The Process of Death Imminence Awareness by Family Members of Patients in Adult Critical Care

Baumhover, Nancy C.

doi:10.1097/dcc.0000000000000113

Cited by 2 publications

(8 citation statements)

References 63 publications

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“…Qualitative evidence was retrieved and analyzed from 15 qualitative research papers and 2 mixed-methodology research papers. 35 -50 Altogether, 522 family members of patients who received EOLC in ICUs in various settings and institutions were included in the review. The 17 studies were conducted in 7 different countries across 4 continents.…”

Section: Resultsmentioning

confidence: 99%

“…Three qualitative studies used both interviews and observations to collect evidence. 46,48,49 In the remaining 14 studies, 5 -45 including 2 mixed-methodology articles 47,50 and a secondary data analysis report 51 , data were collected only through interviews. Five common themes about family’s experience of EOLC in the ICU were identified. (1) Distressing emotions …”

Section: Resultsmentioning

confidence: 99%

“…Distressing emotions for family members during the transition from life-prolonging treatment to ELOC were identified. 35,36,40,45,46,49,50 Family members experienced shock when they were notified of death and dying for their loved ones in the ICU. 35,40 Observation of their loved ones’ dying process triggered suffering.…”

Section: Resultsmentioning

confidence: 99%

“…35,36,40,45,46,49,50 Family members experienced shock when they were notified of death and dying for their loved ones in the ICU. 35,40 Observation of their loved ones’ dying process triggered suffering. 36,50 There were moments when family members noticed their loved ones did not look “right” because they were no longer the person they once knew.…”

Section: Resultsmentioning

confidence: 99%

“…36,50 There were moments when family members noticed their loved ones did not look “right” because they were no longer the person they once knew. 35,36,46 The death vigil during the withdrawal of life support process was very difficult for the family, especially when their dying relatives had pain and other distressing symptoms. 35,45,49,50 In addition to unavoidable distress of loss, family members experienced emotional distress during EOLC caused by inadequate attention, support, and updates from health-care professionals.…”

Section: Resultsmentioning

confidence: 99%

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Family Outcomes and Perceptions of End-of-Life Care in the Intensive Care Unit: A Mixed-Methods Review

2019

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The purpose of this review was to evaluate end-of-life care (EOLC) in the intensive care unit (ICU) from the perspective of family members. Sandelowski’s segregated approach from Joanna Briggs Institute (JBI) Mixed-Methods Systematic Reviews guided this review. A search was conducted in PubMed, CINAHL, PsycINFO, EMBASE, and ProQuest databases and identified 50 papers (33 quantitative, 15 qualitative, and 2 mixed-methodology studies). Five synthesized themes (distressing emotions, shared decision-making, proactive communication, personalized end-of- life care, and valuing of nursing care) were identified. For quantitative results, study methodologies and interventions were heterogeneous and did not always improve family members’ perceived quality of care and family members’ psychological distress. Configuration of qualitative and quantitative data revealed ICU end-of-life interventions were ineffective because they were not guided by family members’ reported needs and perceptions. To fulfill the family members’ needs for the patients’ EOLC in the ICU, researchers should develop a theory to explicitly explain how the family members experience ICU EOLC and implement a theory-based intervention to improve family psychological outcomes.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 3 more Smart Citations

Family Outcomes and Perceptions of End-of-Life Care in the Intensive Care Unit: A Mixed-Methods Review

2019

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Contingency Help: The Main Strategy of Iranian Nurses in Dealing With the Family of the End-of-Life Patients

2019

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Families are struggling with many challenges in the final stages of patient life. It is important to understand what actions nurses do for the family of the end-of-life (EOL) patients. This study aimed to explain the main strategy of nurses’ dealing with the family of the EOL patients. Data were analyzed using conventional content analysis. Semistructured interviews were conducted on 32 nurses from hospitals in Tehran. Nurses used six measures of explaining the bitter reality, effective communication, management of violence, referral, consolation, and reinforcement. “Contingency help” was conceptualized as the main strategy. Nurses through “contingency help” were involved in solving the emotional, physical, financial, and spiritual needs of the family. Nurses will be able to apply the results of this study to the development of care policies for the family of the EOL patients.

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The Process of Death Imminence Awareness by Family Members of Patients in Adult Critical Care

Cited by 2 publications

References 63 publications

Family Outcomes and Perceptions of End-of-Life Care in the Intensive Care Unit: A Mixed-Methods Review

Family Outcomes and Perceptions of End-of-Life Care in the Intensive Care Unit: A Mixed-Methods Review

Contingency Help: The Main Strategy of Iranian Nurses in Dealing With the Family of the End-of-Life Patients

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