Relatives’ experiences in intensive care—Finding a place in a world of uncertainty

Ågård, Anne Sophie; Harder, Ingegerd

doi:10.1016/j.iccn.2006.11.008

Cited by 126 publications

(116 citation statements)

References 27 publications

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“…I then turn to examining the coping strategies that foreign nationals deploy to deal with their own deportability or that of a close relative; these include enduring uncertainty, withdrawal and refraining from showing concern, constantly assessing one's circumstances, and re-imagining possible futures. All but the latter are observed in another example of chronic anxiety, the intensive care unit (Ågård and Harder 2007).…”

Section: Book Overviewmentioning

confidence: 96%

“…Much of the literature on uncertainty has been developed by researchers in the field of nursing and health, focusing on patients, their relatives and caregivers (Ågård and Harder 2007;Morser and Penrod 1999;Penrod 2007). While the context here differs, this literature is nevertheless relevant.…”

mentioning

confidence: 99%

“…The findings of Ågård and Harder's (2007) study of the experience of uncertainty and the coping strategies employed by relatives of Intensive Care Unit (ICU) patients in Denmark, for example, may be translated into the present context. The authors find that, confronted with uncertainty about whether their loved ones will survive (and if so, the extent and seriousness of any eventual disabilities), relatives tend to deploy three main coping strategies: enduring uncertainty; putting self apart (that is, a process of withdrawal and refraining from showing concern); and forming personal cues (that is, constantly assessing one's case) as gathering information is vital to their ability to adapt, even if the cues might lead to misconceptions (Ågård and Harder 2007). Both appellants and relatives in this study have used these coping strategies in much the same way.…”

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confidence: 99%

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Enduring Uncertainty

Hasselberg¹

2016

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Section: Book Overviewmentioning

confidence: 96%

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confidence: 99%

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Enduring Uncertainty

Hasselberg¹

2016

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“…La relación paciente-enfermera constituye el principal nexo entre las múltiples acciones que la enfermera realiza a diario, y en esa relación, el cuidado −que hace referencia a las acciones intencionales, como entregar cuidado físico y emocional o promover una sensación de seguridad, en otros− (4), muchas veces no se evidencia en el proceso de comunicación que se lleva a cabo diariamente con el paciente, e incluso ha sido descrito como un aspecto difícil y potencialmente estresante de la enfermería (5) CARE-Q. La interacción con los familiares también es una tarea difícil, pues requieren tener habilidades complejas para equilibrar las necesidades del paciente, de familiares y del personal (6). En todo momento deben estar bien informadas sobre el individuo, el paciente y su familia, para apoyarlos adecuadamente (7), y convertir en globales las acciones de enfermería que realiza.…”

Section: Introductionunclassified

Percepción De Enfermeras Y Familiares De Pacientes Sobre Conductas De Cuidado Importantes

Saavedra

Galiano

2017

Cienc. enferm.

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RESUMENObjetivo: Determinar si existen diferencias entre las enfermeras de pacientes hospitalizados y sus familiares, respecto de la percepción de cuáles conductas de cuidado son importantes. Material y método: Estudio descriptivo, transversal, cuya muestra, estratificada por servicio, estuvo constituida por 54 enfermeras y 96 familiares de un hospital general. Para medir la variable respuesta se empleó el Caring Assessment Instrument (Care-Q) de Patricia Larson, que consta de 50 preguntas dividas en 6 subescalas que miden el comportamiento del profesional de enfermería en la entrega de cuidado: a) es accesible, b) explica y facilita, c) conforta, d) se anticipa, e) mantiene relación de confianza y f) monitorea y hace seguimiento. Resultados: La priorización de la primera conducta, representada por la subescala "monitorea y hace seguimiento", coincide en ambos grupos. En relación a la importancia asignada al resto de las conductas de cuidado y sus subescalas, se observan diferencias en ambos grupos. Conclusión: La priorización de las categorías y conductas de cuidado entre las enfermeras y los familiares de los pacientes son diferentes y como primera selección se enfocan hacia conductas del tipo técnicas, más que al desarrollo de habilidades sociales.Palabras clave: Conductas del cuidado, percepción, enfermeras, pacientes, familia. ABSTRACTObjective: To determine whether there are differences between nurses of hospitalized patients and their relatives, regarding the perception they have of what care behaviors are important. Material and method: A cross-sectional descriptive study whose sample, stratified by service, consisted of 54 nurses and 96 relatives of a general hospital. To measure the response variable, the Caring Assessment Instrument (Care-Q) by Patricia Larson was used, which consists of 50 questions divided into 6 sub-scales that measure the behavior of the nursing professional in the delivery of care: a) it is accessible, b) explains and facilitates, c) comforts, d) anticipates, e) maintains a relationship of trust and f) monitors and follows up. Results: The prioritization of the first behavior, represented by the subscale "monitors and follows-up", coincides in both groups. Regarding the importance assigned to the rest of the care behaviors and their subscales, differences are observed in both groups. Conclusion: The prioritization of care categories and behaviors between nurses and patients' relatives are different and, as a first choice, it focuses on technical type behavior rather than the development of social skills.

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“…Family needs have been extensively researched; beginning in 1979 starting with Molter (1979) both quantitative and qualitative methods have been utilized to assess the needs of families which is evident throughout the literature. A plethora of studies and papers have been published on identifying and meeting the needs of families of critical care patients (de Beer & Brysiwicz, 2016;Bailey et al, 2010;McAdam and Puntillo, 2009;Ågård and Harder, 2007;Takman and Severinsson, 2006;Auerbach, Kiesler, Wartella, Rausch, Ward & Ivatury, 2005;Chartier and Coutu-Wakulczyk, 1989;Daley, 1984).…”

Section: Introductionmentioning

confidence: 99%