The effect of nurse-facilitated family participation in the psychological care of the critically ill patient

Black, Pauline; Boore, Jennifer; Parahoo, Kader

doi:10.1111/j.1365-2648.2010.05558.x

Cited by 95 publications

(132 citation statements)

References 48 publications

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“…No significant statistical differences were found between the groups for incidence of delirium (P=0.176). However, it was observed that investing in the intervention with family members during the critical moment provided long-term benefits to the patient, since the family was able to perform the care maintenance after the acute phase (31) .…”

Section: Discussionmentioning

confidence: 99%

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Cuidados multiprofissionais para pacientes em delirium em terapia intensiva: revisão integrativa

Souza

Azzolin

Fernandes

2018

Rev. Gaúcha Enferm.

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Objective: To describe the multiprofessional care for the management of critical patients in delirium in the ICU from the evidences found in the literature.Methods: This integrative review was carried out in the period from February 1 to June 30, 2016 through searches on PubMed, Scopus, Web of Science, and CINAHL, with the following descriptors: delirium, critical care e intensive care units, which brought up 17 original papers. Results:A bundle and a guideline, two systematic reviews, evidence 1a and four clinical trials, evidence 1b and 2b, cohort and observational studies were found. The multiprofessional care was presented to better understand the diagnosis of delirium, sedation pause, early mobilization, pain, agitation and delirium guidelines, psychomotor agitation, cognitive orientation, sleep promotion, environment and family participation. Conclusion:The care for delirium is wide and not specific, which determines its multifactorial aspect. Keywords: Delirium. Intensive care units. Critical care. Patient care team. Review. RESUMO Objetivo: Descrever os cuidados multiprofissionais para manejo de pacientes críticos em delirium na UTI a partir das evidências encontradas na literatura.Métodos: Trata-se de uma revisão integrativa realizada no período de 1º de fevereiro a 30 de junho de 2016, através de busca nas bases de dados PubMed, Scopus, Web of Science e CINAHL, com os descritores delirium, critical care e intensive care units que finalizou com 17 estudos originais. Resultados:Foram encontrados um bundle e uma diretriz, duas revisões sistemáticas, evidência 1a e quatro ensaios clínicos, evidência 1b e 2b, os demais estudos de coorte e observacionais. Os cuidados multiprofissionais foram apresentados para melhor entendimento em diagnóstico de delirium, pausa de sedação, mobilização precoce, diretrizes para dor, agitação e delirium, agitação psicomotora, orientação cognitiva, promoção do sono, ambiente e participação da família. Conclusão:Os cuidados para delirium são abrangentes e pouco específicos, determinando seu aspecto multifatorial. Palavras-chave: Delírio. Unidades de terapia intensiva. Cuidados críticos. Equipe de assistência ao paciente. Revisão. RESUMEN Objetivo: Se objetivó describir los cuidados multiprofesionales para manejo de pacientes críticos en delirium en la UCI, a partir de las evidencias encontradas en la literatura.Métodos: Se trata de una revisión integradora, realizada en el período del 1 de febrero al 30 de junio de 2016 a través de búsqueda en PubMed, Scopus, Web of Science, y CINAHL con descriptores delirium, critical care e intensive care units que finalizó con 17 estudios originales.Resultados: Se encontraron un bundle, una directriz, dos revisiones sistemáticos, evidencia 1a, cuatro ensayos clínicos, evidencia 1b y 2b, los demás estudios de cohorte y observacionales. Se presentaron los cuidados multiprofesionales para una mejor comprensión de diagnóstico de delirium, pausa de sedación, movilización temprana, directrices para el dolor, agitación, y delirium, agitación...

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Section: Discussionmentioning

confidence: 99%

“…Colombo R, Corona A, Praga F, Minari C, Giannotti C, Castelli A, Raimondi F. (24) Prospective observational study 2c 2011 PubMed Black PP, Boore JRP, Parahoo K. (31) Non-randomized clinical trial 2b…”

Section: Pubmedmentioning

confidence: 99%

Cuidados multiprofissionais para pacientes em delirium em terapia intensiva: revisão integrativa

Souza

Azzolin

Fernandes

2018

Rev. Gaúcha Enferm.

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“…Recent studies (5)(6)(7)(8)(9) have questioned the effectiveness and effects of the implementation of this model of care, and reinforce the importance of producing evidence to support its application in practice. In this sense, it is necessary to use reliable instruments which have been tested and which can measure how health professionals caring for patients and families realize the application of this model in health units.…”

Section: Introductionmentioning

confidence: 99%

Adaptação transcultural de instrumentos de medida do cuidado centrado na família

et al. 2015

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Objective: To assess the cross-cultural adaptation to Brazilian Portuguese of two instruments for the measurement of family-centered care, one for parents and one for healthcare professionals. Methods: Methodological study of cross-cultural adaptation following the phases of translation, backtranslation, analysis by experts, pre-test, test-retest and psychometric analysis after the application of the instrument to 100 parents of hospitalized children and 100 professionals from pediatric units of a teaching hospital. Results: The evaluation of experts in both instruments showed a Kappa of 0.85 and 0.93 respectively. At pretest, participants suggested no changes. Test-retest reliability was good for both stability indexes. Factor analysis explained 43.9% of the total variance in the parents instrument and 43.4% in the staff instrument. Cronbach's alpha coefficient was 0.723 for the parents instrument and 0.781 for the staff instrument. Conclusion: The instruments adapted to the Brazilian culture presented reliability, stability and good internal consistency, with potential to be used in the pediatric clinical practice. ResumoObjetivo: Realizar a adaptação transcultural para a língua portuguesa brasileira de dois instrumentos de medida do cuidado centrado na família, um para pais e outro para profissionais da equipe de saúde. Métodos: Estudo metodológico de adaptação transcultural seguindo as etapas de tradução, retrotradução, análise de especialistas, pré-teste, teste-reteste e análise psicométrica após aplicação do instrumento com 100 pais de crianças hospitalizadas e 100 profissionais de unidades pediátricas de um hospital universitário. Resultados: A avaliação por especialistas de ambos os instrumentos apresentaram Kappa de 0,85 e 0,93 respectivamente. No pré-teste, os participantes não sugeriram alterações. No teste-reteste houve bons índices de estabilidade em ambos. A análise fatorial explicou 43,9% da variância total no instrumento pais e 43,4% no instrumento equipe. O coeficiente Alpha de Cronbach foi 0,723 no instrumento pais e 0,781 no instrumento equipe. Conclusão: Os instrumentos adaptados para a cultura brasileira apresentaram confiabilidade, estabilidade e boa consistência interna com potencial para ser utilizado na pratica clinica pediátrica.

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“…19 Among non-pharmacological strategies stand out: the psychological care in the ICU, the presence of the patient's family, demobilization of physical restraint, promoting calm, quiet and bright and sound stimuli reduction especially overnight seeking adequate sleep and rest, early mobilization, music therapy, cognitive stimulation, use of early screening scales as the CAM-ICU, adapting the environment to aid in the perception of night and day, use of glasses and hearing aids, early removal of invasive devices and electrolytic disorders correction. 7,5,9,13,18,20,21 The studies analyzed show that research about delirium in the elderly population are still incipient, and that this syndrome is a frequent problem in these patients. The incidence of delirium in the population of 60 years or more in several international studies ranged from 27 to 79%, proving to be a major problem in these patients.…”

mentioning

confidence: 99%

“…2, 5,8,9,13,17,18,19,20,21 Among the pharmacological strategies highlight the use of haloperidol, being recommended for the elderly at half the dose used in adults. 21 The sedative of choice was dexmetomidin.…”

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confidence: 99%

Delirium in the elderly in intensive care units: an integrative literature review

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et al. 2015

R. pesq. cuid. fundam. online

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Objective: conducting a survey about delirium in the elderly in an Intensive Care Unit (ICU). Method: an integrative review of the literature held in databases MEDLINE and IBECS, in May 2012, whose inclusion criteria were: to be published between May 2007 to May 2012, available in full and in Portuguese, English and Spanish. Results: there were found 68 productions and selected 16, which were categorized into: 1) Incidence and prevalence of delirium in the elderly in ICU; 2) Factors predisposing and precipitating risk of delirium in the elderly in ICU and 3) Strategies for preventing modifiable risk factors of delirium in the elderly patients in the ICU. Conclusion: the scientific production about delirium is incipient in Brazil, health professionals, especially nurses, need to improving the recognition of this syndrome and implementing strategies for risk prevention factors for delirium

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The effect of nurse-facilitated family participation in the psychological care of the critically ill patient

Abstract: Nurse-facilitated family participation in the psychological care may strengthen the lines of defence and resistance against the stressors experienced by the patient during critical illness and improve psychological recovery.

Cited by 95 publications

References 48 publications

Cuidados multiprofissionais para pacientes em delirium em terapia intensiva: revisão integrativa

Cuidados multiprofissionais para pacientes em delirium em terapia intensiva: revisão integrativa

Adaptação transcultural de instrumentos de medida do cuidado centrado na família

Delirium in the elderly in intensive care units: an integrative literature review

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