Establishing an action research group to explore family‐focused nursing in the intensive care unit

Coyer, Fiona; Courtney, Mary D.; O'Sullivan, Judy

doi:10.1111/j.1440-172x.2006.00604.x

Cited by 12 publications

(3 citation statements)

References 27 publications

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“…The remaining quantitative studies all use survey methods and include one study assessing nurse attitudes towards visitation, one study describing attitudes and perceptions of multidisciplinary staff towards family presence during bedside rounds, one study examining the association between family presence and environmental factors at the time of a patient's death, and three studies that examine the relationship between family visitation and patient outcomes or family well‐being . Amongst the sixteen qualitative studies on family presence, all use in‐depth interviews to explore the content and meaning of family presence and visitation in the ICU from the perspective of family members, patients or providers …”

Section: Resultsmentioning

confidence: 99%

Patient and family involvement in adult critical and intensive care settings: a scoping review

Olding

McMillan

Reeves

et al. 2015

Health Expectations

191

197

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BackgroundDespite international bodies calling for increased patient and family involvement, these concepts remain poorly defined within literature on critical and intensive care settings.ObjectiveThis scoping review investigates the extent and range of literature on patient and family involvement in critical and intensive care settings. Methodological and empirical gaps are identified, and a future agenda for research into optimizing patient and family involvement is outlined.MethodsSearches of MEDLINE, CINAHL, Social Work Abstracts and PsycINFO were conducted. English‐language articles published between 2003 and 2014 were retrieved. Articles were included if the studies were undertaken in an intensive care or critical care setting, addressed the topic of patient and family involvement, included a sample of adult critical care patients, their families and/or critical care providers. Two reviewers extracted and charted data and analysed findings using qualitative content analysis.FindingsA total of 892 articles were screened, 124 were eligible for analysis, including 61 quantitative, 61 qualitative and 2 mixed‐methods studies. There was a significant gap in research on patient involvement in the intensive care unit. The analysis identified five different components of family and patient involvement: (i) presence, (ii) having needs met/being supported, (iii) communication, (iv) decision making and (v) contributing to care.ConclusionThree research gaps were identified that require addressing: (i) the scope, extent and nature of patient involvement in intensive care settings; (ii) the broader socio‐cultural processes that shape patient and family involvement; and (iii) the bidirectional implications between patient/family involvement and interprofessional teamwork.

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Section: Resultsmentioning

confidence: 99%

Patient and family involvement in adult critical and intensive care settings: a scoping review

Olding

McMillan

Reeves

et al. 2015

Health Expectations

191

197

View full text Add to dashboard Cite

show abstract

“…There are many situations where nurses are resisting external control of their practice. Action research has been embraced by nurses looking at improving multidisciplinary teamwork and introducing new practice initiatives such as family focused nursing in intensive care (Blanchard, 2006;Brown, Ohlinger, Rusk, Delmore & Ittmann, 2003;Coyer, Courtney & O'Sullivan, 2007. Action research is a political process which may be considered to be subversive and undertaking it in the area or hospital where the nurses' work can be described as resistance (Coghlan & Casey, 2001;Meyer, 1993;Williams, 1995;Williamson & Prosser, 2002). McEldowney (2003) introduces the notion of a critical resistance pathway which is a knowing political act intended to bring about social change.…”

Section: Context Of the Icumentioning

confidence: 99%

“…The participative, clinician focused aspect of action research has attracted a growing number of nurses to adopt this approach for their research inquiry (Bellman, 1999;Blanchard, 2006;Booth, 1997;Coyer, Courtney & O'Sullivan, 2007;Hoogwerf, 2002;Hope,1998;Meyer, Spilsbury & Prieto, 1999;Morton-Cooper, 2000;O'Malley, 2001). Blanchard (2006) conducted an action research project in an ICU developing the place and role of the family within the culture of critical care nursing.…”

Section: Action Research Process Within the Nursing Paradigmmentioning

confidence: 99%

The Domain of Nursing: Developing Practice Through Action Research in the Intensive Care Unit

Pine¹

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<p>In the intensive care unit (ICU) the bedside nurse is the person who carries out the fundamental care to sustain life and comfort for that patient and is the conduit between the patient, their family/whanau, the doctors and the multi disciplinary team. Nursing practice has an indelible impact on that patient's life and future and for their family. This thesis presents a project on the reconnaissance phase of a future critical action research project. The project involved ICU nurses collectively defining their practice within the context of ICU and identifying aspects which needed development and change. As this was the first time that the nurses had met to define and discuss their practice it was essential for them to take this time in order to focus on the reconnaissance phase as this will guide and inform all future action. The study is informed by Habermas' Theory of Communicative Action which has an emancipatory focus. The action research approach enabled the nurses to reach mutual understanding of their practice and reach consensus on areas of practice they wish to develop to enhance their care of the patient. Mutual understanding and consensus have been achieved using focus groups and interviews involving self reflection as well as collective reflection. The reconnaissance phase as described in this thesis involves the nurse participants collectively identifying their ideals of ICU nursing, then defining where they are unable to meet these ideals in the reality of every day practice. The themes emerging from the discussions are defined in terms of relationships; nurse to patient, nurse to family/whanau, nurse to doctor and nurse to nurse. These relationships are interconnected and all occur within the overarching theme of professional standards of care. Through the process of discussion and consensus the nurses identified nurse to nurse communication and support as the most important aspect of practice needing development. Reconnaissance in this research defines the beginning of the change process as the transformation begins with the creation of the communicative space enabling the nurses to connect and together to look ahead at what changes might now be possible.</p>

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Action research studies in the intensive care setting: A systematic review

Soh

Davidson

Leslie

et al. 2011

International Journal of Nursing Studies

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Based on this review it appears that action research is a promising methodological approach to address clinical practice improvement in the ICU. Studies retrieved focussed primarily on process and formative evaluation but not on clinical outcomes. There is a need to incorporate outcome assessment in action research in the ICU to increase the framework of action research to improve clinical outcomes.

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Establishing an action research group to explore family‐focused nursing in the intensive care unit

Cited by 12 publications

References 27 publications

Patient and family involvement in adult critical and intensive care settings: a scoping review

Patient and family involvement in adult critical and intensive care settings: a scoping review

The Domain of Nursing: Developing Practice Through Action Research in the Intensive Care Unit

Action research studies in the intensive care setting: A systematic review

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