Die Beziehung zwischen Angehörigen und Pflegenden auf Intensivstationen

Abstract

The relations between the nurses and relatives in the Intensive Care Unit is not always without problems, even if nursing theories unanimously advocate that the nursing staff is responsible for the care of these relatives. Since up to now only marginal empirical examinations concerning the relationship exist, this qualitative, explorative study will look into the nature of the relationship between relatives and nurses in the Intensive Care Unit. Narrative interviews with the relatives and narrative-episodic interviews with the nursing staff made it possible to recreate situations and to detect hidden and not conscious meanings, intentions and behaviour. Key situations could be brought out more clearly which are meaningful to both sides and from which could be extracted the problems which make dealing with one another difficult. Elements which are important in the relationship show themselves in the key situations "first contact", "information", "feelings", "presence and waiting", "dealing with the patient", "feedbacks" and "rules". The interviewed relatives did not experience themselves as part of the nursing work--decisive was that the relative is well taken care of. The nursing staff also experience the support and care of the relatives as an addition to their actual work.

Care of (potentially) brain‐dead patients: A qualitative study protocol

“…The literature also describes a partial lack of understanding on the part of the relatives regarding the change from "keeping alive" to "brain death", which could be characterized by the phenomenon that brain dead patients do not look dead (Berntzen & Bjørk, 2014). The intensive care unit (ICU) nurses' attitudes can be emulated by the relatives, therefore it is necessary to have "open, honest and timely informational exchanges regarding the patient's diagnosis, current condition and prognosis" (Kuhlmann, 2004), as there is a possibility that the information may influence the relatives' decision towards organ donation (Flodén & Forsberg, 2009;Kuhlmann, 2004).…”

“…The intensive care unit (ICU) nurses’ attitudes can be emulated by the relatives, therefore it is necessary to have “open, honest and timely informational exchanges regarding the patient's diagnosis, current condition and prognosis” (Kuhlmann, ), as there is a possibility that the information may influence the relatives’ decision towards organ donation (Flodén & Forsberg, ; Kuhlmann, ).…”

„Heute war ich bei Papa“

“…Die Altersgrenze für besuchende minderjährige Kinder liegt in Deutschland durchschnittlich bei vierzehn Jahren. 13 Die Anwendung des Restriktionsmodells als Besuchsregelung einer E-ITS ist dabei am häufigsten anzutreffen. 7 Minderjährige Kinder unterhalb dieses Mindestalters werden somit im Restriktionsmodell als Angehörige einer E-ITS nicht wahrgenommen.…”

“…21 Metzing u. Osarek (2000) beschreiben, dass Besuche als Unterbrechungen der Arbeitsabläufe empfunden werden. 11 Kuhlmann (2004) spezifiziert Besuche von Angehörigen als Stressfaktor, da Beziehungen zu diesen von Pflegenden einer E-ITS oft als schwierig erlebt werden. 13 Knutsson u. Bergbom (2007a) beschreiben des Weiteren eine Zerrissenheit der Eltern.…”

“…11 Kuhlmann (2004) spezifiziert Besuche von Angehörigen als Stressfaktor, da Beziehungen zu diesen von Pflegenden einer E-ITS oft als schwierig erlebt werden. 13 Knutsson u. Bergbom (2007a) beschreiben des Weiteren eine Zerrissenheit der Eltern. Sie tragen zum einen eigene, existenzielle Ängste in dieser Krise in sich.…”