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 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

Assistência de enfermagem à criança com doença de Pompe: estudo de caso

2019 ◽  
Vol 17 (1) ◽  
pp. 15
Author(s):  
Eliana Roldão dos Santos Nonose ◽  
Ana Paula Keller de Matos ◽  
Rosane Meire Munhak da Silva ◽  
Ana Paula Contiero Toninato ◽  
Adriana Zilly ◽  
...  
Keyword(s):  
Pompe Disease ◽  
Nursing Practice ◽  
Family Care ◽  
Care Plan ◽  
Family Needs ◽  
Nursing Outcomes ◽  
The Family ◽  
Nursing Diagnoses

Aim: to identify diagnoses, interventions and expected nursing outcomes for the child with Pompe disease using the International Classification for Nursing Practice® 2017. Method: case study conducted in December 2017, with a mother of child with Pompe disease. Results: seventeen nursing diagnoses were presented, distributed among the demands of medicated, technological, habitual, modified, developmental, and family care. Discussion: the nursing diagnoses were related to the treatment and complications presented by the child as a result of Pompe disease, increased by the family needs to develop the care at home. Conclusion: it was verified that the classification of the nursing practices allowed creating more specialized possibilities to elaborate and execute a care plan based on the real needs of this child, allowing the possibility of generalization for the patients with the same disease.

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 PERSEPSI PERAWAT TERHADAP PRINSIP-PRINSIP ETIK DALAM PELAKSANAAN TINDAKAN KEPERAWATAN DI ICU RUMAH SAKIT TK. II PUTRI HIJAU MEDAN

2017 ◽  
Vol 1 (1) ◽  
pp. 37
Author(s):  
Resmi Pangaribuan
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Early Treatment ◽  
Nursing Practice ◽  
Nursing Profession ◽  
Nursing Ethics ◽  
Nurse Perception ◽  
Level Ii ◽  
The Family ◽  
The Relationship

The nursing ethics were value and principles trusted by the nursing profession in carring out their duties related to the patient with society, the relationship between nurses and mates included the organization of the profession, as well as the regulation of nursing practice it self. The nurse perception to the ethical principles was able to influence the behavior of a nurse in making decision of nursing action. The aim of this observation is to explore the nurse perception to the ethichal principlesin implementation nursing action at Intensive Care Unit level II Putri Hijau Hospital Medan, this observation was done to nurse with four respondents.  The method of phenomenological qualitative. The sample with purposive sampling. Data was collected nursing indepth interview and then recorded by tape recorder. The results of observation reflected from six themes appearing which were agreed in doing treatment. Patient or patient’s family have right to refuse the treatment by giving sign of non-consent letter, to appreciate the patient and the family using traditional ways, tot the useful, and avoiding the dangerous thing to the patient. Religion teaches good deeds, never different patients,  and to take early treatment in accordance with the cases priority, give complete information.The conclusion of this observation was glance perception of nurses in implementing the nursing treatment. Key words: The Nursing’s perception, Ethichal principles, Nursing action

scholarly journals Practice Recommendations for End-of-Life Care in the Intensive Care Unit

2020 ◽  
Vol 40 (3) ◽  
pp. 14-22 ◽  
Author(s):  
Hanne Irene Jensen ◽  
Kristin Halvorsen ◽  
Heidi Jerpseth ◽  
Isabell Fridh ◽  
Ranveig Lind
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
End Of Life ◽  
End Of Life Care ◽  
Family Members ◽  
Life Care ◽  
Family Needs ◽  
High Quality ◽  
Number Of Patients ◽  
The Family

Topic A substantial number of patients die in the intensive care unit, so high-quality end-of-life care is an important part of intensive care unit work. However, end-of-life care varies because of lack of knowledge of best practices. Clinical Relevance Research shows that high-quality end-of-life care is possible in an intensive care unit. This article encourages nurses to be imaginative and take an individual approach to provide the best possible end-of-life care for patients and their family members. Purpose of Paper To provide recommendations for high-quality end-of-life care for patients and family members. Content Covered This article touches on the following domains: end-of-life decision-making, place to die, patient comfort, family presence in the intensive care unit, visiting children, family needs, preparing the family, staff presence, when the patient dies, after-death care of the family, and caring for staff.

scholarly journals The impact of the hospitalization process on the caregiver of a chronic critical patient hospitalized in a Semi-Intensive Care Unit

2018 ◽  
Vol 22 (2) ◽  
Author(s):  
Letícia Neves ◽  
Andressa Alencar Gondim ◽  
Sara Costa Martins Rodrigues Soares ◽  
Denis Pontes Coelho ◽  
Joana Angélica Marques Pinheiro
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Structured Interview ◽  
Care Hospital ◽  
Exploratory Research ◽  
Hospitalization Period ◽  
The Family ◽  
Critical Patients ◽  
The Impact ◽  
Intense Process

Abstract Objective: To understand the impact of the hospitalization process on the family companion of critical patients admitted to a Semi-Intensive Care Unit (SICU). Method: Exploratory research with a qualitative approach, conducted in the months of April to July of 2016 through a semi-structured interview applied to relatives who were accompanying patients hospitalized in an SICU of a high complexity care hospital in Fortaleza. The interviews were submitted to content analysis. Results: Three themes emerged through the perception of the family members, which reveal the companion's functioning during the hospitalization period: emotional, familiar and behavioural. Conclusion: The companion experiences an intense process of suffering and emotional fragility, causing changes in the family organization. The companion, being a caregiver, is subjected to high levels of stress, having to use coping skills, with; spirituality and social media among the most evident. The companion is an integral care unit for the hospitalized patient and a key piece in the humanization process of health.

Role of family in the hospitalization of critical patients in the intensive care unit

MEDISAINS ◽  
2020 ◽  
Vol 18 (1) ◽  
pp. 4
Author(s):  
Fitri Arofiati ◽  
Miranti Primadani ◽  
Ruhyana Ruhyana
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Family Background ◽  
Data Retrieval ◽  
Phenomenological Approach ◽  
Group Discussions ◽  
Physical Support ◽  
The Family ◽  
Critical Patients

Background: Patients need help from others to meet their needs during hospitalization in the Intensive Care Unit (ICU). The role of the family is significant in the care of critical patients in the ICU because it helps fulfill the satisfaction and providing supportive care of patients related to their intimacy.Objectives: This study aims to explore the role of families in the hospitalization of critical patients in the ICU.Method: This study used a qualitative method with a phenomenological approach. Data retrieval is done through in-depth interviews, focused group discussions, and observations. The participant recruitment technique uses pur-posive sampling. The research participants were 24 people and were following with the inclusion criteria. Source triangulation is done to find out the validity of research data and the roles performed by the family. This qualitative data was analyzed using N-Vivo 12 plus methods.Results: There are five themes accompanied by 12 sub-themes in them, including developing emotional relationships with patients, providing physical support to patients, becoming information partners with health personnel, fami-lies, and patients, supporting patient facilities and infra-structure, families meeting patients' spiritual needs.Conclusion: Family members are involved in patient care because families are given the opportunity and sufficient time to visit patients. Suggestions for further research can consider the family background in the involvement of roles and factors that influence family roles during hospitalization of patients in the ICU.

scholarly journals Family Nursing Practice and Family Importance in Care in Intensive Care Units: Perspectives of Nurses working in Intensive Care Units

2020 ◽  
Author(s):  
Kiwanuka Frank ◽  
Masomeeh Imanipour
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Nursing Practice ◽  
Family Care ◽  
Sub Saharan Africa ◽  
Cross Sectional ◽  
Family Nursing ◽  
The Family ◽  
The Mean ◽  
Sub Saharan

Abstract The analysis of family-focused nursing practice is fundamental for advancing family nursing in intensive care settings, yet this area remains less studied in sub-Saharan Africa. Nurses’ attitudes presuppose an assessment of what nurses are willing to do and objection of certain practices. The purpose of this study was to assess the correlation between family nursing practice and nurses’ attitudes towards family importance in care in adult intensive care units (ICU). A cross-sectional study was conducted among 116 nurses working in adult intensive care units using census sampling method. The instruments used for data collection included the Family Nursing Practice Scale (FNPS) and the Family Importance in Care-Nurses’ attitudes (FINC-NA). The mean score of FNPS was 38.7±12.7 whilst the mean score of FINC-NA was 90.6±14.7. The Pearson’s product-moment correlation revealed a positive relationship was revealed between FNPS and FINC-NA (r=0.6; p<0.01) The findings identified that most ICU nurses had a positive attitude towards family importance in care though their family nursing practice was moderate. In attempt to reach desirable nursing practice, it is recommended to develop practical and educational strategies aimed at improving of family care. This is especially useful to families in sub Saharan countries were families play a vital role in caring for the patient during admission and after discharge.

The Psychosocial Aspects of Feeding in the Neonatal Intensive Care Unit and Beyond

2019 ◽  
Vol 4 (6) ◽  
pp. 1507-1515
Author(s):  
Lauren L. Madhoun ◽  
Robert Dempster
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Hospital Discharge ◽  
Neonatal Intensive Care ◽  
Oral Feeding ◽  
Medical Attention ◽  
Primary Role ◽  
Speech Language Pathologists ◽  
The Family

Purpose Feeding challenges are common for infants in the neonatal intensive care unit (NICU). While sufficient oral feeding is typically a goal during NICU admission, this can be a long and complicated process for both the infant and the family. Many of the stressors related to feeding persist long after hospital discharge, which results in the parents taking the primary role of navigating the infant's course to ensure continued feeding success. This is in addition to dealing with the psychological impact of having a child requiring increased medical attention and the need to continue to fulfill the demands at home. In this clinical focus article, we examine 3 main areas that impact psychosocial stress among parents with infants in the NICU and following discharge: parenting, feeding, and supports. Implications for speech-language pathologists working with these infants and their families are discussed. A case example is also included to describe the treatment course of an infant and her parents in the NICU and after graduation to demonstrate these points further. Conclusion Speech-language pathologists working with infants in the NICU and following hospital discharge must realize the family context and psychosocial considerations that impact feeding progression. Understanding these factors may improve parental engagement to more effectively tailor treatment approaches to meet the needs of the child and family.

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