The experience of Greek families of critically ill patients: Exploring their needs and coping strategies

被引:31
作者
Koukouli, Sofia [1 ]
Lambraki, Maria [2 ]
Sigala, Evaggelia [3 ]
Alevizaki, Afroditi [4 ]
Stavropoulou, Areti [5 ]
机构
[1] Technol Educ Inst Crete, Dept Social Work, Iraklion, Greece
[2] Gen Hosp Ag Nikolaos, Iraklion, Greece
[3] Hippokrate Gen Hosp Athens, Athens, Greece
[4] Univ Gen Hosp Herakl, Iraklion, Greece
[5] Technol Educ Inst Crete, Dept Nursing, Iraklion, Greece
关键词
Critically ill patients; Intensive care unit; Health care professionals; Quality of care; Family needs; Experience; Qualitative study; INTENSIVE-CARE-UNIT; DECISION-MAKING; SHORT-TERM; MEMBERS; RELATIVES; SYMPTOMS; STRESS; IMPACT; ICU; DIGNITY;
D O I
10.1016/j.iccn.2017.12.001
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
Objectives: To explore the experiences, needs and coping strategies of families of patients admitted to adult intensive care units. Design and setting: A descriptive qualitative research design was chosen using an inductive thematic content analysis approach. Semi-structured interviews were conducted with fourteen family members in three hospitals of Crete. Findings: Four main themes were derived from data analysis. Our results showed that family members were in turmoil having to deal with intense and alternating feelings. The protection of patient's dignity and well-being was of utmost importance mainly by maintaining proximity. Getting comprehensible information and building communication with the healthcare providers was often problematic. Three coping strategies were used: optimism, family support and spirituality. Conclusion: This study is a contribution to the understanding of Greek family's experiences and psychosocial needs during critical illness. A family-inclusive framework should be promoted and implemented in intensive care recognising and supporting family's role in the patient's illness and recovery. (C) 2017 Elsevier Ltd. All rights reserved.
引用
收藏
页码:44 / 51
页数:8
相关论文
共 62 条
[1]   Nursing strategies to support family members of ICU patients at high risk of dying [J].
Adams, Judith A. ;
Anderson, Ruth A. ;
Docherty, Sharron L. ;
Tulsky, James A. ;
Steinhauser, Karen E. ;
Bailey, Donald E., Jr. .
HEART & LUNG, 2014, 43 (05) :406-415
[2]  
Al-Mutair A., 2013, NURSING CRITICAL CAR, V19, P135
[3]  
Al-Mutair A. S., 2013, J CLIN NURS, P1
[4]  
[Anonymous], 2001, The practice of nursing research, conduct, critique, and utilization
[5]   FAMILY VISITATION IN GREEK INTENSIVE CARE UNITS: NURSES' PERSPECTIVE [J].
Athanasiou, Archonto ;
Papathanassoglou, Elizabeth D. E. ;
Patiraki, Elisabeth ;
McCarthy, Mary S. ;
Giannakopoulou, Margarita .
AMERICAN JOURNAL OF CRITICAL CARE, 2014, 23 (04) :326-333
[6]   Risk of post-traumatic stress symptoms in family members of intensive care unit patients [J].
Azoulay, E ;
Pochard, F ;
Kentish-Barnes, N ;
Chevret, S ;
Aboab, J ;
Adrie, C ;
Annane, D ;
Bleichner, G ;
Bollaert, PE ;
Darmon, M ;
Fassier, T ;
Galliot, R ;
Garrouste-Orgeas, M ;
Goulenok, C ;
Goldgran-Toledano, D ;
Hayon, J ;
Jourdain, M ;
Kaidomar, M ;
Laplace, C ;
Larché, J ;
Liotier, J ;
Papazian, L ;
Poisson, C ;
Reignier, J ;
Saidi, F ;
Schlemmer, B .
AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE, 2005, 171 (09) :987-994
[7]   Patient dignity in an acute hospital setting: A case study [J].
Baillie, Lesley .
INTERNATIONAL JOURNAL OF NURSING STUDIES, 2009, 46 (01) :23-37
[8]  
Berg B.L., 2014, Qualitative Research Methods for the Social Sciences, V8th ed.
[9]   Waiting: The experience of persons in a critical care waiting room [J].
Bournes, DA ;
Mitchell, GJ .
RESEARCH IN NURSING & HEALTH, 2002, 25 (01) :58-67
[10]  
Bowen M., 1985, FAMILY THERAPY CLIN