Shunxia Sun, Caiping Song, Li Guan, Tang Xiaoling, Caie Wu
{"title":"ICU的家庭弹性:概念分析。","authors":"Shunxia Sun, Caiping Song, Li Guan, Tang Xiaoling, Caie Wu","doi":"10.1111/nicc.70147","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>The concept of family resilience is a promising way to improve families' ability to cope with sudden change. However, there is no consensus in the field of intensive care regarding its definition.</p><p><strong>Aim: </strong>The aim of this concept analysis was to develop a deeper understanding of the phrase 'family resilience in the ICU' within the nursing discipline to facilitate its comprehension, implementation and evaluation.</p><p><strong>Study design: </strong>We performed a comprehensive search of Medline (PubMed), Web of Science, OVID, Embase, CINAHL (EBSCO), CNKI (Chinese), Wangfang (Chinese), VIP (Chinese) and SinoMed (Chinese) with MeSH terms and keywords, including critical care/intensive/ICU, family, resilienc* and hardiness. The inclusion criteria were the subject of family resilience in the intensive care unit (ICU), English or Chinese language, and full text. Walker and Avant's approach was used to analyse the concept.</p><p><strong>Results: </strong>From the 22 studies selected for this analysis, four main attributes of 'family resilience in the ICU' were identified: the characteristics system, belief system, organisation system and support system. We developed four model cases to illustrate how the concept is operationalised. The concept analysis of 'family resilience in the ICU' identified four antecedents: the relatively unexpected admission of a relative to the ICU, disrupted family order, acute stress and positive response. The analysis also identified four consequences: the development of resilience, the psychology of the family, family adaptation and patient support.</p><p><strong>Conclusions: </strong>According to the concept analysis, we suggest an operational definition to facilitate the implementation of the concept in practice. Furthermore, we propose that implementation should be guided by the following key ideas: (1) identifying family characteristics, (2) helping families establish correct expectations, (3) providing support to help families regain control, (4) promoting family participation in medical decision-making and patient care, and (5) encouraging families to access external resources.</p><p><strong>Relevance to clinical practice: </strong>This concept analysis of family resilience in the ICU will advance healthcare professionals' understanding and knowledge and encourage them to pay more attention to patients' families. It can also prepare and educate healthcare professionals to develop policies and guidance to increase family resilience in ICU settings.</p>","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":"30 5","pages":"e70147"},"PeriodicalIF":2.6000,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12358821/pdf/","citationCount":"0","resultStr":"{\"title\":\"Family Resilience in the ICU: A Concept Analysis.\",\"authors\":\"Shunxia Sun, Caiping Song, Li Guan, Tang Xiaoling, Caie Wu\",\"doi\":\"10.1111/nicc.70147\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>The concept of family resilience is a promising way to improve families' ability to cope with sudden change. However, there is no consensus in the field of intensive care regarding its definition.</p><p><strong>Aim: </strong>The aim of this concept analysis was to develop a deeper understanding of the phrase 'family resilience in the ICU' within the nursing discipline to facilitate its comprehension, implementation and evaluation.</p><p><strong>Study design: </strong>We performed a comprehensive search of Medline (PubMed), Web of Science, OVID, Embase, CINAHL (EBSCO), CNKI (Chinese), Wangfang (Chinese), VIP (Chinese) and SinoMed (Chinese) with MeSH terms and keywords, including critical care/intensive/ICU, family, resilienc* and hardiness. The inclusion criteria were the subject of family resilience in the intensive care unit (ICU), English or Chinese language, and full text. Walker and Avant's approach was used to analyse the concept.</p><p><strong>Results: </strong>From the 22 studies selected for this analysis, four main attributes of 'family resilience in the ICU' were identified: the characteristics system, belief system, organisation system and support system. We developed four model cases to illustrate how the concept is operationalised. The concept analysis of 'family resilience in the ICU' identified four antecedents: the relatively unexpected admission of a relative to the ICU, disrupted family order, acute stress and positive response. The analysis also identified four consequences: the development of resilience, the psychology of the family, family adaptation and patient support.</p><p><strong>Conclusions: </strong>According to the concept analysis, we suggest an operational definition to facilitate the implementation of the concept in practice. Furthermore, we propose that implementation should be guided by the following key ideas: (1) identifying family characteristics, (2) helping families establish correct expectations, (3) providing support to help families regain control, (4) promoting family participation in medical decision-making and patient care, and (5) encouraging families to access external resources.</p><p><strong>Relevance to clinical practice: </strong>This concept analysis of family resilience in the ICU will advance healthcare professionals' understanding and knowledge and encourage them to pay more attention to patients' families. It can also prepare and educate healthcare professionals to develop policies and guidance to increase family resilience in ICU settings.</p>\",\"PeriodicalId\":51264,\"journal\":{\"name\":\"Nursing in Critical Care\",\"volume\":\"30 5\",\"pages\":\"e70147\"},\"PeriodicalIF\":2.6000,\"publicationDate\":\"2025-09-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12358821/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Nursing in Critical Care\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1111/nicc.70147\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"NURSING\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Nursing in Critical Care","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1111/nicc.70147","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"NURSING","Score":null,"Total":0}
引用次数: 0
摘要
背景:家庭弹性的概念是提高家庭应对突发变化能力的一种很有前景的方法。然而,在重症监护领域对其定义尚无共识。目的:本概念分析的目的是加深对护理学科中“ICU家庭弹性”一词的理解,以促进其理解、实施和评估。研究设计:我们综合检索Medline (PubMed)、Web of Science、OVID、Embase、CINAHL (EBSCO)、CNKI(中文)、Wangfang(中文)、VIP(中文)和SinoMed(中文)的MeSH术语和关键词,包括critical care/intensive/ICU、family、resilience *和hardiness。纳入标准为重症监护病房(ICU)家庭弹性、中英文对照和全文。Walker和Avant的方法被用来分析这个概念。结果:从本次分析选取的22项研究中,确定了“ICU家庭弹性”的四个主要属性:特征系统、信念系统、组织系统和支持系统。我们开发了四个模型案例来说明这个概念是如何运作的。“ICU家庭弹性”的概念分析确定了四种前因:相对意外的亲属入住ICU,家庭秩序中断,急性压力和积极反应。该分析还确定了四个后果:恢复力的发展、家庭心理、家庭适应和患者支持。结论:根据概念分析,我们提出了一个可操作的定义,以方便概念在实践中的实施。此外,我们建议实施应遵循以下关键思路:(1)识别家庭特征;(2)帮助家庭建立正确的期望;(3)提供支持,帮助家庭重新获得控制权;(4)促进家庭参与医疗决策和患者护理;(5)鼓励家庭获取外部资源。与临床实践的相关性:通过对ICU家庭弹性的概念分析,可以提高医护人员对患者家庭的理解和认识,鼓励医护人员更多地关注患者家庭。它还可以准备和教育医疗保健专业人员制定政策和指导,以提高ICU环境中的家庭弹性。
Background: The concept of family resilience is a promising way to improve families' ability to cope with sudden change. However, there is no consensus in the field of intensive care regarding its definition.
Aim: The aim of this concept analysis was to develop a deeper understanding of the phrase 'family resilience in the ICU' within the nursing discipline to facilitate its comprehension, implementation and evaluation.
Study design: We performed a comprehensive search of Medline (PubMed), Web of Science, OVID, Embase, CINAHL (EBSCO), CNKI (Chinese), Wangfang (Chinese), VIP (Chinese) and SinoMed (Chinese) with MeSH terms and keywords, including critical care/intensive/ICU, family, resilienc* and hardiness. The inclusion criteria were the subject of family resilience in the intensive care unit (ICU), English or Chinese language, and full text. Walker and Avant's approach was used to analyse the concept.
Results: From the 22 studies selected for this analysis, four main attributes of 'family resilience in the ICU' were identified: the characteristics system, belief system, organisation system and support system. We developed four model cases to illustrate how the concept is operationalised. The concept analysis of 'family resilience in the ICU' identified four antecedents: the relatively unexpected admission of a relative to the ICU, disrupted family order, acute stress and positive response. The analysis also identified four consequences: the development of resilience, the psychology of the family, family adaptation and patient support.
Conclusions: According to the concept analysis, we suggest an operational definition to facilitate the implementation of the concept in practice. Furthermore, we propose that implementation should be guided by the following key ideas: (1) identifying family characteristics, (2) helping families establish correct expectations, (3) providing support to help families regain control, (4) promoting family participation in medical decision-making and patient care, and (5) encouraging families to access external resources.
Relevance to clinical practice: This concept analysis of family resilience in the ICU will advance healthcare professionals' understanding and knowledge and encourage them to pay more attention to patients' families. It can also prepare and educate healthcare professionals to develop policies and guidance to increase family resilience in ICU settings.
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