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 PENGALAMAN PERAWAT TENTANG CARING BERBASIS TEKNOLOGI PADA PASIEN KRITIS DI INTENSIVE CARE UNIT

2018 ◽  
Vol 2 (2) ◽  
pp. 70
Author(s):  
Lina Anggraeni ◽  
Suhartini Ismail
Keyword(s):  
Intensive Care Unit ◽  
Critical Care ◽  
Intensive Care ◽  
Sampling Technique ◽  
Phenomenological Approach ◽  
Caring Behaviors ◽  
Central Java ◽  
Technological Competence ◽  
Critical Patients ◽  
High Competence

AbstrakICU merupakan suatu unit dengan pasien yang menerima perawatan intensif dan monitoring yang ketat. Untuk itu, diperlukan perawat yang terlatih secara khusus dengan menggunakan teknik yang canggih dan dapat memenuhi kebutuhan dasar dari pasien. Dengan membangun keseimbangan antara aspek perawatan pasien dan teknologi, perawat akan dapat memberikan perawatan yang lebih efisien dengan kualitas yang lebih tinggi. Penelitian ini bertujuan untuk mendeskripsikan pengalaman perawat tentang caring berbasis teknologi pada pasien kritis di intensive care unit. Penelitian ini merupakan penelitian kualitatif dengan pendekatan deskriptif fenomenologi. Penelitian dilakukan di Himpunan Perawat Critical Care Jawa Tengah. Partisipan penelitian sebanyak 10 perawat yang ditentukan dengan metode purpose sampling. Pengumpulan data dilakukan melalui wawancara mendalam kepada partisipan selama 40-60 menit sesuai dengan pedoman wawancara yang telah disusun sebelum penelitian. Data yang terkumpul dianalisa menggunakan metode Colaizzi. Hasil penelitian menghasilkan tiga tema yaitu kompetensi penggunaan teknologi menjadi bagian dari caring yang harus dimiliki perawat, keseimbangan perilaku caring dan kompetensi teknologi perawat di ruang pelayanan kritis, serta maleficient dan beneficient. Perawat ICU harus berperilaku caring yang ditunjukkan dengan memiliki kompetensi yang tinggi pada penggunaan teknologi agar terciptanya perawatan yang lebih baik untuk pasien kritis. Kata kunci: Caring berbasis teknologi, perawat ICU, pasien kritis, intensive care unit AbstractThe nurses’ experiences of technology-based caring in critical patients in the intensive care unit. Intensive Care Unit (ICU) is a unit in which patients receive intensive care and strict monitoring. For this reason, nurses who are specifically trained to use sophisticated techniques and able to meet the basic needs of patients are needed. By developing a balance between the aspects of patient care and technology, nurses will be able to provide more efficient care with higher quality. This study aimed to describe the nurses’ experiences of technology-based caring in critical patients in the intensive care unit. This study was qualitative research with a descriptive phenomenological approach conducted at the Critical Care Nurse Association of Central Java. The participants were ten nurses selected by using purposive sampling technique. The data were collected through in-depth interviews with the participants for 40-60 minutes based on the prepared interview guidelines. The collected data were analyzed using the Colaizzi method.  The results showed three themes that technological competence to be part of the caring that nurses must have, the balance between nurses’ caring behaviors and technological competence in the critical area, then, maleficient and beneficient. Nurses should behave caring which is shown by having high competence using of technology to provide better care for critical patients. Keywords: Caring based on technology, critical nurse, critical patient, intensive care unit

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 Words Faithful to the Phenomenon

2018 ◽  
Vol 17 (1) ◽  
pp. 160940691879779
Author(s):  
Luigina Mortari ◽  
Roberta Silva
Keyword(s):  
Intensive Care Unit ◽  
Decision Making ◽  
Critical Care ◽  
Intensive Care ◽  
Phenomenological Approach ◽  
Discursive Practice ◽  
Team Members ◽  
The Creation ◽  
Do So

The article presents the developing of a tool aimed to analyze the decision-making (DM) processes in critical care contexts. It was developed in a study conducted through a phenomenological approach. By analyzing the discursive practice through which physicians in an intensive care unit (ICU) arrive at decisions, we construct a discursive profile of each ICU involved, to improve the ICU team members’ knowledge of the complexity of their DM processes. To do so, we develop a system of analysis capable of capturing discursive actions faithfully. Our method facilitates a system of analysis that highlights the role of the various discursive acts in conversational flow, starting from the needs in an ICU setting, which are spontaneously recognized from the data, to the almost simultaneous processes of description and understanding. This has led to the creation of a tool follows the phenomenological-grounded route.

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.

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 Caring for a potential organ donor at an intensive care unit: the role of the nurse

2017 ◽  
Vol 11 (2) ◽  
pp. 35-39
Author(s):  
Sylwia Kosek ◽  
Anna Klimczyk
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Brain Death ◽  
Organ Donor ◽  
Loss Of Function ◽  
Potential Organ Donor ◽  
Difficult Conversations ◽  
The Family ◽  
The Individual

Brain death causes irreparable loss of function of the brain as whole and is tantamount to the individual death. According to the governing laws in Poland, a committee composed of three consultants, including a specialist in anaesthesiology and intensive care and a specialist in neurosurgery or neurology, states the individual death. Stating brain death has occurred discharges doctors from their obligation to continue therapy. In the event the organs can be harvested for transplant, after ruling out the objection of the deceased and medical counter indications, medical staff continues to care for the donor during the period of preliminary observation, diagnostics and establishing brain death, and later for the deceased, until the organs are harvested. It includes all activities, from monitoring to therapy, diagnostic and nursing activities. Nurses play an important role in the team providing care to a donor. The nurse should have extensive knowledge about brain death, its course and results, as they play an important role in proper diagnostic procedure and providing proper care until the organs are harvested. Strict nursing supervision of the donor allows the staff to detect deviations in the functioning of the organism early. The aim of this paper was to present the procedures concerning declaring brain death and portraying the role of a nurse in caring for a potential organ donor at an intensive care unit. Conclusions. Proper procedure is paramount in harvesting good quality organs for transplantation and assuring their proper functioning later. It is worthwhile to note the role of the nurse in contacts with the family, as cooperation with the donor’s family is an important aspect of the process, especially the ability to conduct difficult conversations.

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.

Role of Sildenafil in the Treatment of Persistent Pulmonary Hypertension of Newborn (PPHN) - Should it Be Withdrawn from Market of Bangladesh due to Threat of being Misuses

2020 ◽  
Vol 35 (2) ◽  
pp. 100-104
Author(s):  
Maksudur Rahman ◽  
Mohammad Abdullah Al Mamun ◽  
MAK Azad Chowdhury ◽  
Abu Sayeed Munsi
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cardiac Intensive Care Unit ◽  
Cross Sectional ◽  
Cardiac Intensive Care ◽  
Hospital Protocol

Background: Recently it has been apprehended that sildenafil, a drug which has been successfully using in the treatment of PPHN and erectile dysfunction in adult, is going to be withdrawn from the market of Bangladesh due to threat of its misuses. Objective: The aim of this study was to see the extent of uses of sildenafil in the treatment of PPHN and importance of availability of this drugs in the market inspite of its probable misuses. Methods: This cross sectional study was conducted in neonatal intensive care unit (NICU), special baby care unit (SCABU) and cardiac intensive care unit (CICU) of Dhaka Shishu (Children) Hospital from June, 2017 to May 2018. Neonates with PPHN were enrolled in the study. All cases were treated with oral sildenefil for PPHN along with others management according to hospital protocol. Data along with other parameters were collected and analyzed. Results: Total 320 patients with suspected PPHN were admitted during the study period. Among them 92 (29%) cases had PPHN. Male were 49(53 %) cases and female were 43(47%) cases. Mean age at hospital admission was 29.7±13.4 hours. Based on echocardiography,13(14%) cases had mild, 38 (41%) cases moderate and 41(45%) cases severe PPHN. Mean duration of sildenafil therapy was 11.9±7.1 days. Improved from PPHN were 83 (90%) cases. Mortality was 10% (9). Conclusion: In this study it was found that the incidence of PPHN is 29% among the suspected newborns. Sildenafil is successfull in improving the oxygenation of PPHN and to decrease the mortality of neonates. DS (Child) H J 2019; 35(2) : 100-104

Sa107 THE ROLE OF FECAL OCCULT BLOOD TEST IN THE EVALUATION OF ANEMIA IN THE INTENSIVE-CARE UNIT: A RETROSPECTIVE STUDY ASSESSING THE CLINICAL UTILITY OF THE TEST

2021 ◽  
Vol 160 (6) ◽  
pp. S-423-S-424
Author(s):  
Thanita Thongtan ◽  
Anasua Deb ◽  
Ashley Maveddat ◽  
Paibul Suriyawongpaisal ◽  
Passisd Laoveeravat ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Blood Test ◽  
Clinical Utility ◽  
Fecal Occult Blood Test ◽  
Occult Blood ◽  
Fecal Occult Blood ◽  
Occult Blood Test ◽  
Fecal Occult
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