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Xuan G, Juan D, Xurui Z, Fei L. Real emotional experience of family members of patients transported within hospital in neurosurgical intensive care unit: A descriptive qualitative study. Nurs Open 2024; 11:e2151. [PMID: 38770898 PMCID: PMC11107143 DOI: 10.1002/nop2.2151] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/04/2023] [Revised: 03/05/2024] [Accepted: 03/21/2024] [Indexed: 05/22/2024] Open
Abstract
AIM To understand the real experience of family members of patients in neurosurgical intensive care unit (NICU) during intra-hospital transport (IHT), explore their inner needs and provide effective intervention measures for the construction of standardized IHT plan. DESIGN A descriptive qualitative study. METHODS For the purposes of this study, 10 family members of IHT patients were included using a purposive sampling method. Semi-structured in-depth interviews were used to collect the data, Nvivo 11 software was used to organize the data, and Colaizzi's 7-step descriptive phenomenology method was used to analyse the data. RESULTS A total of three themes and nine subthemes were extracted, namely: Experience of emotional changes at different stages (uncertainty before transfer, complex internal activity during transit, ambivalence after transfer); Perception of problems in IHT (poor doctor-patient communication, weak awareness of risk assessment, deficiencies in the transfer procedure); Consciousness of the real needs (emotional respect and closeness, stay informed of the progression of the disease, greater social support). CONCLUSION Family members of patients in the NICU have complex internal experiences and multiple support needs during IHT, reflecting the need for further standardization of the transport process. In the future, we should improve the mode of safe IHT involving doctors, nurses and family members of patients, ensure the safety of patient transport, meet the social support needs of family members and improve the experience of IHT and the medical satisfaction of family members.
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Affiliation(s)
- Guo Xuan
- Department of NeurosurgeryJingzhou Hospital Affiliated to Yangtze UniversityJingzhouHubeiChina
| | - Ding Juan
- Nursing DepartmentJingzhou Hospital Affiliated to Yangtze UniversityJingzhouHubeiChina
| | - Zeng Xurui
- Department of NeurosurgeryJingzhou Hospital Affiliated to Yangtze UniversityJingzhouHubeiChina
| | - Liu Fei
- Medicine DepartmentYangtze UniversityJingzhouHubeiChina
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Liu T, Zhao Z, Wu C, Lu C, Liu M, An X, Sha Z, Wang X, Luo Z, Chen L, Liu C, Cao P, Zhang D, Jiang R. Impact of COVID-19 infection experience on mental health status of intensive care unit patients' family members: a real-world study. QJM 2023; 116:903-910. [PMID: 37498557 DOI: 10.1093/qjmed/hcad184] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/10/2023] [Revised: 07/05/2023] [Indexed: 07/28/2023] Open
Abstract
PURPOSE Family members of patients hospitalized in intensive care unit (ICU) are susceptible to adverse psychological outcomes. However, there is a paucity of studies specifically examining the mental health symptoms in ICU patients' family members with a prior history of coronavirus disease 2019 (COVID-19) infection. AIM This study aimed to investigate mental health status and its influencing factors of ICU patients' family members with previous COVID-19 infection experience in China. DESIGN Nationwide, cross-sectional cohort of consecutive participants of family members of ICU patients from 10 provinces randomly selected in mainland China conducted between October 2022 and May 2023. METHODS The basic information scale, Self-rating depression scale, Self-rating Anxiety Scale, Impact of Event Scale-Revised, Pittsburgh sleep quality index, Perceived Stress Scale, Connor-Davidson resilience scale, Simplified Coping Style Questionnaire were employed to explore mental health status among participants. RESULTS A total of 463 participants, comprising 156 individuals in Covid-19 family member cohort (infection group) and 307 individuals in control family member cohort (control group), met inclusion criteria. The infection group exhibited significantly higher incidence of composite mental health symptoms compared to control group (P = 0.017). Multivariable logistic regression analysis revealed that being female, engaging in physical/mental labor, residing in rural areas, and having children were identified as risk factors for the development of depression, anxiety, and post-traumatic stress disorder symptoms, while medical history of surgery was protective factor. A predictive model demonstrated a favorable discriminative ability and excellent calibration. CONCLUSION COVID-19 infection experience regarded as new traumatic stressors worsen mental health status of ICU patients' family members.
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Affiliation(s)
- T Liu
- Department of Neurosurgery, Tianjin Medical University General Hospital, Tianjin, China
- Key Laboratory of Post Neuro-Injury Neuro-Repair and Regeneration in Central Nervous System, Tianjin Neurological Institute, Tianjin Medical University General Hospital, Ministry of Education, Tianjin, China
| | - Z Zhao
- Department of Neurosurgery, Tianjin Medical University General Hospital, Tianjin, China
- Key Laboratory of Post Neuro-Injury Neuro-Repair and Regeneration in Central Nervous System, Tianjin Neurological Institute, Tianjin Medical University General Hospital, Ministry of Education, Tianjin, China
| | - C Wu
- Department of Neurosurgery, Tianjin Medical University General Hospital, Tianjin, China
- Key Laboratory of Post Neuro-Injury Neuro-Repair and Regeneration in Central Nervous System, Tianjin Neurological Institute, Tianjin Medical University General Hospital, Ministry of Education, Tianjin, China
| | - C Lu
- Department of Psychiatry, Tianjin Anding Hospital, Mental Health Center of Tianjin Medical University, Tianjin, China
| | - M Liu
- Department of Neurosurgery, Tianjin Medical University General Hospital, Tianjin, China
- Key Laboratory of Post Neuro-Injury Neuro-Repair and Regeneration in Central Nervous System, Tianjin Neurological Institute, Tianjin Medical University General Hospital, Ministry of Education, Tianjin, China
| | - X An
- Department of Intensive Care Unit, Beijing Tiantan Hospital, Beijing, China
| | - Z Sha
- Department of Neurosurgery, Tianjin Medical University General Hospital, Tianjin, China
- Key Laboratory of Post Neuro-Injury Neuro-Repair and Regeneration in Central Nervous System, Tianjin Neurological Institute, Tianjin Medical University General Hospital, Ministry of Education, Tianjin, China
| | - X Wang
- Department of Neurology, The First Affiliated Hospital of China Medical University, Shenyang, China
| | - Z Luo
- Department of Neurosurgery, Shandong Provincial Third Hospital, Shandong, China
| | - L Chen
- Department of Intensive Care Unit, Shaoxing People's Hospital, Shaoxing, Zhejiang, China
| | - C Liu
- Department of Radiology, The First Affiliated Hospital of Anhui Medical University, Anhui, China
| | - P Cao
- Department of Intensive Care Unit, The First Affiliated Hospital of Bengbu Medical College, Anhui, China
| | - D Zhang
- Tianjin Neurological Institute, Key Laboratory of Post Neuro-Injury Neuro-Repair and Regeneration in Central Nervous System, Ministry of Education and Tianjin City, Tianjin, 300052, China
| | - R Jiang
- Department of Neurosurgery, Tianjin Medical University General Hospital, Tianjin, China
- Key Laboratory of Post Neuro-Injury Neuro-Repair and Regeneration in Central Nervous System, Tianjin Neurological Institute, Tianjin Medical University General Hospital, Ministry of Education, Tianjin, China
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Rückholdt M, Tofler GH, Randall S, Cistulli PA, Whitfield V, Washington K, Ward C, Fethney J, Morrel-Kopp MC, Buckley T. Impact of hospitalisation on behavioural and physiological stress responses associated with cardiovascular risk in visiting family members. Aust Crit Care 2023; 36:762-768. [PMID: 36371291 DOI: 10.1016/j.aucc.2022.09.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/25/2022] [Revised: 09/02/2022] [Accepted: 09/21/2022] [Indexed: 11/11/2022] Open
Abstract
BACKGROUND The hospitalisation of a patient in intensive care impacts the psychological health of family members, with a high prevalence of anxiety, depression, and post-traumatic stress symptoms reported among families of critically ill patients. Understanding of the behavioural and physiological impact is limited and presents a new area of focus. OBJECTIVES The objective of this study was to evaluate behavioural and physiological stress responses of visiting family members following hospitalisation of their adult relative. METHODS Prospective longitudinal evaluation included 40 family members of adult patients with admission to intensive or coronary care in a large tertiary care metropolitan hospital. Assessments were conducted at three timepoints: in-hospital within 1 week of admission and 2 weeks and 3 months post discharge. Assessments included duration and quality of sleep (self-reported and actigraphy measured), physical activity, dietary and alcohol patterns, resting heart rate and blood pressure, and morning blood cortisol and lipid levels. Assessment of a reference group of 40 non-hospital-exposed control participants was also conducted. RESULTS At the in-hospital assessment, study participants reported lower sleep time, altered 24-h physical activity patterns, reduced dietary and alcohol intake, and higher systolic and diastolic blood pressure than a nonhospitalised reference group. Compared to in-hospital assessment, these altered behavioural and physiological responses improved over time except for systolic blood pressures which remained unchanged at 3 months post family member discharge. CONCLUSION Hospitalisation is associated with altered behavioural and physiological responses in family members. These findings contribute to understanding of the impact of unexpected hospitalisation on family members' cardiovascular risk factors and provide insights into potential mechanisms for the proposed increased risk during this time. Elevated systolic blood pressure at 3 months post discharge suggests a prolonged cardiovascular stress response in many family members of critical care patients that requires further study, with a focus on contributing and potential modifiable factors.
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Affiliation(s)
- Monica Rückholdt
- University of Sydney, Australia; Royal North Shore Hospital, Sydney, Australia; Australian Catholic University, Australia.
| | - Geoffrey H Tofler
- University of Sydney, Australia; Royal North Shore Hospital, Sydney, Australia
| | | | - Peter A Cistulli
- University of Sydney, Australia; Royal North Shore Hospital, Sydney, Australia
| | | | | | - Chris Ward
- University of Sydney, Australia; Royal North Shore Hospital, Sydney, Australia; Kolling Institute, Sydney, Australia
| | | | | | - Thomas Buckley
- University of Sydney, Australia; Royal North Shore Hospital, Sydney, Australia; Kolling Institute, Sydney, Australia
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4
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Drakenberg A, Prignitz Sluys K, Ericsson E, Sundqvist AS. The Family Involvement in Care Questionnaire-An instrument measuring family involvement in inpatient care. PLoS One 2023; 18:e0285562. [PMID: 37582093 PMCID: PMC10426968 DOI: 10.1371/journal.pone.0285562] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/25/2022] [Accepted: 04/26/2023] [Indexed: 08/17/2023] Open
Abstract
BACKGROUND Family involvement in care can be seen as a prerequisite for high-quality family-centered care. It has been identified to improve both patient safety and the quality of care by reducing patient complications and hospital length of stay. OBJECTIVE To develop and evaluate the content validity of a questionnaire measuring family involvement in inpatient care. METHODS The study followed a systematic approach in building a rigorous questionnaire: identification of domain, item generation, and assessment of content validity. The content validity index was calculated based on ratings of item relevance by an expert group consisting of seven senior nurses. Subsequently, 19 online cognitive interviews using the Think-aloud method were conducted with family members of former patients who had undergone open-heart surgery. RESULTS Five aspects of family involvement were identified, and the initial pool of items were selected from two preexisting questionnaires. The experts' ratings resulted in item content validity of 0.71-1.00, and the scale content validity/averaging was 0.90, leading to rewording, exclusion, and addition of items. The pretesting of items through two rounds of cognitive interviews with family members resulted in the identification of three main problem areas: defining family involvement, misinterpretation of different terms, and underuse of the not relevant response option. The problems were adjusted in the final version of the questionnaire, which consists of 16 items with a four-point Likert scale and two open-ended items. CONCLUSIONS The Family Involvement in Care Questionnaire has demonstrated potential in evaluating family involvement in inpatient care. Further psychometric properties regarding reliability and validity need to be established.
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Affiliation(s)
- Anna Drakenberg
- Faculty of Medicine and Health, School of Health Sciences, Örebro University, Örebro, Sweden
- Department of Cardiothoracic and Vascular Surgery, Örebro University Hospital, Örebro, Sweden
| | - Kerstin Prignitz Sluys
- Faculty of Medicine and Health, School of Health Sciences, Örebro University, Örebro, Sweden
| | - Elisabeth Ericsson
- Faculty of Medicine and Health, School of Health Sciences, Örebro University, Örebro, Sweden
| | - Ann-Sofie Sundqvist
- University Health Care Research Centre, Faculty of Medicine and Health, Örebro University, Örebro, Sweden
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5
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Pignatiello GA, Griggs S, Irani E, Hoffer SA, Hickman RL. Longitudinal Associations Among Symptoms of Family Intensive Care Unit Syndrome. Am J Crit Care 2023; 32:309-313. [PMID: 37391372 DOI: 10.4037/ajcc2023443] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 07/02/2023]
Abstract
BACKGROUND Family intensive care unit (ICU) syndrome, a comorbid response to another person's stay in the ICU, is characterized by emotional distress, poor sleep health, and decision fatigue. OBJECTIVES This pilot study examined associations among symptoms of emotional distress (anxiety and depression), poor sleep health (sleep disturbance), and decision fatigue in a sample of family members of patients in the ICU. METHODS The study used a repeated-measures, correlational design. Participants were 32 surrogate decision makers of cognitively impaired adults who had at least 72 consecutive hours of mechanical ventilation within the neurological, cardiothoracic, and medical ICUs at an academic medical center in northeast Ohio. Surrogate decision makers with a diagnosis of hypersomnia, insomnia, central sleep apnea, obstructive sleep apnea, or narcolepsy were excluded. Severity of symptoms of family ICU syndrome was measured at 3 time points in 1 week. Zero-order Spearman correlations of the study variables were interpreted at baseline and partial Spearman correlations of study variables were interpreted 3 days and 7 days after baseline. RESULTS The study variables showed moderate to large associations at baseline. Baseline anxiety and depression were associated with each other and with decision fatigue at day 3. Baseline sleep disturbance was associated with anxiety, depression, and decision fatigue at day 7. CONCLUSIONS Understanding the temporal dynamics and mechanisms of the symptoms of family ICU syndrome can inform clinical, research, and policy initiatives that enhance the provision of family-centered critical care.
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Affiliation(s)
- Grant A Pignatiello
- Grant A. Pignatiello is an instructor and KL2 clinical research scholar, Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, Ohio
| | - Stephanie Griggs
- Stephanie Griggs is an assistant professor, Frances Payne Bolton School of Nursing
| | - Elliane Irani
- Elliane Irani is an assistant professor, Frances Payne Bolton School of Nursing
| | - Seth Alan Hoffer
- Seth Alan Hoffer is an associate professor of neurological surgery and assistant professor of neurology, Case Western Reserve University School of Medicine and University Hospitals Cleveland Medical Center, Cleveland
| | - Ronald L Hickman
- Ronald L. Hickman Jr is an associate professor of nursing and the associate dean for research, Frances Payne Bolton School of Nursing
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6
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Strik JJMH, Tijssen KAM, Salamah HKZ, de la Haye N, Schieveld JNM. On children's visits, mobile phones and family empowerment in paediatric intensive care medicine. Intensive Care Med 2023; 49:710-711. [PMID: 37138121 PMCID: PMC10155646 DOI: 10.1007/s00134-023-07070-3] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/06/2023] [Indexed: 05/05/2023]
Affiliation(s)
- Jacqueline J M H Strik
- Division of Child and Adolescent Psychiatry and Psychology, Department of Psychiatry and Psychology, Maastricht University Medical Centre, PO Box 5800, 6202 AZ, Maastricht, The Netherlands.
- School for Mental Health and Neuroscience (MHeNs), Maastricht University, Maastricht, The Netherlands.
- Mutsaersstichting (Mutsaers Foundation and Educational Institute), Venlo, The Netherlands.
| | - Kim A M Tijssen
- Division of Child and Adolescent Psychiatry and Psychology, Department of Psychiatry and Psychology, Maastricht University Medical Centre, PO Box 5800, 6202 AZ, Maastricht, The Netherlands
- School for Mental Health and Neuroscience (MHeNs), Maastricht University, Maastricht, The Netherlands
| | - Husam K Z Salamah
- Division of Child and Adolescent Psychiatry and Psychology, Department of Psychiatry and Psychology, Maastricht University Medical Centre, PO Box 5800, 6202 AZ, Maastricht, The Netherlands
- School for Mental Health and Neuroscience (MHeNs), Maastricht University, Maastricht, The Netherlands
| | - Nicole de la Haye
- Department of Paediatrics, Maastricht University Medical Centre, Maastricht, The Netherlands
- Paediatric Intensive Care Unit (PICU), Maastricht University Medical Centre, Maastricht, The Netherlands
| | - Jan N M Schieveld
- Division of Child and Adolescent Psychiatry and Psychology, Department of Psychiatry and Psychology, Maastricht University Medical Centre, PO Box 5800, 6202 AZ, Maastricht, The Netherlands
- School for Mental Health and Neuroscience (MHeNs), Maastricht University, Maastricht, The Netherlands
- Mutsaersstichting (Mutsaers Foundation and Educational Institute), Venlo, The Netherlands
- European Graduate School of Neuroscience (EURON), Maastricht, The Netherlands
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7
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Gurbuz H, Demir N. Anxiety and Depression Symptoms of Family Members of Intensive Care Unit Patients: A Prospective Observational Study and the Lived Experiences of the Family Members. Avicenna J Med 2023; 13:89-96. [PMID: 37435558 PMCID: PMC10332937 DOI: 10.1055/s-0043-1769933] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 07/13/2023] Open
Abstract
Background The aim of this study is to investigate the factors affecting symptoms of anxiety and depression in the family members of critically ill patients. Methods This prospective cohort study was conducted in an adult tertiary care mixed medical-surgical intensive care unit (ICU) at a tertiary-level teaching hospital. The symptoms of anxiety and depression of first-degree adult relatives were evaluated with the Hospital Anxiety and Depression Scale. Four family members were interviewed and asked about their experiences during the ICU process. Results A total of 84 patients and their family members were included in the study. The symptoms of anxiety were present in 44/84 (52.4%), and depression was present in 57/84 (67.9%) family members. A nasogastric tube was found to be related to anxiety ( p = 0.005) and depressive symptoms ( p = 0.002). The family members of the patients with an acute developed illness had 3.9 (95% confidence interval [CI]: 1.4-10.9) times the odds of having the symptoms of anxiety and 6.2 (95% CI: 1.7-21.7) times the odds of having the symptoms of depression than the family members of the patients with an illness developed on a chronic basis. The family members of the patients who died in the ICU had 5.0 (95% CI: 1.0-24.5) times the odds of being depressed than the patients discharged from the ICU. All interviewees stated having difficulty understanding and remembering what was told. The common feelings of all the interviewees were desperation and fear. Conclusions Awareness of the emotional stress of family members can help develop interventions and attitudes to alleviate symptom burden.
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Affiliation(s)
- Hande Gurbuz
- Department of Anesthesiology and Reanimation, University of Health Sciences, Bursa School of Medicine, Bursa City Hospital, Bursa, Turkey
- Department of Anesthesiology and Reanimation. Formerly: University of Health Sciences, Derince Training and Research Hospital, Kocaeli, Turkey
| | - Nalan Demir
- Department of Anesthesiology and Reanimation. Formerly: University of Health Sciences, Derince Training and Research Hospital, Kocaeli, Turkey
- Department of Chest Diseases, Intensive Care Division, Ankara City Hospital, Ankara, Turkey
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Reck J, Gawlytta R, Kesselmeier M, Böttche M, Niemeyer H, Knaevelsrud C, Rosendahl J. [Differential Effects of an Internet-Based Cognitive-Behavioral Writing Therapy for Reducing PTSD Symptoms after Intensive Care: Results of a Per-Protocol Analysis]. PSYCHIATRISCHE PRAXIS 2023. [PMID: 36758588 DOI: 10.1055/a-1997-9556] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/11/2023]
Abstract
OBJECTIVE To investigate the differential effects of an internet-based cognitive-behavioral writing therapy (iCBT) on post-traumatic stress disorder (PTSD) symptoms after intensive care in patients and their spouses. METHODS This reanalysis of a randomized controlled trial compared PTSD symptom severity (measured by PCL-5) before and after therapy considering potential influencing factors in the per-protocol population. RESULTS A significant reduction in post-traumatic symptom severity after iCBT was found. Eleven of the 25 treated participants showed a clinically significant change (PCL-5 difference≥10 points). The number of words written by the participants in the therapy modules had a significant impact on iCBT efficacy. CONCLUSION iCBT appears to be a promising option to augment therapy for PTSD, particularly for physically impaired patients following critical illness.
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Affiliation(s)
- Johannes Reck
- Institut für Psychosoziale Medizin, Psychotherapie und Psychoonkologie, Universitätsklinikum Jena, Jena, Germany
| | - Romina Gawlytta
- Institut für Psychosoziale Medizin, Psychotherapie und Psychoonkologie, Universitätsklinikum Jena, Jena, Germany
| | - Miriam Kesselmeier
- Institut für Medizinische Statistik, Informatik und Dokumentation, Universitätsklinikum Jena, Jena, Germany
| | - Maria Böttche
- Arbeitsbereich Klinisch-Psychologische Intervention, Freie Universität Berlin, Berlin, Germany.,Zentrum ÜBERLEBEN gGmbH, Berlin, Germany
| | - Helen Niemeyer
- Arbeitsbereich Klinisch-Psychologische Intervention, Freie Universität Berlin, Berlin, Germany
| | - Christine Knaevelsrud
- Arbeitsbereich Klinisch-Psychologische Intervention, Freie Universität Berlin, Berlin, Germany
| | - Jenny Rosendahl
- Institut für Psychosoziale Medizin, Psychotherapie und Psychoonkologie, Universitätsklinikum Jena, Jena, Germany
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Maloh HIAA, Jarrah S, Al-Yateem N, Ahmed FR, AbuRuz ME. Open visitation policy in intensive care units in Jordan: cross-sectional study of nurses' perceptions. BMC Nurs 2022; 21:336. [PMID: 36457014 PMCID: PMC9715403 DOI: 10.1186/s12912-022-01116-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/10/2022] [Accepted: 11/21/2022] [Indexed: 12/05/2022] Open
Abstract
INTRODUCTION Intensive care unit patients and families experience significant stress. It creates frustrations, nervousness, irritability, social isolation for patients, anxiety, and depression for families. An open visitation policy with no time or duration limits may assist in reducing these negative experiences. However, most Jordanian and regional hospitals within the Middle-East and Northern Africa (MENA) have not implemented this strategy. PURPOSE To evaluate nurse managers' and nurses' perspectives on the effects of an open visitation policy at intensive care units (ICUs) on patients, families, and nurses' care. METHOD A cross-sectional, descriptive, and comparative survey design was used. RESULTS A total of 234 nurses participated in the study; 59.4% were males, and 40.6% were females. The mean of their age was 28.6 years, with a mean of 4.1 years of experience. Nurses generally had negative perceptions and attitudes toward the open visitation policy and its consequences on the patient, family, and nursing care. CONCLUSIONS ICU managers and staff nurses did not favor implementing an open visitation in their units despite its known benefits, international recommendations, and relevance and compatibility with the local religious and cultural context. A serious discussion regarding this hesitation from the side of the healthcare professionals should be started to find a suitable solutions that consider the benefits of the open visitation policy and the challenges that prevent its implementation in the Jordanian and Arabic cultures.
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Affiliation(s)
| | - Samiha Jarrah
- grid.411423.10000 0004 0622 534XFaculty of Nursing, Applied Science Private University, Amman, Jordan
| | - Nabeel Al-Yateem
- grid.412789.10000 0004 4686 5317Department of Nursing, College of Health Sciences, University of Sharjah, Sharjah, UAE
| | - Fatma Refaat Ahmed
- grid.412789.10000 0004 4686 5317Department of Nursing, College of Health Sciences, University of Sharjah, Sharjah, UAE ,grid.7155.60000 0001 2260 6941Critical Care and Emergency Nursing Department, Faculty of Nursing, Alexandria University, Alexandria, Egypt
| | - Mohannad Eid AbuRuz
- grid.411423.10000 0004 0622 534XFaculty of Nursing, Applied Science Private University, Amman, Jordan
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10
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Pignatiello GA, Griggs S, Hickman RL. Sociocultural Moderators of Emotion Regulation in Family Members of the Critically Ill. West J Nurs Res 2022; 44:1183-1192. [PMID: 36154536 PMCID: PMC9854268 DOI: 10.1177/01939459221124652] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/25/2023]
Abstract
Coping with a loved one's critical illness as a surrogate decision-maker (SDM) elicits intense psychological distress. Emotion regulation (ER) may mitigate psychological distress. However, ER tendencies and their effects on psychological distress vary by racial and gender identity, which can inform the tailoring of ER-focused interventions. For this study, we examined between-group differences and the moderating effects of race and gender on ER (reappraisal and suppression) and psychological distress. We recruited 274 SDMs from a Midwestern academic medical center. Men reported a greater tendency to use suppression than women, and SDMs identifying as non-White reported a greater tendency to use reappraisal and suppression. Reappraisal resulted in greater psychological distress for non-White men and less psychological distress for White women. Incorporating tailored ER skill building into supportive interventions may improve the short- and long-term psychological well-being of SDMs, which may improve their ability to make value-concordant decisions and fulfill other informal caregiving responsibilities.
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11
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The lived experience by patients and family members of extracorporeal membrane oxygenation: A qualitative study. Intensive Crit Care Nurs 2022; 73:103307. [PMID: 35933249 DOI: 10.1016/j.iccn.2022.103307] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/03/2022] [Revised: 06/17/2022] [Accepted: 07/25/2022] [Indexed: 11/20/2022]
Abstract
OBJECTIVE To examine the lived experience of extracorporeal membrane oxygenation (ECMO) by patients and their families, and their relationship with intensive care clinicians. RESEARCH METHODOLOGY Semi-structured interviews were conducted with six patients who had received ECMO and with four of their family members. The data were analysed narratively using a constant comparative method. SETTING Patients were treated at a major acute care hospital in British Columbia between 2014 and 2021. ECMO was used either as a bridge to recovery or to organ transplant. Four had family members bedside throughout, while two had virtual visits due to COVID-19 infection control measures. FINDINGS ECMO was experienced through a triad of relationships between the patient, key family members and key clinicians. The strength, directionality and focus of these relationships shifted during therapy and realigned once ECMO was removed. The largest shift involved family members. Post-ECMO, patients relied almost entirely on spouses, adult children and clinical team members to reconstruct their experience. The connection between families and clinical team members was limited and changed little. CONCLUSIONS The lived experience of ECMO was complex in ways yet to be comprehensively reported in the literature. This technology had particular impact on family members when ECMO was used as a bridge to transplant and where run times extended to multiple weeks. COVID-19 infection control restrictions further complicated how this technology was experienced. Findings from this study highlight the importance of intensive care nurses recognising the critical role family members play as witnesses whose experiences later allow patients to make sense of their journey post-discharge.
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12
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van den Hoogen A, Ketelaar M. Parental involvement and empowerment in paediatric critical care: Partnership is key! Nurs Crit Care 2022; 27:294-295. [PMID: 35526086 PMCID: PMC9325392 DOI: 10.1111/nicc.12727] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/21/2021] [Accepted: 10/21/2021] [Indexed: 11/25/2022]
Affiliation(s)
- Agnes van den Hoogen
- Department of Neonatology, University Medical Centre Utrecht, Wilhelmina Children's Hospital, Utrecht, The Netherlands.,Department of Clinical Health Science, Utrecht University, Utrecht, The Netherlands
| | - Marjolijn Ketelaar
- Centre of Excellence for Rehabilitation Medicine, Brain Centre University Medical Centre Utrecht and De Hoogstraat Rehabilitation, Utrecht, The Netherlands
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13
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Saeid Y, Moradian ST, Ebadi A, Salaree MM. The family intensive care unit syndrome: A qualitative content analysis. Nurs Crit Care 2021; 27:401-409. [PMID: 34405490 DOI: 10.1111/nicc.12683] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/15/2020] [Revised: 06/21/2021] [Accepted: 07/02/2021] [Indexed: 11/29/2022]
Abstract
BACKGROUND Hospitalization of patients in an intensive care unit (ICU) is associated with a series of psychological problems for their family members called family intensive care unit syndrome (FICUS). Nonetheless, family members of patients in ICU often receive little attention from health care providers. Exploring family members' experiences of their patients' hospitalization in ICU helps health care providers focus more clearly on their problems. AIMS AND OBJECTIVES This study aimed to explore FICUS-related experiences among the family members of patients in ICU. DESIGN This was a qualitative content analysis study. METHODS This qualitative study was conducted in 2019. Participants were 14 family members of patients in ICU who were purposively selected from three hospitals in Tehran, Iran. Data were collected using semi-structured interviews and were analyzed using qualitative content analysis. RESULTS Participants' experiences of FICUS fell into four categories, that is, threat to psychological well-being (with four subcategories), threat to physical health (with three subcategories), threat to social health (with three subcategories), and change in spiritual orientation (with two subcategories). The 12 subcategories of these categories were emotional disturbances, hopelessness, changes in sleep pattern, mood changes, physical symptoms, aggravation of the existing illnesses, negligence towards personal health, alteration in social interactions, alteration in the burden of responsibility, alternation in the life process, resort to spiritual beliefs, and spiritual conflict, respectively. CONCLUSION FICUS symptoms are not limited to psychological problems, rather they include a wide range of psychological, physical, social, and spiritual problems, which can affect the different aspects of family members' lives. Along with care delivery to patients in ICU, health care providers should provide care and support to patients' family members. RELEVANCE TO CLINICAL PRACTICE FICUS is a major threat to health among the family members of patients in ICU. Careful assessment of these family members helps identify family members who are at risk for FICUS and identify FICUS effects on their decisions and health status.
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Affiliation(s)
- Yaser Saeid
- Trauma Research Committee and Faculty of Nursing, Baqiyatallah University of Medical Sciences, Tehran, Iran
| | - Seyed Tayeb Moradian
- Atherosclerosis Research Center and Faculty of Nursing, Baqiyatallah University of Medical Sciences, Tehran, Iran
| | - Abbas Ebadi
- Behavioral Science Research Center, Life Style Institute and Faculty of Nursing, Baqiyatallah University of Medical Sciences, Tehran, Iran
| | - Mohammad Mahdi Salaree
- Health Research Center, Life Style Institute and Faculty of Nursing, Baqiyatallah University of Medical Sciences, Tehran, Iran
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