Registered Nurses as Family Care Specialists in the Intensive Care Unit

Nelson, Delores Privette; Plost, Gerald

doi:10.4037/ccn2009890

“…Some critical care nurses fear that relative involvement in care may result in distraction, which could ultimately lead to adverse events such as accidental invasive line removal (Farrell et al . , Nelson & Plost , Garrouste‐Orgeas et al . ).…”

Section: Introductionmentioning

confidence: 99%

Involving relatives in ICU patient care: critical care nursing challenges

McConnell

¹

,

Moroney

²

2015

Journal of Clinical Nursing

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“…Stress produced by the admission is felt by both the family and the nursing staff. 1 Stressors include such things as fear of an uncertain outcome, a disruption of routine, an unfamiliar environment, and an emotional upheaval of feelings. Because of the suddenness of the admission, family cannot be prepared.…”

mentioning

confidence: 99%

“…According to the Synergy Model, best patient outcomes occur when the needs of the patient and family and the characteristics of the nurse are in a state of synergy or harmony.Table 13further looks at the nursing characteristics or competencies within the Synergy Model27 and adapts the duties of the family care specialist as outlined by Nelson and Plost 1. …”

mentioning

confidence: 99%

Critical Care Visitation

Hart

¹

,

Hardin

²

,

Townsend

³

et al. 2013

Dimensions of Critical Care Nursing

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“…1 Stressors include such things as fear of an uncertain outcome, a disruption of routine, an unfamiliar environment, and an emotional upheaval of feelings. Stress produced by the admission is felt by both the family and the nursing staff.…”

mentioning

confidence: 99%

“…According to the Synergy Model, best patient outcomes occur when the needs of the patient and family and the characteristics of the nurse are in a state of synergy or harmony.Table 13further looks at the nursing characteristics or competencies within the Synergy Model27 and adapts the duties of the family care specialist as outlined by Nelson and Plost 1. According to the Synergy Model, best patient outcomes occur when the needs of the patient and family and the characteristics of the nurse are in a state of synergy or harmony.Table 13further looks at the nursing characteristics or competencies within the Synergy Model27 and adapts the duties of the family care specialist as outlined by Nelson and Plost 1.…”

mentioning

confidence: 99%

What to Do When the Family Cannot Agree to Withdraw Life Support

&NA;

2013

Dimensions of Critical Care Nursing

0

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Purpose: The purpose of the study was to explore the satisfaction of patients' families and nurses with visitation guidelines in the 5 critical care units at a 435-bed acute care hospital in the southeastern part of the United States. Problem Statement: The restriction of visitation hours for intensive care unit patients has significant implications for the health and well-being of the patient and their family. Although traditionally both facilities and staff have cited reasons to restrict family visitation, research indicates that these practices may have a detrimental effect on the overall health of the patient. Methods: A descriptive correlational design is utilized in this study. Subjects consisted of family members of patients in 1 of the 5 critical care units and nurses providing care in these units. Family and nurses completed a questionnaire on their perspective of the critical care visiting hours. Results: The majority of families visiting patients in the critical care setting followed the posted guidelines and were very satisfied with the guidelines. The hours most convenient for families to visit at the bedside were from 4 to 8 PM. The majority of nurses wanted to keep visiting hours during day-shift hours; family members were divided on having all hours available for visitation. Nurses had varied perspectives on whether visitation should be allowed as a restraint alternative, when family is out of town, patient emotional needs, eminent death, at time of discharge instructions, and to speak with a physician. Clinical Implications: Family member visitation in the intensive care unit setting should be flexible and open. This may include tailoring a plan on admission with the family to allow open access to the patient during times when they are most available; thus, each family has a plan that suits its unique dynamics.

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Registered Nurses as Family Care Specialists in the Intensive Care Unit

Cited by 13 publications

References 8 publications

Involving relatives in ICU patient care: critical care nursing challenges

Involving relatives in ICU patient care: critical care nursing challenges

Critical Care Visitation

What to Do When the Family Cannot Agree to Withdraw Life Support

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