Searching for meaning: A grounded theory of family resilience in adult <scp>ICU</scp>

Wong, Pauline; Liamputtong, Pranee; Koch, Susan; Rawson, Helen

doi:10.1111/jocn.14673

Cited by 26 publications

(42 citation statements)

References 33 publications

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“…Based on our findings, we shed new light on the intertwining between information and hope, which can be understood as family members becoming seekers of meaning and coherence to endure the unknown. This is in line with Wong, Liamputtong, Koch, and Rawson (2019), who showed that during the intensive care period, family members need information to be able to define their situation and find meaning. To support family members as seekers of meaning in a vulnerable situation, we believe that intensive care health personnel must be given the right conditions and tools to embrace their important interprofessional role in the transfer process and in their caring relationship with the family.…”

Section: Comprehensive Understanding and Reflectionssupporting

confidence: 84%

Family members' lived experiences when a loved one undergoes an interhospital intensive care unit‐to‐unit transfer: A phenomenological hermeneutical study

Karlsson

Eriksson

Lindahl

et al. 2020

Journal of Clinical Nursing

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Aims and objectives To reveal meanings of family members' lived experiences when a loved one undergoes an interhospital intensive care unit‐to‐unit transfer. Background Interhospital intensive care unit‐to‐unit transfers take place between different hospitals and their respective intensive care units (ICUs). These types of transfers are an increasing phenomenon but are sparsely studied from the family members' perspective. Indeed, the patient's critical illness and care can have a major impact on family members. During the transfer process, there is a demand for the involved intensive care health personnel to make family members feel safe and cared for. Design A qualitative design based on phenomenological hermeneutics. Methods The study was conducted at two Swedish general ICUs. Data were generated through individual in‐depth interviews with seven family members and analysed using a phenomenological hermeneutical approach. The Criteria for Reporting Qualitative Research principles were applied in the conduct and reporting of this study. Results Four themes that reveal meanings of family members' lived experiences were developed: losing your safe haven, dealing with uncertainty, carrying your own and others' burdens and a wish to be close. Conclusions The study reveals that an interhospital intensive care unit‐to‐unit transfer affects the whole family and is characterised by family members experiencing many negative feelings. The findings also illustrate that being a family member when a loved one is transferred means being exposed to the core existential elements of being human, such as loneliness and searching for meaning. Relevance to clinical practice The study highlights the importance of maintaining a family‐centred approach during the transfer process. Our findings can provide deeper knowledge for intensive care health personnel, better preparing them for the delicate task of providing family‐centred care during the interhospital intensive care unit‐to‐unit transfer process.

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Section: Comprehensive Understanding and Reflectionssupporting

confidence: 84%

Family members' lived experiences when a loved one undergoes an interhospital intensive care unit‐to‐unit transfer: A phenomenological hermeneutical study

Karlsson

Eriksson

Lindahl

et al. 2020

Journal of Clinical Nursing

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“…Close connections with family members and other supportive people can give families strength during the critical illness of a family member (Johansson et al, 2006; M. A. McCubbin & McCubbin, 1993; Wong et al, 2019). Families also utilize nurses and health care organizations as potential family support resources (J.…”

Section: Theory Of Nurse-promoted Engagement With Families In the Icumentioning

confidence: 99%

A Theoretical Lens Through Which to View the Facilitators and Disruptors of Nurse-Promoted Engagement With Families in the ICU

2020

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The theory of nurse-promoted engagement with families in the intensive care unit (ICU) was developed to describe the dynamic and complex interplay between factors that support or impair nurses’ efforts to promote family engagement. Theory construction involved theory derivation and theory synthesis. Concepts and relationships from ecological theory, the Resiliency Model of Family Stress, Adjustment and Adaptation, moral distress theory, and the healthy work environment framework informed the initial formation of the emerging theory. The synthesis of findings from the literature further expanded the scope of the relationships and propositions proposed in the theory. This middle-range theory can set direction for theory-informed focused nursing research that can advance the science of family nursing and guide ICU clinicians in overcoming challenges in family nursing practice. Recommendations are provided for applying this new theoretical lens to guide family nursing curriculum development, practice improvements, and policy changes to support nurses in promoting family engagement.

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“…This study finds that individually supporting families in their search for meaning and purpose assists them to regain control throughout their loved ones' admission. Additionally, this study provides a theoretical framework which has the potential to reduce family psychological morbidity while improving patient outcomes when applied to clinical practice 2…”

Section: Resultsmentioning

confidence: 99%

“…The purpose of this study was to use a constructivist grounded theory methodology to better understand ‘the multiple perspectives of family members’ experiences as they interacted in ICU, and to provide an explanatory framework for their interactions' 2. Family members accompanying critically ill patients in ICU over age 18 and English speaking were recruited for participation.…”

Section: Methodsmentioning

confidence: 99%

Supporting family in their search for meaning and purpose during unexpected ICU admission improves coping, resilience and psychological outcomes

Ccrn

2019

Evid Based Nurs

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Searching for meaning: A grounded theory of family resilience in adult ICU

Abstract: Our findings can be used to promote PFCC in ICU, which considers a collaborative approach to meet the patient's needs while providing emotional and psychosocial support to their families.

Cited by 26 publications

References 33 publications

Family members' lived experiences when a loved one undergoes an interhospital intensive care unit‐to‐unit transfer: A phenomenological hermeneutical study

Family members' lived experiences when a loved one undergoes an interhospital intensive care unit‐to‐unit transfer: A phenomenological hermeneutical study

A Theoretical Lens Through Which to View the Facilitators and Disruptors of Nurse-Promoted Engagement With Families in the ICU

Supporting family in their search for meaning and purpose during unexpected ICU admission improves coping, resilience and psychological outcomes

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