Journal of Qualitative Research in Health Sciences

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To Restore the Stability: Family Experiences of Patients in Intensive Care Unit

Authors

1 qom medical of sciences

2 Iran University of Medical Sciences, Tehran. Iran

Abstract

Introduction: Experience of hospitalization in the intensive care unit is stressful for patients and families. When a family member is hospitalized in intensive care unit, patient's condition causes instability and imbalance in quality of family life. Accordingly, this study aimed to explore experiences of families of hospitalized patients in intensive care unit related to resture the stability.
Method: In this qualitative study, 19 family members of patients in intensive care unit were enrolled via purposive sampling method. Data were collected through semi-structured interviews, observation, and field notes. All interviews were recorded and transcript verbatim, and were analyzed using qualitative content analysis method.
Results: The extracted three main themes wereas “search for supporter resources”, “organizing of situation”, and “contextual-tructural factors”. Subcategories of “searching for supporter resources” were “sources of hope” and “sources of support”. “Organizing of situation” had two subcategories of “interaction with the health care team” and “efforts of stress relief”. Moreover, “contextua-structural factors” included two subcategories of “factors related to family” and “factors related to care-medical system”.
Conclusion: According to the results of this study, it seems essential that health care team understand experiences of family members of patients in intensive care unit related to restore family stability, and balance in their life for providing family-centered interventions.

Keywords

References
  1. Robertson CL, Halcon L, Savik K, Johnson D, Spring M, Butcher J, et al. Somali and Oromo refugee women: Trauma and associated factors. J Adv Nurs 2006; 56(6): 577-87. [DOI:10.1111/j.1365-2648.2006.04057.x]
  2. Robertson CL, Halcon L, Savik K, Johnson D, Spring M, Butcher J, et al. Somali and Oromo refugee women: Trauma and associated factors. J Adv Nurs 2006; 56(6): 577-87. [DOI:10.1111/j.1365-2648.2006.04057.x]
  3. Stayt LC. Nurses' experiences of caring for families with relatives in intensive care units. J Adv Nurs 2007; 57(6): 623-30. [DOI:10.1111/j.1365-2648.2006.04143.x]
  4. Stayt LC. Nurses' experiences of caring for families with relatives in intensive care units. J Adv Nurs 2007; 57(6): 623-30. [DOI:10.1111/j.1365-2648.2006.04143.x]
  5. Hammond F. Involving families in care within the intensive care environment: A descriptive survey. Intensive Crit Care Nurs 1995; 11(5): 256-64. [DOI:10.1016/S0964-3397(95)81713-1]
  6. Hammond F. Involving families in care within the intensive care environment: A descriptive survey. Intensive Crit Care Nurs 1995; 11(5): 256-64. [DOI:10.1016/S0964-3397(95)81713-1]
  7. Walters AJ. A hermeneutic study of the experiences of relatives of critically ill patients. J Adv Nurs 1995; 22(5): 998-1005. [DOI:10.1111/j.1365-2648.1995.tb02654.x]
  8. Walters AJ. A hermeneutic study of the experiences of relatives of critically ill patients. J Adv Nurs 1995; 22(5): 998-1005. [DOI:10.1111/j.1365-2648.1995.tb02654.x]
  9. Fleury J, Moore SM. Family-centered care after acute myocardial infarction. J Cardiovasc Nurs 1999; 13(3): 73-82. [DOI:10.1097/00005082-199904000-00007]
  10. Fleury J, Moore SM. Family-centered care after acute myocardial infarction. J Cardiovasc Nurs 1999; 13(3): 73-82. [DOI:10.1097/00005082-199904000-00007]
  11. Holden J, Harrison L, Johnson M. Families, nurses and intensive care patients: A review of the literature. J Clin Nurs 2002; 11(2): 140-8. [DOI:10.1046/j.1365-2702.2002.00581.x]
  12. Holden J, Harrison L, Johnson M. Families, nurses and intensive care patients: A review of the literature. J Clin Nurs 2002; 11(2): 140-8. [DOI:10.1046/j.1365-2702.2002.00581.x]
  13. Bokinskie JC. Family conferences: A method to diminish transfer anxiety. J Neurosci Nurs 1992; 24(3): 129-33. [DOI:10.1097/01376517-199206000-00002]
  14. Bokinskie JC. Family conferences: A method to diminish transfer anxiety. J Neurosci Nurs 1992; 24(3): 129-33. [DOI:10.1097/01376517-199206000-00002]
  15. Abazari F, Abbaszadeh A. Comparision of the attitudes of nurses and relatives of ICU and CCU Patients towards the psychosocial needs of patients relatives. J Qazvin Univ Med Sci 2001; 5(3): 58-63. [In Persian].
  16. Abazari F, Abbaszadeh A. Comparision of the attitudes of nurses and relatives of ICU and CCU Patients towards the psychosocial needs of patients relatives. J Qazvin Univ Med Sci 2001; 5(3): 58-63. [In Persian].
  17. Bijttebier P, Vanoost S, Delva D, Ferdinande P, Frans E. Needs of relatives of critical care patients: perceptions of relatives, physicians and nurses. Intensive Care Med 2001; 27(1): 160-5. [DOI:10.1007/s001340000750]
  18. Bijttebier P, Vanoost S, Delva D, Ferdinande P, Frans E. Needs of relatives of critical care patients: perceptions of relatives, physicians and nurses. Intensive Care Med 2001; 27(1): 160-5. [DOI:10.1007/s001340000750]
  19. Loiselle CG, Gelinas C, Cassoff J, Boileau J, McVey L. A pre-post evaluation of the Adler/Sheiner Programme (ASP): A nursing informational programme to support families and nurses in an intensive care unit (ICU). Intensive Crit Care Nurs 2012; 28(1): 32-40. [DOI:10.1016/j.iccn.2011.11.006]
  20. Loiselle CG, Gelinas C, Cassoff J, Boileau J, McVey L. A pre-post evaluation of the Adler/Sheiner Programme (ASP): A nursing informational programme to support families and nurses in an intensive care unit (ICU). Intensive Crit Care Nurs 2012; 28(1): 32-40. [DOI:10.1016/j.iccn.2011.11.006]
  21. Bephage G. Social and behavioural sciences for nurses: An integrated approach. London, UK: Churchill Livingstone; 2000.
  22. Bephage G. Social and behavioural sciences for nurses: An integrated approach. London, UK: Churchill Livingstone; 2000.
  23. Chui WY, Chan SW. Stress and coping of Hong Kong Chinese family members during a critical illness. J Clin Nurs 2007; 16(2): 372-81. [DOI:10.1111/j.1365-2702.2005.01461.x]
  24. Chui WY, Chan SW. Stress and coping of Hong Kong Chinese family members during a critical illness. J Clin Nurs 2007; 16(2): 372-81. [DOI:10.1111/j.1365-2702.2005.01461.x]
  25. Pochard F, Darmon M, Fassier T, Bollaert PE, Cheval C, Coloigner M, et al. Symptoms of anxiety and depression in family members of intensive care unit patients before discharge or death. A prospective multicenter study. J Crit Care 2005; 20(1): 90-6. [DOI:10.1016/j.jcrc.2004.11.004]
  26. Pochard F, Darmon M, Fassier T, Bollaert PE, Cheval C, Coloigner M, et al. Symptoms of anxiety and depression in family members of intensive care unit patients before discharge or death. A prospective multicenter study. J Crit Care 2005; 20(1): 90-6. [DOI:10.1016/j.jcrc.2004.11.004]
  27. Hartshorn J, Sole ML, Lamborn M. Introduction to critical care nursing. Trans. Heidari MR. Shahed University: Tehran, Iran; 2000. [In Persian].
  28. Hartshorn J, Sole ML, Lamborn M. Introduction to critical care nursing. Trans. Heidari MR. Shahed University: Tehran, Iran; 2000. [In Persian].
  29. Urden LD, Stacy KM, Lough ME. Thelan's critical care nursing: Diagnosis and management. St. Louis, MO: Mosby; 2002.
  30. Urden LD, Stacy KM, Lough ME. Thelan's critical care nursing: Diagnosis and management. St. Louis, MO: Mosby; 2002.
  31. Sheaffer H. The met and unmet needs of families of patients in the ICU and Implications for social work practice [PhD Thesis]. Philadelphia, PA: University of Pennsylvania; 2010.
  32. Sheaffer H. The met and unmet needs of families of patients in the ICU and Implications for social work practice [PhD Thesis]. Philadelphia, PA: University of Pennsylvania; 2010.
  33. Azoulay E, Pochard F, Kentish-Barnes N, Chevret S, Aboab J, Adrie C, et al. Risk of post-traumatic stress symptoms in family members of intensive care unit patients. Am J Respir Crit Care Med 2005; 171(9): 987-94. [DOI:10.1164/rccm.200409-1295OC]
  34. Azoulay E, Pochard F, Kentish-Barnes N, Chevret S, Aboab J, Adrie C, et al. Risk of post-traumatic stress symptoms in family members of intensive care unit patients. Am J Respir Crit Care Med 2005; 171(9): 987-94. [DOI:10.1164/rccm.200409-1295OC]
  35. El-Masri MM, Fox-Wasylyshyn SM. Nurses' roles with families: perceptions of ICU nurses. Intensive Crit Care Nurs 2007; 23(1): 43-50. [DOI:10.1016/j.iccn.2006.07.003]
  36. El-Masri MM, Fox-Wasylyshyn SM. Nurses' roles with families: perceptions of ICU nurses. Intensive Crit Care Nurs 2007; 23(1): 43-50. [DOI:10.1016/j.iccn.2006.07.003]
  37. Siddiqui S, Sheikh F, Kamal R. "What families want - an assessment of family expectations in the ICU". Int Arch Med 2011; 4: 21. [DOI:10.1186/1755-7682-4-21]
  38. Siddiqui S, Sheikh F, Kamal R. "What families want - an assessment of family expectations in the ICU". Int Arch Med 2011; 4: 21. [DOI:10.1186/1755-7682-4-21]
  39. Delva D, Vanoost S, Bijttebier P, Lauwers P, Wilmer A. Needs and feelings of anxiety of relatives of patients hospitalized in intensive care units: implications for social work. Soc Work Health Care 2002; 35(4): 21-40. [DOI:10.1300/J010v35n04_02]
  40. Delva D, Vanoost S, Bijttebier P, Lauwers P, Wilmer A. Needs and feelings of anxiety of relatives of patients hospitalized in intensive care units: implications for social work. Soc Work Health Care 2002; 35(4): 21-40. [DOI:10.1300/J010v35n04_02]
  41. Titler MG, Cohen MZ, Craft MJ. Impact of adult critical care hospitalization: Perceptions of patients, spouses, children, and nurses. Heart Lung 1991; 20(2): 174-82.
  42. Titler MG, Cohen MZ, Craft MJ. Impact of adult critical care hospitalization: Perceptions of patients, spouses, children, and nurses. Heart Lung 1991; 20(2): 174-82.
  43. Chan KS, Twinn S. An analysis of the stressors and coping strategies of Chinese adults with a partner admitted to an intensive care unit in Hong Kong: an exploratory study. J Clin Nurs 2007; 16(1): 185-93. [DOI:10.1111/j.1365-2702.2005.01452.x]
  44. Chan KS, Twinn S. An analysis of the stressors and coping strategies of Chinese adults with a partner admitted to an intensive care unit in Hong Kong: an exploratory study. J Clin Nurs 2007; 16(1): 185-93. [DOI:10.1111/j.1365-2702.2005.01452.x]
  45. Boswell C, Cannon S. Introduction to nursing research: Incorporating evidence-based practice. Burlington, MA: Jones and Bartlett Learning; 2007.
  46. Boswell C, Cannon S. Introduction to nursing research: Incorporating evidence-based practice. Burlington, MA: Jones and Bartlett Learning; 2007.
  47. Krippendorff K. Content analysis: An introduction to its methodology. Thousand Oaks, CA: SAGE Publications; 2004.
  48. Krippendorff K. Content analysis: An introduction to its methodology. Thousand Oaks, CA: SAGE Publications; 2004.
  49. Halm MA. Effects of support groups on anxiety of family members during critical illness. Heart Lung 1990; 19(1): 62-71.
  50. Halm MA. Effects of support groups on anxiety of family members during critical illness. Heart Lung 1990; 19(1): 62-71.
  51. Reeder JM. Family perception: A key to intervention. AACN Clin Issues Crit Care Nurs 1991; 2(2): 188-94. [DOI:10.4037/15597768-1991-2003]
  52. Reeder JM. Family perception: A key to intervention. AACN Clin Issues Crit Care Nurs 1991; 2(2): 188-94. [DOI:10.4037/15597768-1991-2003]
  53. Schlump-Urquhart SR. Families experiencing a traumatic accident: Implications and nursing management. AACN Clin Issues Crit Care Nurs 1990; 1(3): 522-34. [DOI:10.4037/15597768-1990-3007]
  54. Schlump-Urquhart SR. Families experiencing a traumatic accident: Implications and nursing management. AACN Clin Issues Crit Care Nurs 1990; 1(3): 522-34. [DOI:10.4037/15597768-1990-3007]
  55. Wesson JS. Meeting the informational, psychosocial and emotional needs of each ICU patient and family. Intensive Crit Care Nurs 1997; 13(2): 111-8. [DOI:10.1016/S0964-3397(97)80271-6]
  56. Wesson JS. Meeting the informational, psychosocial and emotional needs of each ICU patient and family. Intensive Crit Care Nurs 1997; 13(2): 111-8. [DOI:10.1016/S0964-3397(97)80271-6]
  57. Soderstrom IM, Saveman BI, Hagberg MS, Benzein EG. Family adaptation in relation to a family member's stay in ICU. Intensive Crit Care Nurs 2009; 25(5): 250-7. [DOI:10.1016/j.iccn.2009.06.006]
  58. Soderstrom IM, Saveman BI, Hagberg MS, Benzein EG. Family adaptation in relation to a family member's stay in ICU. Intensive Crit Care Nurs 2009; 25(5): 250-7. [DOI:10.1016/j.iccn.2009.06.006]
  59. Leske JS. Overview of family needs after critical illness: from assessment to intervention. AACN Clin Issues Crit Care Nurs 1991; 2(2): 220-9. [DOI:10.4037/15597768-1991-2006]
  60. Leske JS. Overview of family needs after critical illness: from assessment to intervention. AACN Clin Issues Crit Care Nurs 1991; 2(2): 220-9. [DOI:10.4037/15597768-1991-2006]
  61. McCubbin MA, McCubbin HI. Families coping with illness: The resiliency model of family stress, adjustment, and adaptation. In: Danielson CB, Hamel-Bissell B, Winstead-Fry P, editors. Families, health and illness: Perspectives on coping and intervention. St. Louis, MO: Mosby; 1993. p. 21-63.
  62. McCubbin MA, McCubbin HI. Families coping with illness: The resiliency model of family stress, adjustment, and adaptation. In: Danielson CB, Hamel-Bissell B, Winstead-Fry P, editors. Families, health and illness: Perspectives on coping and intervention. St. Louis, MO: Mosby; 1993. p. 21-63.
  63. Verhaeghe ST, van Zuuren FJ, Grypdonck MH, Duijnstee MS, Defloor T. The focus of family members' functioning in the acute phase of traumatic coma: Part one: The initial battle and protecting life. J Clin Nurs 2010; 19(3-4): 574-82. https://doi.org/10.1111/j.1365-2702.2009.02964.x [DOI:10.1111/j.1365-2702.2009.02987.x]
  64. Verhaeghe ST, van Zuuren FJ, Grypdonck MH, Duijnstee MS, Defloor T. The focus of family members' functioning in the acute phase of traumatic coma: Part one: The initial battle and protecting life. J Clin Nurs 2010; 19(3-4): 574-82. https://doi.org/10.1111/j.1365-2702.2009.02964.x [DOI:10.1111/j.1365-2702.2009.02987.x]
  65. Verhaeghe ST, van Zuuren FJ, Grypdonck MH, Duijnstee MS, Defloor T. The focus of family members' functioning in the acute phase of traumatic coma: Part two: Protecting from suffering and protecting what remains to rebuild life. J Clin Nurs 2010; 19(3-4): 583-9. https://doi.org/10.1111/j.1365-2702.2009.02964.x [DOI:10.1111/j.1365-2702.2009.02987.x]
  66. Verhaeghe ST, van Zuuren FJ, Grypdonck MH, Duijnstee MS, Defloor T. The focus of family members' functioning in the acute phase of traumatic coma: Part two: Protecting from suffering and protecting what remains to rebuild life. J Clin Nurs 2010; 19(3-4): 583-9. https://doi.org/10.1111/j.1365-2702.2009.02964.x [DOI:10.1111/j.1365-2702.2009.02987.x]
  67. Bland R, Darlington Y. The nature and sources of hope: Perspectives of family caregivers of people with serious mental illness. Perspect Psychiatr Care 2002; 38(2): 61-8. [DOI:10.1111/j.1744-6163.2002.tb00658.x]
  68. Bland R, Darlington Y. The nature and sources of hope: Perspectives of family caregivers of people with serious mental illness. Perspect Psychiatr Care 2002; 38(2): 61-8. [DOI:10.1111/j.1744-6163.2002.tb00658.x]
  69. Johansson I, Hildingh C, Fridlund B. Coping strategies when an adult next-of-kin/close friend is in critical care: a grounded theory analysis. Intensive Crit Care Nurs 2002; 18(2): 96-108. [DOI:10.1016/S0964-3397(02)00019-8]
  70. Johansson I, Hildingh C, Fridlund B. Coping strategies when an adult next-of-kin/close friend is in critical care: a grounded theory analysis. Intensive Crit Care Nurs 2002; 18(2): 96-108. [DOI:10.1016/S0964-3397(02)00019-8]
  71. Azoulay E, Pochard F, Chevret S, Lemaire F, Mokhtari M, Le Gall JR, et al. Meeting the needs of intensive care unit patient families: A multicenter study. Am J Respir Crit Care Med 2001; 163(1): 135-9. [DOI:10.1164/ajrccm.163.1.2005117]
  72. Azoulay E, Pochard F, Chevret S, Lemaire F, Mokhtari M, Le Gall JR, et al. Meeting the needs of intensive care unit patient families: A multicenter study. Am J Respir Crit Care Med 2001; 163(1): 135-9. [DOI:10.1164/ajrccm.163.1.2005117]
  73. Molter NC. Needs of relatives of critically ill patients: A descriptive study. Heart Lung 1979; 8(2): 332-9.
  74. Molter NC. Needs of relatives of critically ill patients: A descriptive study. Heart Lung 1979; 8(2): 332-9.
  75. Loghmani L, Borhani F, Abbaszadeh A. Factors affecting the nurse-patients' family communication in intensive care unit of Kerman: A qualitative study. J Caring Sci 2014; 3(1): 67-82.
  76. Loghmani L, Borhani F, Abbaszadeh A. Factors affecting the nurse-patients' family communication in intensive care unit of Kerman: A qualitative study. J Caring Sci 2014; 3(1): 67-82.
  77. Irurita VF. Factors affecting the quality of nursing care: The patient's perspective. Int J Nurs Pract 1999; 5(2): 86-94. [DOI:10.1046/j.1440-172x.1999.00156.x]
  78. Irurita VF. Factors affecting the quality of nursing care: The patient's perspective. Int J Nurs Pract 1999; 5(2): 86-94. [DOI:10.1046/j.1440-172x.1999.00156.x]
  79. Fateel EE, O'Neill CS. Family members' involvement in the care of critically ill patients in two intensive care units in an acute hospital in Bahrain: The experiences and perspectives of family members' and nurses' - A qualitative study. Clin Nurs Res 2016; 4(1): 57-69.
  80. Fateel EE, O'Neill CS. Family members' involvement in the care of critically ill patients in two intensive care units in an acute hospital in Bahrain: The experiences and perspectives of family members' and nurses' - A qualitative study. Clin Nurs Res 2016; 4(1): 57-69.
  81. Payne N. Occupational stressors and coping as determinants of burnout in female hospice nurses. J Adv Nurs 2001; 33(3): 396-405. [DOI:10.1046/j.1365-2648.2001.01677.x]
  82. Payne N. Occupational stressors and coping as determinants of burnout in female hospice nurses. J Adv Nurs 2001; 33(3): 396-405. [DOI:10.1046/j.1365-2648.2001.01677.x]
  83. Eldredge D. Helping at the bedside: spouses' preferences for helping critically ill patients. Res Nurs Health 2004; 27(5): 307-21. [DOI:10.1002/nur.20033]
  84. Eldredge D. Helping at the bedside: spouses' preferences for helping critically ill patients. Res Nurs Health 2004; 27(5): 307-21. [DOI:10.1002/nur.20033]
  85. Plaszewska-Zywko L, Gazda D. Emotional reactions and needs of family members of ICU patients. Anaesthesiol Intensive Ther 2012; 44(3): 145-9.
  86. Plaszewska-Zywko L, Gazda D. Emotional reactions and needs of family members of ICU patients. Anaesthesiol Intensive Ther 2012; 44(3): 145-9.
  87. Davidson JE. Family-centered care: meeting the needs of patients' families and helping families adapt to critical illness. Crit Care Nurse 2009; 29(3): 28-34. [DOI:10.4037/ccn2009611]
  88. Davidson JE. Family-centered care: meeting the needs of patients' families and helping families adapt to critical illness. Crit Care Nurse 2009; 29(3): 28-34. [DOI:10.4037/ccn2009611]
  89. Mehdipour-Rabori R, Nematollahi M. The effect of recommended Azkar on anxiety, stress, and depression in families of patients undergoing open heart surgery. Iran J Nurs Midwifery Res 2014; 19(3): 238-41.
  90. Mehdipour-Rabori R, Nematollahi M. The effect of recommended Azkar on anxiety, stress, and depression in families of patients undergoing open heart surgery. Iran J Nurs Midwifery Res 2014; 19(3): 238-41.
  91. Verhaeghe S, Defloor T, Van Zuuren F, Duijnstee M, Grypdonck M. The needs and experiences of family members of adult patients in an intensive care unit: A review of the literature. J Clin Nurs 2005; 14(4): 501-9. [DOI:10.1111/j.1365-2702.2004.01081.x]
  92. Verhaeghe S, Defloor T, Van Zuuren F, Duijnstee M, Grypdonck M. The needs and experiences of family members of adult patients in an intensive care unit: A review of the literature. J Clin Nurs 2005; 14(4): 501-9. [DOI:10.1111/j.1365-2702.2004.01081.x]
  93. Gan C, Gargaro J, Brandys C, Gerber G, Boschen K. Family caregivers' support needs after brain injury: a synthesis of perspectives from caregivers, programs, and researchers. NeuroRehabilitation 2010; 27(1): 5-18.
  94. Gan C, Gargaro J, Brandys C, Gerber G, Boschen K. Family caregivers' support needs after brain injury: a synthesis of perspectives from caregivers, programs, and researchers. NeuroRehabilitation 2010; 27(1): 5-18.
  95. Maddox M, Dunn SV, Pretty LE. Psychosocial recovery following ICU: Experiences and influences upon discharge to the community. Intensive Crit Care Nurs 2001; 17(1): 6-15. [DOI:10.1054/iccn.2000.1536]
  96. Maddox M, Dunn SV, Pretty LE. Psychosocial recovery following ICU: Experiences and influences upon discharge to the community. Intensive Crit Care Nurs 2001; 17(1): 6-15. [DOI:10.1054/iccn.2000.1536]
Journal of Qualitative Research in Health Sciences
Volume 7, Issue 1
June 2018
Pages 103-118
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History
  • Receive Date: 08 July 2020
  • Revise Date: 01 May 2024
  • Accept Date: 08 July 2020
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