Feeling safe: the psychosocial needs of ICU patients.

PURPOSE: To describe the psychosocial needs of critically ill patients, including descriptions of patients' experiences when these needs are not met, and behaviors of families, friends, and ICU staff that help or impede meeting these needs. DESIGN: A qualitative research design was used. Participant...

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Publicado en:Journal of Nursing Scholarship Vol. 32; no. 4; pp. 361 - 368
Autor principal: Hupcey JE
Formato: research tables/charts Journal Article
Publicado: Wiley-Blackwell Dec2000
Acceso en línea:Ver este registro en EBSCOhost
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        10.1111/j.1547-5069.2000.00361.x
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        atl: Feeling safe: the psychosocial needs of ICU patients.
      aug:
        au: Hupcey JE
        affil: School of Nursing, The Pennsylvania State University, PO Box 855, Hershey, PA 17033; jxh37@psu.edu
      sug:
        subj:
          Critically Ill Patients Psychosocial Factors
          Human Needs (Psychology)
          Patient Safety
          Funding Source
          Trust
          Hope
          Qualitative Studies
          Rural Areas
          United States
          Grounded Theory
          Theoretical Sample
          Unstructured Interview
          Audiorecording
          Nursing Models, Theoretical
          Theory Construction
          Qualitative Validity
          Patient Attitudes Evaluation
          Adult
          Middle Age
          Aged
          Inpatients
          Male
          Female
          Human
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Male
          Female
      ab: PURPOSE: To describe the psychosocial needs of critically ill patients, including descriptions of patients' experiences when these needs are not met, and behaviors of families, friends, and ICU staff that help or impede meeting these needs. DESIGN: A qualitative research design was used. Participants were 45 adult critically ill patients in the medical or surgical ICU for a minimum of 3 days in a large, rural American tertiary care center. METHODS: Data collection and analysis were conducted using methods of grounded theory, including theoretical sampling and the constant comparative process. Unstructured tape-recorded interviews were conducted with patients once they were stable in the ICU or immediately following their transfer to a general unit. Data were collected and analyzed simultaneously. This process continued until saturation was reached and a model of the psychosocial needs of ICU patients was developed. FINDINGS: The overwhelming need of ICU patients was to feel safe. The perception of feeling safe was influenced by family and friends, ICU staff, religious beliefs, and feelings of knowing, regaining control, hoping, and trusting. CONCLUSIONS: ICU patients in this study said that feeling safe was their overarching need. Patients described feelings of distress when they did not feel safe and stated how family, staff, and religion could both positively and negatively affect this feeling. Nurses can intervene in numerous areas to foster the feeling of safety in critically ill patients.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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