Family Needs and Coping Strategies during Illness Crisis

1991 ◽  
Vol 2 (2) ◽  
pp. 338-345 ◽  
Author(s):  
Patricia Ann Kolier

This descriptive study was conducted to explore family needs and coping behaviors when faced with the stress of a family member’s critical illness. Family systems, crisis, and coping theories provided the conceptual frameworks for this study. A convenience sample of 30 family members of 22 critically ill patients completed the Critical Care Family Needs Inventory and the Jalowiec Coping Scale and responded to a seven-item semi-structured questionnaire. The need to know the patient’s prognosis was identified as most important on the basis of item mean scores. The top ten identified needs centered around the need for assurance, information, and proximity. Hope was the most frequently used method of coping. Seven of the top ten coping methods most frequently used were also identified by family members as being most effective. Coping styles labeled confronting and optimistic were found to be most useful and effective overall. Nursing interventions described by family members as helpful included: the provision of information, emotional support, and competence and manner of the nurse

Author(s):  
Julie Benbenishty ◽  
◽  
Dvora Kirshbaum Moriah ◽  
Chaya Harel ◽  
◽  
...  

Background: Family members of intensive care unit (ICU) patients are legitimate recipients of nursing care. There is a lack of interventional nursing strategies providing family support while in ICU. Objective: To demonstrate that a nurse led family support group is tool to fulfill family members’ needs. Methods: A prospective convenience sample of family members volunteering participation in nurse/social worker led support group. To validate the intervention on family members’ needs, The Critical Care Family needs Inventory was distributed to participants in support group. Results: 100 relatives participated in the study; Out of the 45 family needs, 21 needs were statistically significantly fulfilled by participation family support group intervention. The findings demonstrated that support group most significantly affected Support and Assurance categories.


2021 ◽  
pp. 019394592110207
Author(s):  
Min Wen ◽  
Yaqin Liang ◽  
Qianqian Shen ◽  
Juping Yu ◽  
Pingping He ◽  
...  

This cluster randomized controlled trial aimed to investigate the effects of an intervention to teach resourcefulness on depression and coping style of patients with coronary heart disease (CHD). A convenience sample of 72 patients in community settings took part. Participants in the intervention group (n = 36) received an 8-week intervention based on the concept of resourcefulness, plus routine health education. Participants in the control group (n = 36) received routine health education only. After the intervention, participants in the intervention group had significantly higher scores on resourcefulness and coping styles, and lower scores on depression than those in the control group (both ps < .001). The findings suggest that a well-developed intervention to teach resourcefulness could help patients with CHD to be more resourceful, improve their level of depression, and choose more effective strategies to cope with stress.


2001 ◽  
Vol 31 (4) ◽  
pp. 375-387 ◽  
Author(s):  
Alexandra Marx ◽  
Andreas Bollmann ◽  
Sandra B. Dunbar ◽  
Louise S. Jenkins ◽  
Mary Hawthorne

Objective: To describe psychological reactions among family members of patients receiving an implantable cardioverter/defibrillator (ICD) during the first 9 months after implantation. Methods: Eighty-two family members (age 56 ± 12 years, 74 percent female, 79 percent married, 88 percent Caucasian) of ICD patients completed questionnaires regarding their mood (Profile of Mood State), cognitive illness appraisals (Meaning of Illness Questionnaire) and coping strategies (Jalowiec Coping Scale) prior to ICD implantation, and as well as 1 and 9 months postoperatively. Results: Total mood disturbance score (TMD), threat appraisal, and emotion- and problem-focused coping were highest prior to ICD implantation, and decreased during the first postoperative month showing stable values thereafter. There was no change in challenge appraisal. Multiple regression analysis found that the use of psychotropic drugs (anxiolytics, sedatives; Beta = .25), emotion-focused coping (Beta = .37), and challenge appraisal (Beta = .21) at 1 month accounted for 26 percent of variance in TMD at 9 months. Conclusion: A spouse's ICD implantation is a major stressful event for family members leading to a diminished mood state prior ICD implantation. Reduction in emotion-focused coping and the use of challenge appraisal may improve mood state in family members of ICD patients during early follow-up.


2000 ◽  
Vol 87 (3_suppl) ◽  
pp. 1115-1122 ◽  
Author(s):  
Heather C. Nash ◽  
Joan C. Chrisler

43 women employed in nontraditional blue collar jobs were compared with 27 women in training for such jobs on a number of variables linked to job success and satisfaction. The purpose of the study was to determine whether women enter blue collar trades with characteristics that predispose them to successful work-role transitions or whether they adopt different coping styles and behavioral characteristics over time in order to fit into their work environments. Questionnaire packets that contained the Self-efficacy Scale, the Personal Assertion Analysis, the Ways of Coping Scale–Revised, and the Bem Sex Role Inventory were completed by 70 women. Participants in training were more androgynous and higher than expected on both problem-focused and emotion-focused coping. Possible explanations and suggestions for research are discussed.


2003 ◽  
Vol 93 (3_suppl) ◽  
pp. 1130-1132 ◽  
Author(s):  
Anna Laura Comunian

A brief review of Hobfoll's Conservation of Resources theory is given, and the Italian adaptation of a measurement, based on this theory, the Strategic Approach to Coping Scale, is presented. The scale is useful measure to assess stress and coping conceptualized to identify coping styles. The investigation used a sample of Italian people (N = 251, 18 to 25 years of age). Confirmatory factor analysis provided support for the validity of the scale. Data on the Italian adaptation are discussed.


2013 ◽  
Vol 66 (2) ◽  
pp. 153-172 ◽  
Author(s):  
Tanya L. Sharpe ◽  
Sean Joe ◽  
Katie C. Taylor

Suicide and homicide are among the leading causes of death for young African-American men; however, little is known about how family members cope with these types of deaths. This exploratory phenomenological study examines the traumatic loss and coping experiences of a purposive convenience sample of 12 immediate African-American surviving family members with a combined experience of 13 deaths, 8 suicides and 5 homicides. Novel aspects of suicide and homicide survivor phenomenon were identified, including Survivor Responses and Reactions, Coping Strategies, and Survivor Service Needs. The implications for research and for those providing services to surviving African-American families are discussed.


2020 ◽  
Vol 12 (9) ◽  
pp. 50
Author(s):  
Abd Alhadi Hasan ◽  
Hussein Alqarni ◽  
Nofaa Ali Alasmee

Purposes: This study identified and compared between the levels and types of stressors as well as coping behaviors. Design: Cross-Sectional Survey Methods: Data were collected using a convenience sample of 286 students Findings: The results showed that &lsquo;&lsquo;teachers and nursing staff&rsquo; &rsquo;and &lsquo;&lsquo;assignments and workload&rsquo;&rsquo; were the highest sources of stress among nursing and MLS students. But this was much higher among nursing students. In addition, lack of professional knowledge and skills were cited the least stressors among both students&rsquo; groups. Practice Implications: The result can be used to support Nursing student to utilize positive coping mechanism to deal with stress successfully. Enhance academic staff awareness about re-allocation of the academic demands and the emphasis on the benefit of orientation week for the students.


2020 ◽  
Vol 24 (1) ◽  
pp. 68-79
Author(s):  
Akram Shahrokhi ◽  
◽  
Mahdi Ranjbaran ◽  
Somayeh Zarei ◽  
◽  
...  

Background: Properly identifying the expectations of family members of patients admitted to Intensive Care Units (ICUs) is a necessity for nurses. Objective The present study aimed to determine and compare the expectations of ICU patients’ families according to the perceptions of ICU nurses and family members. Methods: In this descriptive-analytical study, 147 families of ICU patients and 137 ICU nurses of hospitals in Qazvin were selected as study samples through a census method. Data were collected using Molter’s Critical Care Family Needs Inventory (CCFNI), and data analysis was performed using the Pearson correlation test, one-way ANOVA and chi-square at a significant level of P<0.05. Findings: The overall score of CCFNI and its subscales for the family members were significantly higher than in the nurses (P<0.001). The degree of importance and prioritization of family expectations were different between patients’ families and nurses. The reason for patient hospitalization had a significant association with the overall score of CCFNI and its subscales. Moreover, the family history of hospitalization showed a significant correlation with the CCFNI subscales of information and proximity (P<0.05). The age and work experience of nurses had a significant association with the CCFNI subscales of information, assurance, and comfort (P<0.05). Conclusion: Family members of ICU patients and nurses have different perceptions of the expectations of patients’ families. Nurses need to consider the expectations of patients’ family members.


2020 ◽  
Vol 10 (2) ◽  
pp. 210-220
Author(s):  
Tsitsi Mguwata

This study sought to unearth the challenges and coping strategies of caregivers with family members under palliative care. As a high-density suburb, Mufakose is a dwelling place for the most economically marginalised members of the Zimbabwe urban dwellers. Having a family member under palliative care while being from a low social class has its ramifications and this was what the researcher sought to find out by carrying a qualitative research on six care givers (n = 6) sampled by purposive sampling. In-depth interviews guided by a self-constructed interview guide were used to collect data and thematic analysis was used for analysis. The interviews were carried out in Shona, the local language for the participants, and responses were later translated to English. The study indicated that the caregivers encountered a myriad of challenges ranging from social, economic and health problems. Disturbed sleeping patterns, weight loss, stress, inhibited social mobility, strained family relationships, limited health information about the illness, role conflict and increased financial constraints were the major cited challenges. The research established that caregivers are proactive and numerous coping strategies are used in dealing with the challenges. The coping strategies being used can be classified into appraisal-focused, problem-focused and emotion-focused. Although some coping strategies are maladaptive, most of them are quite adaptive, and with effective interventions the fortunes and lifestyle of caregivers can be overturned.   Keywords: Palliative care, family caregiver, coping strategy, challenges, home-based care.


2021 ◽  
pp. JNM-D-20-00004
Author(s):  
Wesam T. Almagharbeh ◽  
Mohammad A. Al-Motlaq

PurposeTo validate the Arabic version of the Critical Care Family Needs Inventory (CCFNI) instrument.Methodsa jury of experts helped establish content validity of besttranslated version. Live testing of the revised instrument with a sample of nurses and family members helped ensure its validity and internal consistency reliability.ResultsThe Content Validity Index indicated an acceptable relevancy and clarity of the translated version. After introducing diacritic to wordings, clarity and readability were ensured by a pilot test with a sample of 22 critical care nurses and 21 family members. Live testing the instrument asserted its discriminant validity where family members (n = 227) ranked total needs higher than nurses (n = 217) (t = 124.2 (df = 442), p < .001).ConclusionAfter using of diacritics, the new modified Arabic version can be used confidently as a valid and reliable measure of family needs.


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