Family members' lived experience in the intensive care unit: a phemenological study.
Family members' lived experience in the intensive care unit: a phemenological study.
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DOI：
10.1016/j.iccn.2010.06.004
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发表时间：
2010-10-01
影响因子：
5.3
通讯作者：
McCarthy, Geraldine
中科院分区：
文献类型：
--
作者：
McKiernan, Margaret;McCarthy, Geraldine
目的：描述重症监护病房患者家属的生活经历。背景：重症监护病房收治危重患者家属会给家属带来焦虑和压力。护理最初集中在维持病人的生理稳定，而不是家庭成员的需要和关注。了解家庭如何理解这种经验可能有助于护士专注于提供家庭为中心的care.METHODOLOGY：现象学的方法被用来描述在重症监护病房的病人的家庭成员的生活经历。进行了深入的访谈，与六个家庭成员和分析使用定性专题analysis.RESULTS：四个主要主题出现的数据：需要知道，这一切的意义，在那里与他们和关心和支持。家庭成员需要关于病人的进展和结果的诚实信息，以使情况对他们更有利。了解情况是一个持续的过程，涉及跟踪和评估所提供的护理。和他们的亲戚在一起维持了他们的家庭纽带，是一种表达爱和支持的方式。护士们的关怀使他们有了安全感。家庭成员需要支持，以帮助他们在copying.CONCLUSION：研究提供了一个洞察到家庭成员如何看待入院的影响，以及他们随后如何找到处理的方法与severity.RELEVANCE临床实践：使用整体的方法，护理评估和护理提供重症监护需要护士与患者的家庭成员互动和照顾。有必要发展以家庭为中心的护理理念，在入院后立即对家庭进行正式评估，并在此时制定适当的护理计划。
AIM: To describe the lived experience of family members of patients in the intensive care unit.BACKGROUND: Admission of a critically ill relative to an intensive care unit causes anxiety and stress to family members. Nursing care is initially focused on maintaining the physiological stability of the patient and less on the needs and concerns of family members. Understanding how families make sense of this experience may help nurses focus on the delivery of family centred care.METHODOLOGY: A phenomenological method was used to describe the lived experiences of family members of patients in an intensive care unit. In-depth interviews were conducted with six family members and analysed using qualitative thematic analysis.RESULTS: Four main themes emerged from the data: the need to know, making sense of it all, being there with them and caring and support. Family members needed honest information about the patient's progress and outcome to make the situation more bearable for them. Making sense of the situation was a continuous process which involved tracking and evaluating care given. Being with their relative sustained their family bond and was a way to demonstrate love and support. Caring reassurance provided by the nurses enabled a sense of security. Support was needed by family members to assist them in coping.CONCLUSION: The research provided an insight into how family members viewed the impact of the admission and how they subsequently found ways of dealing with the situation.RELEVANCE TO CLINICAL PRACTICE: Using a holistic approach to nursing assessment and care delivery in intensive care necessitates that nurses interact with and care for family members of patients. Development of a philosophy of family centred care is necessary, with formal assessment of families to take place soon after admission and an appropriate plan of care drawn up at this time.