College of Nursing, Kent State University, Kent, Ohio.
Nurs Forum. 2021 Jul;56(3):684-692. doi: 10.1111/nuf.12563. Epub 2021 Mar 2.
The purpose of this paper is to conceptually define "caregiver willingness" for application to a family member providing care to a critically ill loved one during an intensive care unit (ICU) hospitalization.
Delivering care to a family member may have psychological benefits for both the caregiver and the critically ill loved one; however, the willingness of family members to provide care is an elusive concept. Examination of the "caregiver willingness" concept will help to advance nursing science.
Walker and Avant's eight step strategy guided identification of the defining attributes, empirical referents, antecedents, and consequences of "caregiver willingness."
Academic Search Complete, CINAHL, MEDLINE, APA PsycInfo, and Psychology and Behavioral Health Collections were used to search for literature published between 2000 and 2020.
A literature search was conducted using keywords, such as "caregiver," "willingness," "willing to care," "family or families or relatives or siblings or caregiver," and "critically ill or intensive care or ICU or critical care."
A definition of caregiver willingness was constructed and defined as "a family member or significant other's affirmation or acknowledgment of openness to engage in the physical and/or emotional supportive care of a loved one who is critically ill and cannot perform self-care."
The definition provides a foundation for instrument development to measure caregiver willingness and possible theory expansion for family engagement and caregiving in the ICU.
本文旨在从概念上定义“照顾者意愿”,将其应用于在重症监护病房(ICU)住院期间为病重亲人提供照顾的家庭成员。
为亲人提供护理可能对照顾者和病重亲人都有心理上的益处;然而,家庭成员提供护理的意愿是一个难以捉摸的概念。对“照顾者意愿”概念的考察将有助于推进护理科学的发展。
沃克和阿凡特的八步策略指导了“照顾者意愿”的定义属性、经验参照、前因和后果的识别。
使用了学术搜索全面、CINAHL、MEDLINE、APA PsycInfo 和心理学与行为健康收藏来搜索 2000 年至 2020 年期间发表的文献。
使用关键词进行文献检索,如“照顾者”、“意愿”、“愿意照顾”、“家庭或亲属或兄弟姐妹或照顾者”和“病重或重症监护或 ICU 或重症监护”。
构建并定义了照顾者意愿的定义,即“家庭成员或重要他人对参与病重亲人的身体和/或情感支持性护理的肯定或承认,而病重亲人无法进行自我护理”。
该定义为测量照顾者意愿的工具开发提供了基础,并可能为 ICU 中的家庭参与和护理提供了理论扩展。