Review: a meta‐synthesis of qualitative research into needs and experiences of significant others to critically ill or injured patients

Linnarsson, Josefin Rahmqvist; Bubini, Jennifer; Perseius, Kent-Inge

doi:10.1111/j.1365-2702.2010.03244.x

Cited by 72 publications

(69 citation statements)

References 39 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…18 The needs of patients and their significant others, which includes immediate family members (eg, spouse/partner, siblings, parents), other family members (eg, children, grandparents, aunts, uncles, cousins), and other members of patients' social network (eg, friends, neighbors), are well-documented in the traditional ICU setting. [19][20][21][22][23][24][25][26][27][28][29] The significant others of patients in the traditional ICU setting experience high levels of stress, anxiety, and depression and have explicit needs for support to manage these reactions. 26 shortages of critical care nurses and physicians will exacerbate the problem of providing quality, cost-effective care to critically ill patients.…”

Section: Voices Of Family Members and Significant Others In The Tele-mentioning

confidence: 99%

“…6,10,11,13,14 The effect of the tele-ICU intervention on clinical and financial outcomes compared with traditional providers and the significant others of other patients. [26][27][28][29] As technological advances such as the tele-ICU are implemented by health care systems, research will be required to determine the impact of these new technologies and care models on the informational and emotional needs of patients and significant others as well as their perceptions of the impact of the tele-ICU on quality of care. This pilot study was focused on informational needs by conducting a survey of patients' significant others to determine if they were informed about the role of the tele-ICU in the care of their loved ones and to identify significant others' preferences regarding source and type of information about the tele-ICU and assess their perceptions of the impact of the tele-ICU on quality of care.…”

Section: Voices Of Family Members and Significant Others In The Tele-mentioning

confidence: 99%

See 1 more Smart Citation

Voices of Family Members and Significant Others in the Tele–Intensive Care Unit

Jahrsdoerfer

Goran

2013

Critical Care Nurse

View full text Add to dashboard Cite

Background Research suggests that tele–intensive care units (tele-ICUs) are associated with decreases in mortality rates, length of stay, and health care costs. However, little is known about the awareness and perceptions of the tele-ICU among patients’ significant others. Objectives To assess whether patients’ significant others were informed about the tele-ICU, what their preferences are regarding source and type of information about the tele-ICU, and what their perceptions are of the impact of the tele-ICU on patient care. Methods A survey was conducted with a nonprobability, convenience sample of patients’ significant others at 3 health systems. Results Two-thirds of patients’ significant others reported that they were uninformed about the tele-ICU and identified staff as the preferred source for this information. The 3 most important topics of information were patients’ physical privacy, impact on patient care, and the technology. Most expressed favorable perceptions of the tele-ICU. Conclusions This pilot study demonstrated significant gaps in communication about the tele-ICU between staff and patients’ significant others and revealed a preference to be informed about the tele-ICU by staff. Study findings will help define goals, objectives, and methods for further research to improve communication with patients’ significant others about the tele-ICU.

show abstract

Section: Voices Of Family Members and Significant Others In The Tele-mentioning

confidence: 99%

Section: Voices Of Family Members and Significant Others In The Tele-mentioning

confidence: 99%

Voices of Family Members and Significant Others in the Tele–Intensive Care Unit

Jahrsdoerfer

Goran

2013

Critical Care Nurse

View full text Add to dashboard Cite

show abstract

“…In counseling, the patient should be seen as an active interacting partner whose views and perceptions are sought by the staff and treated with respect [11,17,18] . The confidential atmosphere provides an opportunity to discuss with the patient their feelings and attitudes towards the disease [19,20] .…”

Section: Introductionmentioning

confidence: 99%

“…The provider of health treatment promotes an atmosphere of trust through empathy and kindness towards patients [20] . The participation of family members in counseling should also be encouraged [11,19] .…”

Section: Introductionmentioning

confidence: 99%

Counseling chronically ill adults in the healthcare setting: An integrative literature review

Kaakinen¹,

Leena²,

Kääriäinen³

et al. 2012

JNEP

View full text Add to dashboard Cite

Background: Chronic diseases among the adult population have increased rapidly worldwide. Chronically ill adults use health services more frequently; they are hospitalized more often and for a longer time than the average. Although counseling is an essential part of the care of chronically ill adults, there is no clear conception of counseling elements in healthcare settings. The aim of this integrative review is to describe the key elements of counseling of adults with chronic diseases. Methods:This integrative literature review describes elements of the counseling of chronically ill adults. The study was conducted by means of a systematic search of CINAHL (1981 to April 2010), Medline (1973 to March 2010 and Medic (1978 to April 2010) databases. Three reviewers selected the studies and two reviewers independently assessed the quality of studies. 31 studies were included in the data extraction and narrative synthesis. Results:The review identifies the following typical elements in the counseling of adults with chronic disease: the counseling needs of chronically ill adults; the implementation of counseling; and the impact of counseling. The counseling needs of chronically ill adults included 1) gaining an understanding of the disease and treatment in relation to everyday life, 2) handling of emotions, 3) social support. The implementation of counseling concerned 1) need-based and goal-oriented counseling, 2) the content of counseling, 3) the nature of interaction and atmosphere of counseling, 4) counseling time, 5) counseling methods and materials, and 6) challenges of implementation. The impact of counseling included increased 1) compliance with medication, 2) ability to cope with feelings, 3) understanding of the disease, and 4) quality of life. Conclusions:This study found that effective counseling should be based on the individual needs of chronically ill adults and it should include more knowledge about social services and provide support in handling emotions. The study also revealed it is important to plan counseling and to set goals in conjunction with chronically ill adults. The results of this review are useful for the development of counseling of chronically ill adults in a variety of healthcare settings.

show abstract

“…1,3,[7][8][9][10][11][12][13][14] The concept of uncertainty is noted in high levels related to the precarious nature of the illness process and the bleak possible outcomes for the patient. 15 These studies presented evidence that uncertainty is a consequence of the ICU admission that has psychological impact and major changes in their social and economic lives.…”

mentioning

confidence: 99%