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

Nelms, Tommie P.; Eggenberger, Sandra

doi:10.1177/1074840710386608

Cited by 64 publications

(84 citation statements)

References 72 publications

(127 reference statements)

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“…6 Furthermore, communication recognized as a part of nursing care in order to help family through the adverse situation. 7 One difficult situation that commonly increases the anxiety in family members of patient is due to vehicle accident. This situation suddenly triggers the fearness of changing the role either patient or family members in the future.…”

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confidence: 99%

The relationship between communication of nurses and level of anxiety of patient's family in emergency room dr. Dradjat Prawiranegara hospital, Serang Banten, Indonesia

2016

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INTRODUCTIONEmergency room is one of challenges rooms in regard to the resulting of distress and anxiety of patients and their relatives. The anxiety level in family members is varied, including depression. 1 The impact of distress and anxiety are destruction of communication among family members and these will result to inability to concentrate and insufficiency of coping mechanism.2 As a result, the changes of emotional status of the family members are ABSTRACT Background: Critical condition of patient is trigger to the increasing of anxiety of family members. This situation is vulnerable of ineffective nursing care services provide by nurses in emergency room. Communication is one of abilities which nurse have to performed, and is recognized not that simple in its implementation. This study aimed was to identify whether or not there is a relationship between communications performed by the nurses and the level of anxiety of family members of patient in Emergency Room dr. Dradjat Prawiranegara hospital, Serang Banten, Indonesia. Methods: This study was cross-sectional study with non-parametric analysis data used was Spearman's Rho. Data were collected through direct observation by 4 numerators and observational sheet of nurse's communication. Level of anxiety of family members was measuring by using State Trait Anxiety Inventory Y-1. Data were collected from 47 family members and 47 nurses who were selected by using accidental sampling technique. Results: The study revealed that nurses performed eye contact, well informed consent, quick respond to the needs of patient and family members, clear voice, understandable language, introducing them self, active listening and emphatic, calm and friendly. Regarding anxiety of family members, 42.6% of them were showing moderate level of anxiety, whereas 34.0% of them were showing low level of anxiety. In bivariate analysis by using Spearman's Rho showed that p value was 0.000 and coefficient correlation -0.765. It was indicated that there was significantly relationship between communication of emergency nurses and the level of anxiety of family members. It was indicated that the more effective the communication performed by nurses, the less the anxiety level of family members. Conclusions: Nurse is required to be able to perform their therapeutic communication skill effectively so that the anxiety level of family members is decreasing. As a result, the stable emotion of family members affect to the appropriate decision making of medical treatment.

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The relationship between communication of nurses and level of anxiety of patient's family in emergency room dr. Dradjat Prawiranegara hospital, Serang Banten, Indonesia

2016

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“…During a patient's ICU admission, family caregivers experience stress from a variety of sources, including the onset of critical illness, ICU environment, and competing demands between their presence in the ICU and personal responsibilities [17]. In the acute phase of critical illness, depressive symptoms and anxiety are the most commonly manifested psychological symptoms in family caregivers.…”

Section: Psychological Outcomesmentioning

confidence: 99%

Psychological and Physical Health in Family Caregivers of Intensive Care Unit Survivors: Current Knowledge and Future Research Strategies

2016

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Purpose: This article provides an overview of current knowledge on the impact of caregiving on the psychological and physical health of family caregivers of intensive care unit (ICU) survivors and suggestions for future research. Methods: Review of selected papers published in English between January 2000 and October 2015 reporting psychological and physical health outcomes in family caregivers of ICU survivors. Results: In family caregivers of ICU survivors followed up to five years after patients' discharge from an ICU, psychological symptoms, manifested as depression, anxiety and post-traumatic stress disorder, were highly prevalent. Poor self-care, sleep disturbances and fatigue were identified as common physical health problems in family caregivers. Studies to date are mainly descriptive; few interventions have targeted family caregivers. Further, studies that elicit unique needs of families from diverse cultures are lacking. Conclusion: Studies to date have described the impact of caregiving on the psychological and physical health in family caregivers of ICU survivors. Few studies have tested interventions to support unique needs in this population. Therefore, evidence for best strategies is lacking. Future research is needed to identify ICU caregivers at greatest risk for distress, time points to target interventions with maximal efficacy, needs of those from diverse cultures and test interventions to mitigate family caregivers' burden.

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“…With the epidemiological transition (1) in Brazil, there has been an increase in the number of chronic medical conditions, including in childhood, which means that the health system and its professionals must resolve the needs of those who live with these conditions, especially the family (2) .…”

Section: Introductionmentioning

confidence: 99%

Percepções da família da criança com doença crônica frente às relações com profissionais da saúde

Baltor

Matos

Wernet

et al. 2013

Rev. esc. enferm. USP

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RESUMOA prevalência de doença crônica na infância tem aumentado, impondo à família contato contínuo com profissionais de saúde, ocasião em que a relação desempenha papel relevante. Raras explorações cientí-ficas abordam tal temática, apesar de ser apontada como núcleo fundamental para a interação efetiva. O objetivo desse estudo foi caracterizar como a família de criança doente crônica percebe sua relação com os profissionais de saúde. Foram entrevistados 20 cuidadores de criança com doença crônica. O referencial teórico e metodoló-gico adotados foram, respectivamente, o Interacionismo Simbólico e a análise de conteúdo temática. O processo analítico revelou quatro categorias temáticas: papel do cuidador, relações angustiantes, serviços e profissionais e buscando relações acolhedoras. O resultado deste processo interacional que apresenta incongruência de expectativas e comportamentos entre profissional e família é falho e gera sentimento de desamparo, o qual é amenizado pela escuta e compreensão de outras famí-lias em situação similar. DESCRITORES ABSTRACTThe prevalence of chronic disease in childhood has increased, placing families in constant contact with health professionals. In such situations the relationship with health professionals has an important role. Few scientific studies address this theme, in spite of its being highlighted as fundamental for effective interaction. The aim of this study was to characterize how the family of a child with a chronic disease perceives its relationship with health professionals. Twenty caregivers for children with chronic diseases were interviewed. The theoretical and methodological frameworks were, respectively, symbolic interactionism and thematic content analysis. The analytical process revealed four themes: role of the caregiver, stressful relationships, services and professionals, and seeking welcoming relationships. The outcomes of this interactional process, which show an incongruity of expectations and behaviors between professionals and families, are poor and generate feelings of abandonment. These can be eased through listening and understanding by other families in similar situations. DESCRIPTORSChild Chronic disease Communication Professional-family relations RESUMEN La prevalencia de la enfermedad crónica en la infancia ha aumentado, requiriendo la familia un contacto continuo con los profesionales de salud, momento donde esta relación juega un papel importante. Existen pocas exploraciones científicas que traten este tema, a pesar de ser identificado como núcleo fundamental para la interacción efectiva. El objetivo de este estudio fue caracterizar la percepción de la familia del niño con enfermedad crónica sobre la relación con los profesionales de la salud. Fueron entrevistados 20 cuidadores de niños con enfermedades crónicas. El referencial teó-rico y metodológico adoptados fueron el Interaccionismo Simbólico y el análisis del contenido temático, respectivamente. El proceso de análisis reveló cuatro categorías temáticas: rol del cuidador, relaciones angus...

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

Cited by 64 publications

References 72 publications

The relationship between communication of nurses and level of anxiety of patient's family in emergency room dr. Dradjat Prawiranegara hospital, Serang Banten, Indonesia

The relationship between communication of nurses and level of anxiety of patient's family in emergency room dr. Dradjat Prawiranegara hospital, Serang Banten, Indonesia

Psychological and Physical Health in Family Caregivers of Intensive Care Unit Survivors: Current Knowledge and Future Research Strategies

Percepções da família da criança com doença crônica frente às relações com profissionais da saúde

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