A study of the psychological effects of intensive care with particular emphasis on patients in isolation

MacKellaig, Juliet M.

doi:10.1016/0266-612x(87)90130-1

Cited by 31 publications

(8 citation statements)

References 23 publications

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“…In general, the presence of family members appears beneficial to the acutely confused patient (Granberg et al, 1998, Roberts et al, 2007, Stenwall et al, 2008a. Similarly when discussing the ICU syndrome, research suggests that the presence of a close family member can orientate the confused patient and help protect against emotions of fear, anxiety, loneliness or isolation (Eisendrath, 1980, MacKellaig, 1987, Morse, 1997, Granberg et al, 1998.…”

Section: Recollections Involving Family or Staffmentioning

confidence: 99%

The delirium experience: what is the effect on patients, relatives and staff and what can be done to modify this?

Partridge

Martin

Harari

et al. 2012

Int J Geriat Psychiatry

165

136

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Section: Recollections Involving Family or Staffmentioning

confidence: 99%

The delirium experience: what is the effect on patients, relatives and staff and what can be done to modify this?

Partridge

Martin

Harari

et al. 2012

Int J Geriat Psychiatry

165

136

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“…Other contributors to the stress of the ICU are the inability to communicate, the drugs used in the ICU to sedate and paralyse patients, the procedures performed and the equipment used. MacKellaig (1987 p. 176) quotes Fisher as saying…”

Section: Literature Reviewmentioning

confidence: 99%

Stress and the intensive care patient: perceptions of patients and nurses

Cornock

1998

Journal of Advanced Nursing

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This study was a replication of an earlier Cochran & Ganong study (1989) that investigated the perception of nurses and patients regarding the stressors faced by patients in the intensive care unit environment. As the original study was American in origin, one of the aims of the present study was to discover if the results would be replicated in a United Kingdom (UK) intensive care unit.Data collection was by the use of an environmental stressor questionnaire that was an adaptation of the original data collection tool modified for use in a UK intensive care unit.The study was undertaken in two intensive care units producing a sample size of 71 patients and 71 nurses.There appears to be a wide variation in the perception of nurses and patients regarding the stress faced by patients in the intensive care unit. Similarities were noted between subject groups as to the nature of the stressors, although nurses tended to rate items over which they believed they had control as being more stressful than did the patients. Patients tended to rate items related to their illness and physical comfort as being most stressful.The results are in keeping with those from the Cochran & Ganong study.

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“…MacKellaig (1987) notes three psychological responses to the stress of the ITU environment. Firstly, delirium is the most frequently encountered and is characterized by progressive disorientation, hallucinations, and nightmares.…”

Section: Related Literature On the Psychological Effects Of Isolationmentioning

confidence: 99%

The psychological consequences of source isolation: a review of the literature

Gammon

1999

Journal of Clinical Nursing

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Source isolation can be an extremely frightening and anxiety provoking experience. With the many epidemiological changes that are prevalent in the UK today the need to care for individuals in source isolation is becoming increasingly important to prevent the spread of infection in hospitals. However, the psychological effects of source isolation are not well understood or researched. This review defines and examines the historical developments of source isolation and then discusses related research which suggests possible effects of source isolation on an individual's psychological well-being. Research which has determined the effects of sensory deprivation and social isolation are discussed, together with literature on the intensive care syndrome. This review highlights the lack of research on the psychological effects of source isolation. Furthermore, literature and research on related aspects of isolation suggests very serious effects are noted on the psychological well-being of individuals. Whilst a cessation of source isolation is not an option, urgent research is required to examine what nurse interventions can be implemented to ameliorate these negative effects.

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A study of the psychological effects of intensive care with particular emphasis on patients in isolation

Cited by 31 publications

References 23 publications

The delirium experience: what is the effect on patients, relatives and staff and what can be done to modify this?

The delirium experience: what is the effect on patients, relatives and staff and what can be done to modify this?

Stress and the intensive care patient: perceptions of patients and nurses

The psychological consequences of source isolation: a review of the literature

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