Abstract:Summary Touch has been a part of the healing process in many civilisations and cultures throughout the centuries. Nurses frequently use touch to provide comfort and reach their patients. The aim of this study was to illuminate the meaning of receiving tactile touch when being cared for in an intensive care unit. Tactile touch is a complementary method including the use of effleurage, which means soft stroking movements along the body. The context used to illuminate the meaning of receiving tactile touch was tw… Show more
“…In terms of evidence for the proposed underlying mechanisms, qualitative findings by Henricson Segesten Berglund and Määttä () that sedated patients wished to be more alert to more fully enjoy the pleasure of touch supported our proposition that sedation inhibits reward processing. Further, Henricson et al reported that the participants’ awareness of missing out on a more pleasurable experience led to feelings of sadness.…”
Section: Resultsmentioning
confidence: 57%
“…Further, Henricson et al reported that the participants’ awareness of missing out on a more pleasurable experience led to feelings of sadness. For example, one man recounted sadly:“[…] it is a pity that I was not more alert during the touch […] it should have been a really good experience […] you experience pleasurable things the same time as you are sleepy…” (Henricson et al , p. 328)…”
Section: Resultsmentioning
confidence: 99%
“…“[…] it is a pity that I was not more alert during the touch […] it should have been a really good experience […] you experience pleasurable things the same time as you are sleepy…” (Henricson et al , p. 328)…”
Section: Resultsmentioning
confidence: 99%
“…We now focus on the proposed mechanism of pleasure, using qualitative findings from two contrasting studies: Henricson et al () and Martorella et al (). Henricson and colleagues used a phenomenological hermeneutic method to investigate experiences of receiving an elaborate intervention that consisted of five daily 60‐min sessions of “tactile touch” to multiple body sites, in a relatively quiet and uninterrupted clinical environment.…”
Section: Resultsmentioning
confidence: 99%
“…Differences in findings between these two studies suggest that participants in the tactile touch study experienced more intense feeling of positive affect (PA) compared with participants in the hand massage study. For example, “…it was only the touch and nothing else… everything else disappeared…” (Participant One, Henricson et al, , p. 328); in contrast, the quotes presented by Martorella et al () suggest that experiences of positive affect may have been less intense. Additionally, contrasting findings were apparent for participants’ reported experiences of negative affect (NA).…”
Aim
To develop a theoretical framework to inform the design of interpersonal touch interventions intended to reduce stress in adult intensive care unit patients.
Design
Realist review with an intervention design‐oriented approach.
Methods
We searched CINAHL, MEDLINE, EMBASE, CENTRAL, Web of Science and grey literature sources without date restrictions. Subject experts suggested additional articles. Evidence synthesis drew on diverse sources of literature and was conducted iteratively with theory testing. We consulted stakeholders to focus the review. We performed systematic searches to corroborate our developing theoretical framework.
Results
We present a theoretical framework based around six intervention construction principles. Theory testing provided some evidence in favour of treatment repetition, dynamic over static touch and lightening sedation. A lack of empirical evidence was identified for construction principles relating to intensity and positive/negative evaluation of emotional experience, moderate pressure touch for sedated patients and intervention delivery by relatives versus healthcare practitioners.
“…In terms of evidence for the proposed underlying mechanisms, qualitative findings by Henricson Segesten Berglund and Määttä () that sedated patients wished to be more alert to more fully enjoy the pleasure of touch supported our proposition that sedation inhibits reward processing. Further, Henricson et al reported that the participants’ awareness of missing out on a more pleasurable experience led to feelings of sadness.…”
Section: Resultsmentioning
confidence: 57%
“…Further, Henricson et al reported that the participants’ awareness of missing out on a more pleasurable experience led to feelings of sadness. For example, one man recounted sadly:“[…] it is a pity that I was not more alert during the touch […] it should have been a really good experience […] you experience pleasurable things the same time as you are sleepy…” (Henricson et al , p. 328)…”
Section: Resultsmentioning
confidence: 99%
“…“[…] it is a pity that I was not more alert during the touch […] it should have been a really good experience […] you experience pleasurable things the same time as you are sleepy…” (Henricson et al , p. 328)…”
Section: Resultsmentioning
confidence: 99%
“…We now focus on the proposed mechanism of pleasure, using qualitative findings from two contrasting studies: Henricson et al () and Martorella et al (). Henricson and colleagues used a phenomenological hermeneutic method to investigate experiences of receiving an elaborate intervention that consisted of five daily 60‐min sessions of “tactile touch” to multiple body sites, in a relatively quiet and uninterrupted clinical environment.…”
Section: Resultsmentioning
confidence: 99%
“…Differences in findings between these two studies suggest that participants in the tactile touch study experienced more intense feeling of positive affect (PA) compared with participants in the hand massage study. For example, “…it was only the touch and nothing else… everything else disappeared…” (Participant One, Henricson et al, , p. 328); in contrast, the quotes presented by Martorella et al () suggest that experiences of positive affect may have been less intense. Additionally, contrasting findings were apparent for participants’ reported experiences of negative affect (NA).…”
Aim
To develop a theoretical framework to inform the design of interpersonal touch interventions intended to reduce stress in adult intensive care unit patients.
Design
Realist review with an intervention design‐oriented approach.
Methods
We searched CINAHL, MEDLINE, EMBASE, CENTRAL, Web of Science and grey literature sources without date restrictions. Subject experts suggested additional articles. Evidence synthesis drew on diverse sources of literature and was conducted iteratively with theory testing. We consulted stakeholders to focus the review. We performed systematic searches to corroborate our developing theoretical framework.
Results
We present a theoretical framework based around six intervention construction principles. Theory testing provided some evidence in favour of treatment repetition, dynamic over static touch and lightening sedation. A lack of empirical evidence was identified for construction principles relating to intensity and positive/negative evaluation of emotional experience, moderate pressure touch for sedated patients and intervention delivery by relatives versus healthcare practitioners.
When a family member (FM) cannot take care of an older person with dementia, they may seek accommodation in a nursing home, where their relative can receive appropriate and safe nursing care.The most common reasons for seeking nursing home accommodation for older people living with dementia are family caregivers' distress, burden and even depression. Family members can feel both a sense of relief and concern for their relative after placement in a nursing home. Family members expect that their older FM living with dementia will receive good-quality holistic nursing care. Care that will meet not only their physical needs but incorporating their spiritual needs will be truly holistic.
| BACKG ROU N DSpirituality, as a universal concept, is very personal and deeply individual (McSherry & Smith, 2012). The European Association for Palliative Care (EAPC) defines spirituality as "The dynamic dimension of human life that relates to the way person experience, express
Purpose
To understand and summarize the breadth of knowledge on comfort-holding in pediatric intensive care units (PICUs).
Sources
This scoping review was conducted using PRISMA methodology. A literature search was conducted in MEDLINE, EMBASE, PsycINFO, CINAHL, and the Cochrane CENTRAL Register of Controlled Trials. Search strategies were developed with a medical librarian and revised through a peer review of electronic search strategies. All databases were searched from inception to 14 April 2020. Only full-text articles available in English were included. All identified articles were reviewed independently and in duplicate using predetermined criteria. All study designs were eligible if they reported on comfort-holding in a PICU. Data were extracted independently and in duplicate.
Principal findings
Of 13,326 studies identified, 13 were included. Comfort-holding was studied in the context of end-of-life care, developmental care, mobilization, and as a unique intervention. Comfort-holding is common during end-of-life care with 77.8% of children held, but rare during acute management (51% of children < three years, < 5% of children ≥ three years). Commonly reported outcomes included child outcomes (e.g., physiologic measurements), safety outcomes (e.g., accidental line removal), parent outcomes (e.g., psychological symptoms), and frequency of holding.
Conclusion
There is a paucity of literature on comfort-holding in PICUs. This scoping review identifies significant gaps in the literature, including assessment of child-based outcomes of comfort-holding or safety assessment of comfort-holding, and highlights core outcomes to consider in future evaluations of this intervention including child-based outcomes, parent-based outcomes, and safety of the intervention.
Supplementary Information
The online version contains supplementary material available at 10.1007/s12630-021-02090-3.
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