Stressors in intensive cardiac care units: Patients' perceptions

Coelho, Aluê Constantino; Santos, Vinícius Batista; Barros, Alba Lúcia Bottura Leite de

doi:10.1111/nicc.12641

Cited by 4 publications

(5 citation statements)

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“…The literature search for this review ended in May 2020, and we did not include articles that were published afterwards. In a rerun of the search on 19 August 2021, we found one new article that fulfilled the inclusion criteria [83]. All of the 10 most severe stressors found by Coelho et al (2021) [83] were among the 137 stressor items extracted in our analyses, suggesting that the results of the review are rather robust.…”

Section: Limitations and Future Directionsmentioning

confidence: 89%

“…In a rerun of the search on 19 August 2021, we found one new article that fulfilled the inclusion criteria [83]. All of the 10 most severe stressors found by Coelho et al (2021) [83] were among the 137 stressor items extracted in our analyses, suggesting that the results of the review are rather robust. Especially the stressor experience of the relatives may be quite dependent on different cultural contexts.…”

Section: Limitations and Future Directionsmentioning

confidence: 89%

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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

Krampe

Denke

Gülden

et al. 2021

JCM

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The aim of this study was to synthesize quantitative research that identified ranking lists of the most severe stressors of patients in the intensive care unit, as perceived by patients, relatives, and health care professionals (HCP). We conducted a systematic literature search in PubMed, MEDLINE, EMBASE, PsycInfo, CINAHL, and Cochrane Library from 1989 to 15 May 2020. Data were analyzed with descriptive and semi-quantitative methods to yield summarizing ranking lists of the most severe stressors. We synthesized the results of 42 prospective cross-sectional observational studies from different international regions. All investigations had assessed patient ratings. Thirteen studies also measured HCP ratings, and four studies included ratings of relatives. Data indicated that patients rate the severity of stressors lower than HCPs and relatives do. Out of all ranking lists, we extracted 137 stressor items that were most frequently ranked among the most severe stressors. After allocation to four domains, a group of clinical ICU experts sorted these stressors with good to excellent agreement according to their stress levels. Our results may contribute to improve HCPs’ and relatives’ understanding of patients’ perceptions of stressors in the ICU. The synthesized stressor rankings can be used for the development of new assessment instruments of stressors.

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Section: Limitations and Future Directionsmentioning

confidence: 89%

Section: Limitations and Future Directionsmentioning

confidence: 89%

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

Krampe

Denke

Gülden

et al. 2021

JCM

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show abstract

“…This finding is consistent with a cross-sectional study that ranked this stressor as the third most stressful for patients in the ICU. [23] This stressor is similar to the fourth highest ranked stressor "only seeing family and friends for a few minutes each day." However, "missing your husband or wife" only applies to 43% of the sample whereas only seeing family or friends for a few minutes each day applies to 100% of the sample.…”

Section: Discussionmentioning

confidence: 78%

Perceived stress level of the postoperative coronary artery bypass graft patients in the intensive care unit

Mars

Coffey²,

Miller³

et al. 2022

JNEP

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Objective: The purpose of this study was to measure the level of stress perceived by postoperative coronary artery bypass graft (CABG) patients. Coronary artery bypass graft is the most used surgical intervention to treat patients with coronary artery disease (CAD). Many patients consider CABG surgery as life threatening and stressful. There is a need for nurses to be aware of the patient’s perception of stress to create a more therapeutic environment within the intensive care unit (ICU).Methods: The research method was a quantitative descriptive survey design and descriptive statistics were used for data analysis. A convenience sampling method was used resulting in a sample size of 60 participants who had recently undergone a CABG surgical procedure. The participants completed the Intensive Care Unit Environmental Stressor Scale (ICUESS) survey.Results: The results of the ICUESS survey were analyzed according to rank order and mean with standard deviation scores for each of the 40 items. Findings showed the following stressors were ranked as the highest level of stress: “Being in pain”, “missing your husband or wife”, “having tubes in your nose or mouth”, and “only seeing family and friends for a few minutes each day”.Conclusions: The participants in this study were not highly stressed. Pain was the highest ranked stressor. Nurses need to be aware of the perceived level of stress by the postoperative CABG patients to reduce stressors and enhance recovery. The Neuman Systems Model was appropriate for this study.

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“…This issue includes a selection of papers on cardiac medical patients, 5–8 on post‐operative cardiac surgical patients 9–15 and on nurses' experiences and skills in delivering highly specialized extracorporeal membrane oxygenation (ECMO) treatment 16,17 . We also have an interesting paediatric paper examining the impact on red blood cells when delivered through infusion pumps 18 and a paper studying the impact of mattress type on the effectiveness of chest compressions, 19 concluding with a provocative critical commentary on oxygen saturation targets in COVID‐19 patients 20 .…”

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confidence: 99%