Nursing Support for Family Members of Critically Ill Adults

Vandall-Walker, Virginia; Jensen, Louise; Oberle, Kathleen

doi:10.1177/1049732307308974

Cited by 51 publications

(84 citation statements)

References 38 publications

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“…In fact, arranging specified times for families to ask questions about the condition of their critically ill family member is reported to improve time management within a unit, rather than add a time commitment (Alvarez & Kirby, 2006), in addition to reports that improved nursefamily relationships lead to positive patient outcomes (Hupcey & Morse, 1995;Medina, 2005;Vandall-Walker et al, 2007).…”

Section: Implications For Family Nursing Practicementioning

confidence: 95%

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The Essence of the Family Critical Illness Experience and Nurse-Family Meetings

Nelms

Eggenberger

2010

J Fam Nurs

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Nursing care of families is essential to strong family support and maintenance of family health during a critical illness. Secondary data analysis of interviews conducted with 11 families with a family member in the intensive care unit revealed two essences: the family critical illness experience and the family vision for the kind of care families required and desired from nurses. The purpose of this article was to explicate the essence of these phenomena and their implications for family nursing practice. Findings affirm the need for a family intervention described in the literature, that of regularly scheduled nurse-family meetings. Although developed for work with families experiencing a chronic illness, bringing families together and inviting meaningful conversation about their experiences is appropriate for families experiencing critical illness. Nurse-family meetings acknowledge suffering and vulnerability of families when a loved one is critically ill and afford families an opportunity for honest sensitive communication with nurses.

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Section: Implications For Family Nursing Practicementioning

confidence: 95%

“…Family desire to maintain a physical and existential bond with the ill family member emerged as a strong theme (Lam & Beaulieu, 2004;Walters, 1995), along with the nightmare of waiting (Plowfield, 1999) and the "work of getting through" the experience (Vandall-Walker, Jensen, & Oberle, 2007).…”

Section: Literature Reviewmentioning

confidence: 99%

The Essence of the Family Critical Illness Experience and Nurse-Family Meetings

Nelms

Eggenberger

2010

J Fam Nurs

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“…Families have led the way in requesting and even demanding to remain with their loved one during IPs and CPR (Andrews, 2004;Briggs, 1997;Fina, 1994;Post, 1989;Robinson, Mackenzie-Ross, Hewson, Egleston, & Prevost, 1998;Vandall-Walker, Jensen, & Oberle, 2007). The pediatric environment has been the strongest advocate for family presence during invasive procedures and CPR in the hospital (Boie et al, 1999;Chan & Molassiotis, 2002;Kain et al, 2006;Mangurten et al, 2006;Powers & Rubenstein, 1999).…”

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confidence: 97%

Family Presence During Resuscitation and Invasive Procedures: The Nurse Experience

Miller

Stiles

2009

Qual Health Res

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The purpose of this study was to understand the experiences of nurses who participate with families during resuscitation and invasive procedures in the hospital. Seventeen nurses in a large metropolitan area in the northeastern United States were interviewed about their thoughts and feelings about participating with families during these procedures. Conversations were audiotaped and transcribed verbatim for analysis. Transcripts were analyzed using van Manen's technique of isolating thematic statements. Four main themes were identified from the data: forging a connection, engaging the family, transition to acceptance, and a cautious approach.The experience of participating in family presence during resuscitation or invasive procedures can be a positive experience for the nurse by forging a connection with family.The experience for the nurse might include a transition to acceptance and a committed change in practice.

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“…In their work with graduate students and in presentations to more than 1000 nurses, the original authors have heard many reports of how the model is useful in guiding practice, regardless of setting. The model has been linked to other conceptualizations of nursing support 19,20 and used as the foundation of palliative care courses in Canada and the United States and forms the basis of the Canadian Hospice Palliative Care Nursing Standards. 21 v METHOD The first author conducted an electronic search of Medline and CINAHL databases in January 2009.…”

Section: Description Of the Supportive Care Modelmentioning

confidence: 99%

Exploring the Supportive Care Model as a Framework for Pediatric Palliative Care

Widger

Steele

Oberle

et al. 2009

Journal of Hospice & Palliative Nursing

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v The fit between the Supportive Care Model and existing research on parent perspectives about pediatric palliative care was explored following a review of the literature. An electronic search of Medline and CINAHL from 2004 to January 2009 resulted in 49 articles on 38 studies that sought parent perspectives on care provided by health professionals during palliation, end of life, and/or bereavement. Results were synthesized according to the dimensions of the Supportive Care Model. The model fit well with the research, indicating that the highest quality pediatric palliative care occurred when there was a fundamental valuing of the child and family, when individual human connections were made and continued throughout and following illness and death, when families felt empowered, when some aspects of care were performed for families, when families were supported in their search for meaning in their situation, and when the integrity of each individual and the family as a whole was preserved. The research also suggests that careful assessment of individual family preferences within each dimension is crucial. The model is proposed as a helpful guide for clinical practice with dying children and their families. K E Y W O R D S children end of life palliative care parents Supportive Care Model

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Nursing Support for Family Members of Critically Ill Adults

Cited by 51 publications

References 38 publications

The Essence of the Family Critical Illness Experience and Nurse-Family Meetings

The Essence of the Family Critical Illness Experience and Nurse-Family Meetings

Family Presence During Resuscitation and Invasive Procedures: The Nurse Experience

Exploring the Supportive Care Model as a Framework for Pediatric Palliative Care

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