Family-Centered Care: Meeting the Needs of Patients’ Families and Helping Families Adapt to Critical Illness

Davidson, Judy E.

doi:10.4037/ccn2009611

Cited by 144 publications

(148 citation statements)

References 31 publications

(53 reference statements)

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“…궁극적으로는 가족의 역할 수행과 능력을 고취시킴으로써 가 족 복지에도 기여할 수 있을 것이다 [7]. 하지만 중환자의 가족 들은 가족구성원이 중환자라는 사실로 인해 일련의 신체적, 정신적 증상을 겪는다.…”

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Experiences of Families in the Intensive Care Unit: Interactions with Health Care Providers

Lee

2017

Korean J Adult Nurs

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Purpose:The purpose of the study was to provide deep understanding of the reported experiences of families with their loved one in the intensive care unit (ICU), focusing on interactions with healthcare providers. Methods: The data were collected by individual interviews of eleven participants. The transcribed data were analyzed using qualitative content analysis to identify major themes and sub-themes that represented the experiences of families. Results: Five themes and 13 sub-themes emerged. "Captive of patients' delayed death: Fear and anxiety" describes psychological problems arising when the family member became critically ill enough to warrant being admitted to the ICU. "Families as the weak: Suppression and resistance" describes interpersonal difficulties arising due to lack of information and trust with healthcare providers. "Deprivation of authority and duty as families: Helplessness" illustrate situational barriers in attempting to protect and support family member. "Re-establishment of trust relationship with healthcare providers: Gratitude and appreciation" describes how they satisfied with themselves by regaining trust relationship. Lastly, "Acceptance of reality through direct care participation: Relief and peace" illustrates peace of mind by gaining sense of reality through active direct care participation. Conclusion: This study demonstrates the positive and negative experiences of families with ICU patients. The results will be useful in developing family-centered nursing interventions. This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/ by-nc/3.0), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Experiences of Families in the Intensive Care Unit: Interactions with Health Care Providers

Lee

2017

Korean J Adult Nurs

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“…It is recognized that there are already studies that drive the need for planning a nursing care focused on the family needs, helping them find meaning in these traumatic events in order to minimize post-traumatic stress and to prevent pathological mourning (Davidson, 2010;Davidson 2009) being important to involve the family in caring for the sick person in critical condition. The nursing interventions are described in an uneven manner, framed in different moments of care to the family, as the time of hosting the family (Rinaldi et al, 2014;Knapp et al, 2013;Choi et al, 2013;Davidson, 2010;Davidson, 2009;Stayt, 2009), the family's preparation for decision-making (Khalaila, 2014;Iverson et al, 2014;Knapp et al, 2013), accompanying the family when watching the sudden clinical worsening of their relative, namely witnessing cardio-respiratory resuscitation (Rinaldi et al, 2014;Beer &Moleki, 2012;Köberich et al, 2010) and in acute cases of delirium (Black et al, 2011), and finally in the family preparation for the death of their family member (Bloomer & O'Connor, 2012;Beer &Moleki, 2012;Köberich et al, 2010;Hickman et al, 2010).…”

Section: Discussionmentioning

confidence: 99%

“…The nursing interventions are described in an uneven manner, framed in different moments of care to the family, as the time of hosting the family (Rinaldi et al, 2014;Knapp et al, 2013;Choi et al, 2013;Davidson, 2010;Davidson, 2009;Stayt, 2009), the family's preparation for decision-making (Khalaila, 2014;Iverson et al, 2014;Knapp et al, 2013), accompanying the family when watching the sudden clinical worsening of their relative, namely witnessing cardio-respiratory resuscitation (Rinaldi et al, 2014;Beer &Moleki, 2012;Köberich et al, 2010) and in acute cases of delirium (Black et al, 2011), and finally in the family preparation for the death of their family member (Bloomer & O'Connor, 2012;Beer &Moleki, 2012;Köberich et al, 2010;Hickman et al, 2010). According to the study by Knapp et al (2013, p.1) based on the scientific evidence a "family bundle" was created to be applied by nurses when providing care to the family of the people in critical condition, based on the five principles "Evaluate, Plan, Involve, Communicate and Support (EPICS)" that proved capable of promoting the reduction of stress, contributing to the family coping.…”

Section: Discussionmentioning

confidence: 99%

Integrative Literature Review- Nursing Interventions in the Stress Control of the Family of the Sick Person in a Critical Condition

Gonçalves¹,

Moura²,

Rabiais³

2017

IJN

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Aims: Identify which nursing interventions should be implemented in the stress control of the family of the sick person in a critical condition. Methods: Integrative literature review to explore the evidence of the last five years, using the EBSCOhost electronic search platform. Of the 67 articles found, 15 were considered potentially relevant, thus joining our sample. Results: The nursing interventions found in the literature were split into five areas of "action". These include the need of nurses to assess the Family/ Caregivers Stress and family coping, implementing nursing interventions centered on each family, establishing an empathetic relationship and trust that facilitates and promotes family involvement in the care process as well as in the decision-making processes. They should also facilitate the communication with the family promoting active listening, informing them about the care of their relative, stating their support in this process, comforting them and fostering the development of coping mechanisms. Conclusions:The nurses should include the family of the person in critical condition in their care plan as stress and suffering control strategy. An approach based on this scientific evidence should be tested and validated in future studies.

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“…99 Daily rounds and early and routine family meetings can provide an opportunity to assess the family and foster communication, understanding, and collaboration between the family and health care providers. 101,102 The American College of Critical Care Medicine charged an interdisciplinary group of physicians, nurses, and a clinical pharmacist to develop evidence-based guidelines for support of family-centered care. The authors reviewed numerous studies and made 43 recommendations for practice.…”

Section: O P E N P a T I E N T C O N T R O L L E D C O N T R A C T E mentioning

confidence: 99%

Evidence-Based Practice Habits: Putting More Sacred Cows Out to Pasture

Makic

VonRueden²,

Rauen³

et al. 2011

Critical Care Nurse

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Family-Centered Care: Meeting the Needs of Patients’ Families and Helping Families Adapt to Critical Illness

Cited by 144 publications

References 31 publications

Experiences of Families in the Intensive Care Unit: Interactions with Health Care Providers

Experiences of Families in the Intensive Care Unit: Interactions with Health Care Providers

Integrative Literature Review- Nursing Interventions in the Stress Control of the Family of the Sick Person in a Critical Condition

Evidence-Based Practice Habits: Putting More Sacred Cows Out to Pasture

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