题名

Addressing Disruption in Family Life: Exploration of the Perceived Needs of the Families of Patients Hospitalized in Critical Care Units in Iran

DOI

10.1097/jnr.0000000000000069

作者

Davood Hekmatpou;Hamid Reza Ebrahimi-Fakhar

关键词

content analysis ; critical care units ; patients' families ; perceived needs

期刊名称

The Journal of Nursing Research

卷期/出版年月

23卷2期(2015 / 06 / 01)

页次

118 - 124

内容语文

英文

英文摘要

Background: The stress faced by a family member impacts the whole family. Disease is a stressor that creates crises within families. Purpose: This study explores the perceived needs of the families of hospitalized patients in critical care units in the city of Arak, Iran. Methods: This study used a qualitative design and a content analysis approach. After purposeful sampling, semistructured interviews were held with 16 participants. Results: Using constant comparative analysis, one main theme and eight subthemesemerged fromthedata. Themain themewas "addressing the disruption in family life." The subthemeswere "not being fully informed," "not receiving empathy," "feeling insecure," "being mentally unstable," "being concerned about their patient's future," "being dissatisfied with the lack of facilities for the families of patients," "dealing with financial problems," and "having turbulence intrude on family life. "Conclusions/Implications for Practice: The findings of this study underscore that it is important formedical teams to carefully identify and attend to the needs of the family caregivers of hospitalized patients to reduce the disruptive impact of hospitalization on family life.

主题分类 醫藥衛生 > 預防保健與衛生學
醫藥衛生 > 社會醫學
参考文献
  1. Al-Hassan, M. A.,Hweidi, I. M.(2004).The perceived needs of Jordanian families of hospitalized, critically ill patients.International Journal of Nursing Practice,10(2),64-71.
  2. Benzein, E. G.,Hagberg, M.,Saveman, B. I.(2008)."Being appropriately unusual": A challenge for nurses in health-promoting conversationswith families.Nursing Inquiry,15(2),106-115.
  3. Bloomer, M. J.,Al-Mutair, A.(2013).Ensuring cultural sensitivity for Muslim patients in the Australian ICU: Considerations for care.Australian Critical Care,26(4),193-196.
  4. Buckley, P.,Andrews, T.(2011).Intensive care nurses' knowledge of critical care family needs.Intensive and Critical Care Nursing,27(5),263-272.
  5. Engström, A.,Söderberg, S.(2004).The experiences of partners of critically ill persons in an intensive care unit.Intensive and Critical Care Nursing,20(5),299-308.
  6. Gangi, S. D.,Naretto, G.,Cravero, N.,Livigni, S.(2013).A narrative-based study on communication by family members in intensive care unit.Journal of Critical Care,28(4),483-489.
  7. Gutierrez, K. M.(2012).Experiences and needs of families regarding prognostic communication in an intensive care unit: Supporting families at the end of life.Critical Care Nursing Quarterly,35(3),299-313.
  8. Hekmatpou, D.,Mhammadi, E.,Ahmadi, F.,Arefi, S. H.(2010).Termination of professional responsibility: Exploring the process of discharging patients with heart failure from hospitals.International Journal of Nursing Practice,16(4),389-396.
  9. Hekmatpou, D.,Mhammadi, E.,Ahmadi, F.,Arefi, S. H.(2009).Lack of sensitivity to readmission: A grounded theory study for explaining the process of readmitting patients suffering from congestive heart failure.European Journal of Cardiovascular Nursing,8(5),355-363.
  10. Hughes, F.,Bryan, K.,Robbins, I.(2005).Relatives experiences of critical care.Nursing in Critical Care,10(1),23-30.
  11. Lam, P.,Beaulieu, M.(2004).Experiences of families in the neurological ICU: "A bedside phenomenon".Journal of Neuroscience Nursing,36(3),142-159.
  12. Macadam, J. L.,Shoshana, A.,Puntillo, K. A.(2008).Unrecognised contributions of families in the intensive care unit.Intensive Care Medicine,34(6),1097-1101.
  13. McKiernan, M.,McCarthy, G.(2010).Family members' lived experience in the intensive care unit: A phenomenological study.Intensive and Critical Care Nursing,26(5),254-261.
  14. Omari, F. H.(2009).Perceived and unmet needs of adult Jordanian family members of patients in ICUs.Journal of Nursing Scholarship,41(1),28-34.
  15. Płaszewska-Żywko, L.,Gazda, D.(2012).Emotional reactions and needs of family members of ICU patients.Anaesthesiology Intensive Therapy,44(3),145-149.
  16. Pochard, F.,Darmon, M.,Fassier, T.,Bollaert, P. E.,Cheval, C.,Coloigner, M.,Azoulay, E.(2005).Symptoms of anxiety and depression in family members of intensive care unit patients before discharge or death. A prospective multicenter study.Journal of Critical Care,20(1),90-96.
  17. Rabie Siahkali, S.,Pourmemari, M. H.,Khaleghdoost Mohamadi, T.,Eskandari, F.,Avazeh, A.(2010).Study on effective factors on patients' family members. Anxiety in intensive care unit.Journal of Zanjan University of Medical Sciences and Health Services,18(70),91-101.
  18. Sandelowski, M.(2000).Whatever happened to qualitative description?.Research in Nursing and Health,23,334-340.
  19. Schmidt, M.,Azoulay, E.(2010).Having a loved one in the ICU: The forgotten family.Current Opinion in Critical Care,18(5),540-547.
  20. Siddiqui, S.,Sheikh, F.,Kamal, R.(2011).What families want-An assessment of family expectations in the ICU.International Archives of Medicine,22(4),21.
  21. Söderströma, I. M. K.,Savemanc, B. I.,Hagberga, M. S.,Benzein, E. G.(2009).Family adaptation in relation to a family member's stay in ICU.Intensive and Critical Care Nursing,25(5),250-257.
  22. Speziale, H. S.,Carpenter, D. R.(2007).Qualitative research in nursing: Advancing the humanistic imperative.Philadelphia, PA:Lippincott, Williams &Wilkins.
  23. Stetz, K. M.,Brown, M.-A.(2004).Physical and psychosocial health in family caregiving: A comparison of AIDS and cancer caregivers.Public Health Nursing,21(6),533-540.
  24. Williams, C. M. A.(2005).The identification of family members' contribution to patients' care in the intensive care unit: A naturalistic approach.Nursing in Critical Care,10(1),6-14.
  25. Yousefi, H.,Karami, A.,Moeini, M.,Ganji, H.(2012).Effectiveness of nursing interventions based on family needs on family satisfaction in the neurosurgery intensive care unit.Iranian Journal of Nursing and Midwifery Research,17(4),296-300.