Perception of Intensive Care Stressors by Patients, Nurses and Family

Abstract

Aim: The aim of this study was to compare the perception of selected stressors acting on the Czech intensive care unit (ICU) of Czech patients, their families and attending nurses. Design: A descriptive comparative study. Methods: Stressor perception was measured by a Czech version of the standardised questionnaire, The Environmental Stressor Questionnaire (ESQ). The sample group consisted of 90 people. Data were obtained via pairing (patientrelativenurse). The family and the attending nurses evaluated stressors by empathising with the patient. Results: When evaluating the data obtained, it was ascertained that the relatives and attending nurses perceive stressors acting on the ICU as worse than patients themselves do. The overall level of stressor perception in the relatives was statistically significantly higher than in the patients (z = -3.72; p < 0.001). A statistically significant difference was also confirmed with regard to perception of stressors between attending nurses and patients (z = -2.23; p < 0.001). Conclusion: Both the relatives and attending nurses perceive stressors in the intensive care unit as worse than the patients themselves do. The negative impacts of stressors can be reduced by implementing new approaches in nursing care.

Perceived Severity of Stressors in the Intensive Care Unit: A Systematic Review and Semi-Quantitative Analysis of the Literature on the Perspectives of Patients, Health Care Providers and Relatives

“…The median patient sample size was n = 76.5 (min: 16, max: 868, IQR 40.8-113.5). Moreover, 13 studies had also included HCPs [3,4,8,18,23,33,[35][36][37][38][39][40][41], with a median sample size of n = 55 in 14 HCPs samples (min: 21, max: 152, IQR 33.8-72.0). There were only four investigations that had included relatives.…”

“…There were only four investigations that had included relatives. Mistraletti et al (2018) recruited two samples of relatives [36], resulting in the availability of sample size data from five samples of relatives: n = 29 and n = 33 [36], n = 30 [35], n = 50 [8], n = 60 [42].…”

“…The ratios of men to women were 37 3), respectively. All of the 13 articles that had included HCPs provided data on professions of HCPs [3,4,8,18,23,33,[35][36][37][38][39][40][41]. In 10 out of 14 samples, the percentage of nurses (including nurse assistants) was 100% [3,4,18,33,35,[37][38][39][40][41].…”

“…All of the 13 articles that had included HCPs provided data on professions of HCPs [3,4,8,18,23,33,[35][36][37][38][39][40][41]. In 10 out of 14 samples, the percentage of nurses (including nurse assistants) was 100% [3,4,18,33,35,[37][38][39][40][41]. The rates of nurses were 0% [33], 28.6% [33], 80.0% [8], and 85.0% [23] in the remaining four studies, resulting in a median percentage of nurses of 100% (min: 0, max: 100, IQR: 83.8-100).…”

Estrés Percibido en Trabajadores De Atención Primaria

“…Se puntualiza que este contexto laboral no ha sido estudiado en todos los niveles de atención de salud, ya que se ha prestado principal atención a las manifestaciones de estrés en los profesionales que se desempeñan en el área intrahospitalaria, quedando ampliamente expuesto en la literatura (8,9) . A partir de esto se desprende el problema de investigación, ya que se desconoce el nivel de estrés percibido por el equipo de Enfermería de Atención Primaria en Salud en una comuna de la Región del Maule.…”