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家庭和医护人员对 ICU 护士主导的家庭支持干预的体验:一项定性评估研究。

Family and health professional experience with a nurse-led family support intervention in ICU: A qualitative evaluation study.

机构信息

Centre of Clinical Nursing Science, University Hospital Zurich, Switzerland; Institute of Implementation Science in Health Care, Faculty of Medicine, University of Zurich, Switzerland.

Institute of Intensive Medicine, University Hospital Zurich, Switzerland.

出版信息

Intensive Crit Care Nurs. 2020 Dec;61:102916. doi: 10.1016/j.iccn.2020.102916. Epub 2020 Aug 15.

Abstract

OBJECTIVES

To investigate family and health professional experience with a nurse-led family support intervention in intensive care.

DESIGN

Qualitative evaluation study.

SETTING

A twelve-bed surgical intensive care unit in a 900-bed University Hospital in Switzerland.

MAIN OUTCOME MEASURES

Data were collected through 16 semi-structured interviews with families (n = 19 family members) and three focus group interviews with critical care staff (n = 19) and analysed using content analysis strategies.

FINDINGS

Four themes related to the new family support intervention were identified. First, families and staff described it as a valuable and essential part of ICU care. Second, it facilitated staff-family interaction and communication. Third, from staff perspective, it promoted the quality of family care. Fourth, staff believed that the family support intervention enabled them to better care for families through increased capacity for developing and sustaining relationships with families.

CONCLUSIONS

An advanced practice family nursing role coupled with a family support pathway is an acceptable, appreciated and beneficial model of care delivery in the inttensive care unit from the perspective of families and critical care staff. Further research is needed to investigate the intervention's effectiveness in the intensive care unit.

摘要

目的

调查家庭和卫生专业人员对护士主导的家庭支持干预在重症监护中的体验。

设计

定性评估研究。

地点

瑞士一家 900 床位大学医院的 12 张外科重症监护病房。

主要观察指标

通过对 19 名家庭成员进行的 16 次半结构化访谈和对 19 名重症监护工作人员进行的 3 次焦点小组访谈收集数据,并使用内容分析策略进行分析。

结果

确定了与新的家庭支持干预相关的四个主题。首先,家庭和工作人员将其描述为重症监护护理的有价值且必不可少的一部分。其次,它促进了工作人员与家庭之间的互动和沟通。第三,从工作人员的角度来看,它提高了家庭护理的质量。第四,工作人员认为家庭支持干预使他们能够通过增强与家庭建立和维持关系的能力更好地照顾家庭。

结论

从家庭和重症监护工作人员的角度来看,高级实践家庭护理角色加上家庭支持途径是重症监护病房可接受、值得赞赏和有益的护理模式。需要进一步研究该干预措施在重症监护病房中的效果。

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