers ◽  
Descriptive Analysis ◽  
Industrial Workers ◽  
Circular Migration ◽  
Women Migrants ◽  
Mobility Patterns ◽  
Chi Square ◽  
The Family

The presence of women migrants in urban industrial workers proved that women's movement exists. This migration process not only indicates that women are actively involved in economic activity, but also influences the decision-making on important activities within the family and society. This study aims to determine the relationship between mobility patterns and its contribution to economic and decision-making in the family through the survey as research methods. The data were analysed by descriptive analysis, statistics approach, and correlation maps. For the independence test in the bivariate table, we used the chi square method, and to display the distribution of two variables simultaneously, a cross-tabulation was used. After that, to assess whether there is a relationship between the two variables, the table of independence was used. Our study shows that decision-making became an indicator of strengthening the role of women with a pattern of circular migration, which has a relationship on economic contribution. However, the behavior of women who perform the spatial migration in strengthening roles in families is not always relevant with the strengthening role of the economy. A strong role is only demonstrated by industrial migrant workers working on a circular migration pattern.

scholarly journals The Role of Siblings in Talent Development: Implications for Sport Psychologists and Coaches

2021 ◽  
Vol 3 ◽  
Author(s):  
Robin D. Taylor ◽  
Dave Collins ◽  
Howie J. Carson
Keyword(s):  
Decision Making ◽  
Social Networks ◽  
Conceptual Analysis ◽  
Talent Development ◽  
Sibling Relationship ◽  
The Family ◽  
Sport Psychologist ◽  
The Relationship

Developing talent requires consideration of social networks that can facilitate or inhibit progression. Of fundamental influence in this regard is the family, with recent investigation extending its focus from parents to the role of siblings. As such, the purpose of this Conceptual Analysis article is to, firstly, review the characteristics of the sibling relationship that may support or inhibit talent development. Secondly, the analysis then provides empirically derived practical examples to emphasize the holistic and complex role that siblings can play in talent development. Thirdly, strategies are proposed to support practitioners identify specific sibling characteristics, alongside recommendations for how the relationship can be utilized within both the formal and informal environments by coaches and psychologists. Finally, and crucially, important implications of these characteristics are considered to support effective coach and sport psychologist decision making.

Mechanical Thromboprophylaxis in Critically Ill Patients: A Systematic Review and Meta-Analysis

2006 ◽  
Vol 15 (4) ◽  
pp. 402-412 ◽  
Author(s):  
Anthony Limpus ◽  
Wendy Chaboyer ◽  
Ellen McDonald ◽  
Lukman Thalib
Keyword(s):  
Intensive Care ◽  
Randomized Controlled Trials ◽  
Observational Studies ◽  
Meta Analysis ◽  
Controlled Trials ◽  
Trauma Patients ◽  
Intensive Care Patients ◽  
Randomized Controlled ◽  
Confounding Variables

• Objective To systematically review the randomized trials, observational studies, and survey evidence on compression and pneumatic devices for thromboprophylaxis in intensive care patients. • Methods Published studies on the use of compression and pneumatic devices in intensive care patients were assessed. A meta-analysis was conducted by using the randomized controlled trials. • Results A total of 21 relevant studies (5 randomized controlled trials, 13 observational studies, and 3 surveys) were found. A total of 811 patients were randomized in the 5 randomized controlled trials; 3421 patients participated in the observational studies. Trauma patients only were enrolled in 4 randomized controlled trials and 4 observational studies. Meta-analysis of 2 randomized controlled trials with similar populations and outcomes revealed that use of compression and pneumatic devices did not reduce the incidence of venous thromboembolism. The pooled risk ratio was 2.37, indicative of favoring the control over the intervention in reducing the deep venous thrombosis; however, the 95% CI of 0.57 to 9.90 indicated no significant differences between the intervention and the control. A range of methodological issues, including bias and confounding variables, make meaningful interpretation of the observational studies difficult. • Conclusions The limited evidence suggests that use of compressive and pneumatic devices yields results not significantly different from results obtained with no treatment or use of low-molecular-weight heparin. Until large randomized controlled trials are conducted, the role of mechanical approaches to thromboprophylaxis for intensive care patients remains uncertain.

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