Family Member Experiences in Intensive Care Units Care: Insights From a Family Involvement Tool Implementation Trial.

Family involvement is widely considered an important part of patient care in the intensive care unit. From professional health care organizations, government, and hospital associations, there has been a cultural shift toward family presence as part of a wider commitment to patient-centered care. At...

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Publicado en:Qualitative Health Research Vol. 34; no. 10; pp. 926 - 941
Autores principales: Alexanian, Janet, Fraser, Ian, Smith, Orla, Kitto, Simon
Formato: research tables/charts Journal Article
Publicado: Sage Publications Inc. Aug2024
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Aug2024
      vid: 34
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      pub: Sage Publications Inc.
      place: Thousand Oaks, California
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        atl: Family Member Experiences in Intensive Care Units Care: Insights From a Family Involvement Tool Implementation Trial.
      aug:
        au:
          Alexanian, Janet
          Fraser, Ian
          Smith, Orla
          Kitto, Simon
        affil: Department of Innovation in Medical Education, Faculty of Medicine, 6363 University of Ottawa, Ottawa, ON, Canada
      sug:
        subj:
          Critical Care
          Family Centered Care
          Intensive Care Units
          Family Role
          Family Attitudes
          Attitude of Health Personnel
          Implementation Science
          Human
          Male
          Female
          Canada
          Urban Areas
          Ethnographic Research
          Qualitative Studies
          Content Analysis
          Conceptual Framework
          Models, Theoretical
          Thematic Analysis
          Semi-Structured Interview
          Communication
          Nurse-Patient Relations
          Family Relations
          Patient Centered Care
          Stress, Psychological
          Descriptive Statistics
          Funding Source
          Male
          Female
      ab: Family involvement is widely considered an important part of patient care in the intensive care unit. From professional health care organizations, government, and hospital associations, there has been a cultural shift toward family presence as part of a wider commitment to patient-centered care. At the same time, the meaning and impact of family involvement in the intensive care unit setting remain opaque and under-studied. This study employed an ethnographic approach to better understand family involvement in practice and from the perspective of health care professionals and family members by studying an implementation trial of a family involvement tool in two intensive care units over 2 years. The findings revealed that an expanded and self-defined role for family members as carers in the intensive care unit challenged the current configuration of the nurse patient/family relationship and that family members were aware of these dynamics. While the intensive care unit implementation teams were both motivated to implement a novel way of facilitating family involvement, the processual, organizational, and contextual factors in the intensive care units largely determined the possibilities of its application. This suggests that interventions should address the specific context in which they are employed.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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