Health care providers' perceptions of family participation in essential care in the intensive care unit: A qualitative study.

IF 3 3区 医学 Q1 NURSING
Nursing in Critical Care Pub Date : 2025-05-01 Epub Date: 2024-10-21 DOI:10.1111/nicc.13188
Boukje M Dijkstra, Lisette Schoonhoven, Karin M Felten-Barentsz, Margriet J M van der Valk, Johannes G van der Hoeven, Lilian C M Vloet
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引用次数: 0

Abstract

Background: Family participation in essential care may benefit patients and relatives.

Aim: To examine the needs, perceptions and preferences of health care providers about family participation in essential care in the adult intensive care unit.

Study design: A qualitative descriptive study using inductive thematic analysis. Three focus group interviews with a total of 30 intensive care unit health care providers, consisting of 20 critical care nurses, one nursing assistant, five physicians, three physical therapists and one speech therapist working in three Dutch intensive care units.

Results: One overarching theme, balancing interests, and four main themes emerged: looking after the patient's interests, taking the relatives' perspective into account, looking after interests of intensive care unit health care providers and conditions for family participation. The first theme, looking after the patient's interests, included three sub-themes: insecurity about patient's wishes and needs, patient safety concerns and potential benefits for the patient. The second theme, taking the relatives' perspective into account, was also characterized by three sub-themes: concerns about the relatives' possible burden, potential benefits for the relative and the relationship between patient and relative. The third theme, looking after interests of intensive care unit health care providers, included three sub-themes: attitude towards family participation in essential care, differing perceptions of essential care and concerns about intensive care unit health care provider's burden. The last theme, conditions for family participation, included two sub-themes: establishing a relationship and considering family participation in essential care as a process.

Conclusions: Health care providers' perceptions and preferences regarding family participation in essential care in the intensive care unit are summarized in the overarching theme balancing interests. This overarching theme also reflects the needs and perceptions of patients and relatives.

Relevance to clinical practice: These findings may support critical care nurses and other health care providers when encouraging family participation in essential care.

医护人员对家属参与重症监护室基本护理的看法:定性研究。
背景:家庭参与基本护理可使患者和亲属受益:研究设计:研究设计:采用归纳主题分析法进行定性描述性研究。对在荷兰三家重症监护病房工作的 30 名重症监护病房医护人员进行了三次焦点小组访谈,其中包括 20 名重症监护护士、1 名护理助理、5 名医生、3 名物理治疗师和 1 名语言治疗师:结果:得出了一个总主题 "平衡利益 "和四个主要主题:照顾病人的利益、考虑亲属的观点、照顾重症监护病房医护人员的利益和家属参与的条件。第一个主题 "照顾病人的利益 "包括三个子主题:对病人意愿和需求的不安全感、病人安全问题和病人的潜在利益。第二个主题 "从亲属的角度考虑 "也包括三个子主题:对亲属可能承受的负担的担忧、亲属的潜在利益以及患者与亲属之间的关系。第三个主题是照顾重症监护室医护人员的利益,包括三个子主题:对家属参与基本护理的态度、对基本护理的不同看法以及对重症监护室医护人员负担的担忧。最后一个主题是家属参与的条件,包括两个子主题:建立关系和将家属参与基本护理视为一个过程:医疗服务提供者对家属参与重症监护病房基本护理的看法和偏好在总主题 "利益平衡 "中得到了概括。这一总体主题也反映了患者和亲属的需求和看法:这些发现可为重症监护护士和其他医疗服务提供者在鼓励家属参与基本护理时提供支持。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
6.00
自引率
13.30%
发文量
109
审稿时长
>12 weeks
期刊介绍: Nursing in Critical Care is an international peer-reviewed journal covering any aspect of critical care nursing practice, research, education or management. Critical care nursing is defined as the whole spectrum of skills, knowledge and attitudes utilised by practitioners in any setting where adults or children, and their families, are experiencing acute and critical illness. Such settings encompass general and specialist hospitals, and the community. Nursing in Critical Care covers the diverse specialities of critical care nursing including surgery, medicine, cardiac, renal, neurosciences, haematology, obstetrics, accident and emergency, neonatal nursing and paediatrics. Papers published in the journal normally fall into one of the following categories: -research reports -literature reviews -developments in practice, education or management -reflections on practice
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