Twibell Renee Samples, Craig Shannon, Siela Debra, Simmonds Sherry, Thomas Cynthia
Renee Samples Twibell is an associate professor at Ball State University School of Nursing and a nurse researcher at Indiana University Health Ball Memorial Hospital, Muncie, Indiana. Shannon Craig is a faculty member at Ball State University School of Nursing and a staff nurse at Indiana University Health Ball Memorial Hospital. Debra Siela is an associate professor at Ball State University School of Nursing. Sherry Simmonds is a clinical research coordinator at Indiana University Health Ball Memorial Hospital. Cynthia Thomas is an associate professor at Ball State University School of Nursing.
Am J Crit Care. 2015 Nov;24(6):e108-15. doi: 10.4037/ajcc2015470.
Although patients' families want to be invited to the bedside of hospitalized loved ones during crisis events, little is known about patients' perceptions of family presence.
To explore adult inpatients' perceptions of family presence during resuscitation, near-resuscitation, and unplanned invasive cardiac procedures shortly after the life-threatening event.
In this qualitative study, data were collected by interviews at least 13 hours after a crisis event and before hospital discharge. Data were audio recorded, transcribed, and analyzed for themes.
From the bedside interviews (N = 48), the overarching theme of "being there" was explained more specifically as "being there is beneficial," "being there is hard," "families in the way," and "desire for control." Most participants preferred family presence, although preferences varied with types of crisis events, patients' predictions of family members' responses, and the nature of family relationships. New perspectives emerged about patients' decision making related to family presence.
This study extends existing knowledge about factors that influence the decision-making processes of hospitalized patients regarding family presence during a crisis event. Health care professionals can provide support as patients ponder difficult decisions about who to have present and can reduce patients' fears that families might interfere with the life-saving efforts.
尽管在危机事件期间患者家属希望被邀请至住院亲人的床边，但对于患者对家属在场的看法却知之甚少。
探讨成年住院患者在复苏、接近复苏以及危及生命事件后不久进行的非计划侵入性心脏手术期间对家属在场的看法。
在这项定性研究中，数据在危机事件发生至少13小时后且在出院前通过访谈收集。数据进行了录音、转录并分析主题。
从床边访谈（N = 48）中，“在场”这一总体主题被更具体地解释为“在场有益”“在场艰难”“家属碍事”以及“渴望掌控”。尽管偏好因危机事件类型、患者对家庭成员反应的预测以及家庭关系的性质而异，但大多数参与者还是更喜欢家属在场。关于患者与家属在场相关的决策出现了新的观点。
本研究扩展了关于影响住院患者在危机事件期间对家属在场决策过程的因素的现有知识。医疗保健专业人员可以在患者思考关于让谁在场的艰难决策时提供支持，并可以减轻患者对家属可能干扰挽救生命努力的担忧。
