Measuring family‐centred care practices in adult intensive care units: The EMPATHIC‐F questionnaire

This study aimed to identify and analyze nurses' competences to work at Intensive Care Units-ICU. An integrative review method was used, and data were collected in LILACS, SciELO and BDENF, from August to October 2010. Ten articles were identified, published in the last 12 years. Data grouping permitted the construction of thematic units related to nurses' competences: nursing care management, high-complexity nursing care delivery, decision making, leadership, communication, continuing/permanent education, human resource management, material resource management. The professional competences identified can support the outline of guidelines to constitute the profile of nursing working in intensive care units and drive/mobilize the improvement of nursing care practices.

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Oral care practices in intensive care units: a survey of 59 European ICUs

Intensive Care Medicine ◽

10.1007/s00134-007-0605-3 ◽

2007 ◽

Vol 33 (6) ◽

pp. 1066-1070 ◽

Cited By ~ 82

Author(s):

Jordi Rello ◽

Despoina Koulenti ◽

Stijn Blot ◽

Rafael Sierra ◽

Emili Diaz ◽

...

Keyword(s):

Intensive Care ◽

Intensive Care Units ◽

Oral Care ◽

Care Practices

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Nurses’ care practices at the end of life in intensive care units in Bahrain

Nursing Ethics ◽

10.1177/0969733016629771 ◽

2016 ◽

Vol 24 (8) ◽

pp. 950-961 ◽

Cited By ~ 12

Author(s):

Catherine S O’Neill ◽

Maryam Yaqoob ◽

Sumaya Faraj ◽

Carla L O’Neill

Keyword(s):

Intensive Care ◽

End Of Life ◽

Intensive Care Units ◽

End Of Life Care ◽

Family Members ◽

Professional Autonomy ◽

Host Institution ◽

Life Care ◽

Religious Experiences ◽

Care Practices

Background: The process of dying in intensive care units is complex as the technological environment shapes clinical decisions. Decisions at the end of life require the involvement of patient, families and healthcare professionals. The degree of involvement can vary depending on the professional and social culture of the unit. Nurses have an important role to play in caring for dying patients and their families; however, their knowledge is not always sought. Objectives: This study explored nurses’ care practices at the end of life, with the objective of describing and identifying end of life care practices that nurses contribute to, with an emphasis on culture, religious experiences and professional identity. Research Design and context: Grounded theory was used. In all, 10 nurses from intensive care unit in two large hospitals in Bahrain were participated. Ethical Considerations: Approval to carry out the research was given by the Research Ethics Committee of the host institution, and the two hospitals. Findings: A core category, Death Avoidance Talk, was emerged. This was supported by two major categories: (1) order-oriented care and (2) signalling death and care shifting. Discussion: Death talk was avoided by the nurses, doctors and family members. When a decision was made by the medical team that a patient was not to be resuscitated, the nurses took this as a sign that death was imminent. This led to a process of signalling death to family and of shifting care to family members. Conclusion: Despite the avoidance of death talk and nurses’ lack of professional autonomy, they created awareness that death was imminent to family members and ensured that end of life care was given in a culturally sensitive manner and aligned to Islamic values.

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Transição dos pacientes de unidades de terapia intensiva

Revista de Enfermagem UFPE on line ◽

10.5205/1981-8963-v12i12a237705p3320-3326-2018 ◽

2018 ◽

Vol 12 (12) ◽

pp. 3320

Author(s):

Suelly Dos Passos Antonio ◽

Elizabeth Bernardino ◽

Louise Bueno Lelli Tominaga ◽

Otilia Beatriz Maciel Silva ◽

Fabieli Borges ◽

...

Keyword(s):

Intensive Care ◽

Intensive Care Units ◽

Transitional Care ◽

Structured Interview ◽

Transition Experience ◽

Analysis Technique ◽

The Family ◽

Care Family ◽

Terapia Intensiva ◽

Care Practices

RESUMOObjetivo: compreender, na perspectiva dos acompanhantes, a transição dos pacientes que receberam alta das Unidades de Terapia Intensiva. Método: trata-se de estudo qualitativo, exploratório, realizado por meio de entrevista semiestruturada, com 30 acompanhantes de pacientes identificados como cuidadores principais. Transcreveram-se e analisaram-se os dados pela técnica de Análise de Conteúdo na modalidade Análise Temática. Resultados: emergiram-se três categorias: “Continuidade da informação: o cuidado prestado pelos profissionais impactando as percepções dos acompanhantes”; “Transições situacionais: mudanças nas situações de família e a redefinição de papéis” e “Transições no processo de saúde-doença do ser cuidado: os acompanhantes vivenciando a experiência de transição do paciente”. Conclusão: identificaram-se fragilidades, pelos acompanhantes, no processo de transição dos pacientes das Unidades de Terapia Intensiva para as enfermarias, e estas podem ser mitigadas pela atuação do enfermeiro, que deve conhecer o perfil dos pacientes sob a sua responsabilidade e o contexto familiar para aplicar as práticas de cuidado, orientações e medidas de suporte à família. Descritores: Cuidados de Enfermagem; Continuidade da Assistência ao Paciente; Cuidado Transicional; Família; Unidade de Terapia Intensiva; Enfermaria.ABSTRACT Objective: to understand, from the perspective of the companions, the transition of the patients who were discharged from the Intensive Care Units. Method: this is a qualitative, exploratory study, performed through a semi-structured interview, with 30 companions of patients identified as primary caregivers. Data were transcribed and analyzed using the Content Analysis technique in the Thematic Analysis modality. Results: three categories emerged: "Continuity of information: the care provided by professionals impacting the perceptions of the companions"; "Situational transitions: changes in family situations and the redefinition of roles" and "Transitions in the health-illness process of being cared for: the companions experiencing the transition experience of the patient". Conclusion: fragilities were identified by the caregivers in the process of transition of patients from the Intensive Care Units to the infirmary, and these can be mitigated by the nurses' performance, who must know the profile of the patients under their responsibility and the family context to apply care practices, guidelines, and family support measures. Descriptors: Nursing Care; Continuity of Patient Care; Transitional Care; Family; Intensive Care Unit; Patient Rooms.RESUMENObjetivo: comprender, en la perspectiva de los acompañantes, la transición de los pacientes que recibieron alta de las Unidades de Terapia Intensiva. Método: se trata de un estudio cualitativo, exploratorio, realizado por medio de una entrevista semiestructurada, con 30 acompañantes de pacientes identificados como cuidadores principales. Se transcribieron y analizaron los datos por la técnica de Análisis de Contenido en la modalidad Análisis Temático. Resultados: surgieron tres categorías: "Continuidad de la información: el cuidado prestado por los profesionales impactando las percepciones de los acompañantes"; "Transiciones situacionales: cambios en las situaciones de familia y la redefinición de papeles" y "Transiciones en el proceso de salud-enfermedad del ser cuidado: los acompañantes viviendo la experiencia de transición del paciente". Conclusión: se identificaron fragilidades, por los acompañantes, en el proceso de transición de los pacientes de las Unidades de Terapia Intensiva para las enfermerías, y éstas pueden ser mitigadas por la actuación del enfermero, que debe conocer el perfil de los pacientes bajo su responsabilidad y el contexto familiar para aplicar las prácticas de cuidado, orientaciones y medidas de soporte a la familia. Descriptores: Atención de Enfermería; Continuidad de la Atención al Paciente; Cuidado de Transición; Familia; Unidad de Cuidados Intensivos; Habitaciones para Pacientes.

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