Critical illness and the admission of a family member to an intensive care unit is an extremely stressful experience that may result in an emotional turmoil, high level of stress, role conflict, interruption of normal home routines, and potential changes in relationships among patients and family members. This phenomenological study explored the lived intensive care unit experiences of nurses, patients and family members during critical illness in the intensive care unit using a purposive sample of five participants from each category. Content analysis of narratives elucidated that the patient''s experiences as it relates to finding meaning during critical illness is centered on obtaining support from their families and professionalism from the nurse. Adaptation in the intensive care unit, as experienced by nurses, patients and family members integrates family as a unit, physical care, physiological care and psychosocial support resulting in transformation. Future studies should be done to further explore the patient-family-nurse experience during critical illness in the intensive care unit.
The qualitative research study detailed in this book seeks an understanding of the experience and needs of family members of patients in an intensive care unit (ICU) at a large, metropolitan hospital. The study in this text utilized a self-developed, semi-structured interview, transitioning the findings of the The Critical Care Family Needs Inventory (CCFNI) (Molter, & Leske, 1983) into open-ended interview questions. The interviews queried participants about their needs related to their family member's stay in the ICU, their interactions with the health care team and any recommendations they wished to offer to family members of patients in the ICU and to the health care team. The interviews yielded multiple needs of family members of patients in the ICU including the need for: communication, information, visitation, vigilance, assurance, and “realistic hope.” Additional research investigating interventions designed to meet the families' needs and the role of social work in the ICU in meeting these needs is also indicated.
Patient-centred care in contemporary nursing refers to prioritising the patient and their experience through communication, discussion of treatment options, potential outcomes and possible psychological effects. These are the expectations of a professional nurse practicing in the 21st century. Proper nursing care, therefore, should take into account the experiences of patients during the care process in the health facility. In teaching hospitals, while the focus of care is the patient, attention is sometimes diverted to the nursing students rather than on the patients who are undergoing care at the hands of both the nursing professionals and students. The study was thus designed to explore and describe the experiences of patients nursed by student nurses in a teaching hospital; identify patterns in the experiences of patients receiving patient care from student nurses; conceptualise these experiences within a framework; and analyse aspects of the experiences that may need further attention for the training of student nurses. Three main themes were discovered: methods of identification of student nurses by patients; positive and negative perceptions of student nurses by patients.
Sleep as one of the basic human needs is absolutely essential for patients to survive from critical illness. Despite the best medical interventions, critically ill patients require sleep to recuperate. Therefore, sleep quality and factors that might negatively influence sleep were assessed. The current study revealed that critically ill patients perceived sleep quality as altered and described this alteration as a moderate degree of sleep disturbance. The etiologies of sleep disturbances in the current study were found to be multifactorial: presence of strange and bad odors, noise, having pain, fear of death, in addition toloud voiceswhich produced by the ICU personnel and represented the most significant factor leading to sleep disturbance.Thus,critical care nurses can enhance ICU patients’ abilities to sleep, make their stay in the ICU more pleasant, and assist patients to recover without increasing financial costs.
Quality nursing care is essential for nurses to provide and patients to receive. Improving quality nursing care is a primary objective of the healthcare system as well as a major responsibility of nurse administrators. The purpose of this study was to explore and compare quality nursing care as perceived by nurses and patients. The findings provide knowledge of nurses and patients perceptions of quality nursing care. The results of differences between nurses and patients perceptions of quality nursing care could be benefit nurses in clinical settings, to be aware of their patients expectations and needs while they provide nursing care, especially care for patients psychological needs.In Chinese hospitals, improvements are needed regarding the current dynamic and rapidly changing needs of nursing profession.
The purpose of this study was to explore the experiences of Hmong hemodialysis patients and their nurses. The nurses used a variety of methods to learn about Hmong culture.Overall they felt there was a lack of training for them on Hmong culture. They had concerns about the Hmong hemodialysis patients'' compliance with treatment.The nurses identified patient barriers: transportation, finances, family support, depression, and anxiety; and cultural challenges: communication, Hmong beliefs about treatment, beliefs about illness, and fears about treatment. The Hmong hemodialysis patients described profound sadness, weakness and uncertainty. They were sad that they had this chronic disease, that so much of their time was spent in dialysis, and that their lives were drastically changed. They described feeling fatigued and unable to participate in family, social, and clan activities. Feelings of uncertainty and fear related to life, death, dialysis, the future, and kidney transplant were identified. This study is important for all health care providers working with Hmong patients receiving hemodialysis or wishing to learn more about this culture.
Critical care nursing is the field of nursing with a focus on the utmost care of the critically ill or unstable patients. The patient’s oral care is a key component of nursing care. Oral care is often considered primarily an intervention for patient’s comfort, a characteristic that may reduce its priority and hence frequency. When patients are hospitalized for critical illness in the ICU, the oral flora is altered, accompanied by a decrease in salivary volume and an increase in dental plaque. Hospitalization also alters a patient’s usual oral hygiene measures, further compromising oral health. Oral care protocols have been shown to benefit ICU patients, but additional research is needed, especially on the optimal frequency of oral care, the duration of tooth brushing needed during an episode of oral care, and educational considerations to ensure consistency in oral care practices among healthcare providers and family members. This book specifies the need to develop and implement a comprehensive oral care program for patients in critical care and acute care settings who are at high risk for healthcare-associated pneumonia.
Nutrition support in intensive care units (ICUs) is accepted as an integral part of patient care; however, feeding remains a low priority compared with other ICU treatments. Approximately 52,000 patients die of Traumatic Brain Injury each year and approximately 85% of the deaths occur within the first 2 weeks. Closed head injury is one of the most highly catabolic illnesses in ICU patients. Nutritional support for acutely head-injured patients is sometimes delayed until gastrointestinal function has returned to normal in the post injury period and these patients frequently have longer stays in the ICU, and causes of this beyond the severity of the brain injury include the presence of infectious complications, sepsis and acute malnutrition. A total of 21 severe head injury (SHI) adult patients with a Glascow Coma Scale score of 5-8, admitted at Critical Care Unit, Kenyatta National Hospital between January-March 2012, were included in the prospective quasi experimental, one group (pre-post test) study design. This book sought to establish the outcomes of Enteral Nutrition supplementation of SHI adult ICU patients and the findings are discussed herein.
Since the psychological aspects of cancer illness are frequently relegated to the background, family members of cancer patients often find themselves occupying the shadows of public interest. The author intends to enable such family members to take a step out of those shadows. The content of her dissertation is giving attention primarily to family member’s but also to patient’s psychological distress and it's recognition with screening instruments. However it is also positive experiences that are accounted on: In certain instances, it appears directly on account of the numerous associated strains that many of those affected (patients and family members) speak of finding meaning in the challenges of the illness and of experiencing a feeling of personal growth. Basis of the dissertation are two scientific projects which have led to the present publication as well as to three separately published reports. In the present publication the author gives a detailed overview on the literature of the above mentioned subjects and interlinks the literature with results of the two projects.
There is growing interest in the impact of patients' illness on the quality of life of family members. Much of the previous research focuses on the impact on family members who are also carers, or is restricted to one disease or disease area. This book describes the conceptualisation, development and validation of the first generic quality of life measure for family members, the Family Reported Outcome Measure (FROM-16). The book presents the findings of a literature review looking at current research into the area of family quality of life and highlights the need for a generic family measure. The process and results of interviews with 126 family members are discussed, and the development and validation processes of the measure are described in detail, including Item Response Theory and Classical Test Theory. Finally, this book details the potential uses of the FROM-16 and the challenges faced by clinicians, researchers and society in measuring family quality of life.
Autonomy and empowerment are core concerns in the field of geriatric care but the discussion has been mostly based on the health professionals’ point of view and in the context of long-term care. The aim of this study was to explore the concept of autonomy and the empowerment process in hospitalized older people encompassing the nurses’ and patients’ points of view. A qualitative study design was drawn up within a phenomenological approach. Nurses’ life histories and patients’ biographic narratives were collected. Hermeneutic analysis was performed. Patients and nurses have different concepts from each other regarding autonomy and empowerment. Patients have a more comprehensive view of these concepts but feel powerless, voiceless and would like to hold more power regarding the dimensions of care that are currently dependent on nurses’ action. The differentiation of latent and manifest autonomy emerged in this study. In hospital, latent autonomy is significantly higher than manifest autonomy and nurses play a significant role in the extent of the gap between these two dimensions. Empowering interventions might transform patients’ latent autonomy into one that is vivid and manifest.
The workforce in the British National Health Service has become more diverse due to the increased recruitment of overseas nurses in the late 1990s and early 2000s. This diversity has brought some positive effects. However, overseas nurses have frequently cited racism and harassment as distressing experiences in their working life in NHS hospitals, as well as in the private sector. This book explores motivations and experiences for black African nurses who leave their countries and move to the United Kingdom. A migratory framework if used to analyse these experiences and place them in the context of skilled migration in a globalised world. Based on a qualitative study conducted among black African nurses and their managers, this book describes motivations migration and experiences obtained via personal interviews. It covers issues such as managing diversity, cross-cultural communication, ethnicity and employment as well as professional and social experiences of migrant nurses. This book is an essential reading for human resource managers in health care, diversity managers and trainers, mentors of overseas nurses and diversity and inclusion educationists. It provides an insight
Tips to front line workers-Nurses and community members on disaster management: The case of eruptions of Mount Cameroon and health hazards in association.Community members and health workers' perspectives contributed in gathering the that that has lead to the production of this book. The authors worker with community members and health workers (nurses) in the communities to identify better strategies in managing the health hazards that occur as a result of these eruptions. The Mount Cameroon lies along the west African coast. It is largest mountain in West Africa
The research delineates a substantive theory on role transition in a Pakistani context. It describes the experiences of the fresh graduate nurse entering into a role of staff nurses in a private university teaching hospital. The journey of role transition begins with both excitement and anxiety, however through proper mentoring and preceptorship ends up into a smooth role adjustment. Findings reveal various physical, psychological and spiritual experiences and needs of novice nurses working in the nursing units. The research serves as a valuable guide for formulating effective orientation programs and competency based orientation modules for the fresh graduate nurses entering into the profession. Effective transition results in reducing turnover among nurses and improved retention. Moreover, it enhances the quality care and work satisfaction among nurses working in the hospital settings.