医疗服务提供者对家庭参与重症监护病房基本护理的看法：一项定性研究。
Health care providers' perceptions of family participation in essential care in the intensive care unit: A qualitative study.
作者信息
Dijkstra Boukje M, Schoonhoven Lisette, Felten-Barentsz Karin M, van der Valk Margriet J M, van der Hoeven Johannes G, Vloet Lilian C M
机构信息
Research Department Emergency and Critical Care, HAN University of Applied Sciences, School of Health Studies, Nijmegen, The Netherlands.
Intensive Care Unit, Radboud University Medical Center, Nijmegen, The Netherlands.
出版信息
Nurs Crit Care. 2025 May;30(3):e13188. doi: 10.1111/nicc.13188. Epub 2024 Oct 21.
BACKGROUND
Family participation in essential care may benefit patients and relatives.
AIM
To examine the needs, perceptions and preferences of health care providers about family participation in essential care in the adult intensive care unit.
STUDY DESIGN
A qualitative descriptive study using inductive thematic analysis. Three focus group interviews with a total of 30 intensive care unit health care providers, consisting of 20 critical care nurses, one nursing assistant, five physicians, three physical therapists and one speech therapist working in three Dutch intensive care units.
RESULTS
One overarching theme, balancing interests, and four main themes emerged: looking after the patient's interests, taking the relatives' perspective into account, looking after interests of intensive care unit health care providers and conditions for family participation. The first theme, looking after the patient's interests, included three sub-themes: insecurity about patient's wishes and needs, patient safety concerns and potential benefits for the patient. The second theme, taking the relatives' perspective into account, was also characterized by three sub-themes: concerns about the relatives' possible burden, potential benefits for the relative and the relationship between patient and relative. The third theme, looking after interests of intensive care unit health care providers, included three sub-themes: attitude towards family participation in essential care, differing perceptions of essential care and concerns about intensive care unit health care provider's burden. The last theme, conditions for family participation, included two sub-themes: establishing a relationship and considering family participation in essential care as a process.
CONCLUSIONS
Health care providers' perceptions and preferences regarding family participation in essential care in the intensive care unit are summarized in the overarching theme balancing interests. This overarching theme also reflects the needs and perceptions of patients and relatives.
RELEVANCE TO CLINICAL PRACTICE
These findings may support critical care nurses and other health care providers when encouraging family participation in essential care.
背景
家庭参与基本护理可能使患者和亲属受益。
目的
探讨医疗保健提供者对于家庭参与成人重症监护病房基本护理的需求、看法和偏好。
研究设计
一项采用归纳主题分析的定性描述性研究。对总共30名重症监护病房医疗保健提供者进行了三次焦点小组访谈，其中包括在三家荷兰重症监护病房工作的20名重症护理护士、1名护理助理、5名医生、3名物理治疗师和1名言语治疗师。
结果
出现了一个总体主题“平衡利益”以及四个主要主题：照顾患者利益、考虑亲属观点、照顾重症监护病房医疗保健提供者的利益以及家庭参与的条件。第一个主题“照顾患者利益”包括三个子主题：对患者愿望和需求的不确定、对患者安全的担忧以及对患者的潜在益处。第二个主题“考虑亲属观点”也有三个子主题：对亲属可能负担的担忧、对亲属的潜在益处以及患者与亲属之间的关系。第三个主题“照顾重症监护病房医疗保健提供者的利益”包括三个子主题：对家庭参与基本护理的态度、对基本护理的不同看法以及对重症监护病房医疗保健提供者负担的担忧。最后一个主题“家庭参与的条件”包括两个子主题：建立关系以及将家庭参与基本护理视为一个过程。
结论
总体主题“平衡利益”总结了医疗保健提供者对于家庭参与重症监护病房基本护理的看法和偏好。这个总体主题也反映了患者和亲属的需求与看法。
与临床实践的相关性
这些发现可能有助于重症护理护士及其他医疗保健提供者鼓励家庭参与基本护理。
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