Nursing strategies to support family members of ICU patients at high risk of dying.

Nursing strategies to support family members of ICU patients at high risk of dying.
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DOI:
10.1016/j.hrtlng.2014.02.001
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发表时间:
2014-09
期刊:
影响因子:
2.8
通讯作者:
Bailey, Donald E., Jr.
Bailey, Donald E., Jr.
中科院分区:
医学4区
文献类型:
--
作者:
Adams, Judith A.;Anderson, Ruth A.;Docherty, Sharron L.;Tulsky, James A.;Steinhauser, Karen E.;Bailey, Donald E., Jr.

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To explore how family members of ICU patients at high risk of dying respond to nursing communication strategies. Family members of ICU patients may face difficult decisions. Nurses are in a position to provide support. Evidence of specific strategies that nurses use to support decision-making and how family members respond to these strategies is lacking. This is a prospective, qualitative descriptive study involving the family members of ICU patients identified as being at high risk of dying. Family members described five nursing approaches: Demonstrating concern, building rapport, demonstrating professionalism, providing factual information, and supporting decision-making. This study provides evidence that when using these approaches, nurses helped family members to cope; to have hope, confidence, and trust; to prepare for and accept impending death; and to make decisions. Knowledge lays a foundation for interventions targeting the areas important to family members and most likely to improve their ability to make decisions and their well-being.
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