Korean J Adult Nurs.  2017 Feb;29(1):76-86. 10.7475/kjan.2017.29.1.76.

Experiences of Families in the Intensive Care Unit: Interactions with Health Care Providers

Affiliations
  • 1Head Nurse, Seoul National University Hospital, Seoul, Korea. celine0301@snuh.org
  • 2Professor, College of Nursing, Seoul National University, Seoul, Korea.

Abstract

PURPOSE
The purpose of the study was to provide deep understanding of the reported experiences of families with their loved one in the intensive care unit (ICU), focusing on interactions with healthcare providers.
METHODS
The data were collected by individual interviews of eleven participants. The transcribed data were analyzed using qualitative content analysis to identify major themes and sub-themes that represented the experiences of families.
RESULTS
Five themes and 13 sub-themes emerged. "Captive of patients' delayed death: Fear and anxiety" describes psychological problems arising when the family member became critically ill enough to warrant being admitted to the ICU. "Families as the weak: Suppression and resistance" describes interpersonal difficulties arisingdue to lack of information and trust with healthcare providers. "Deprivation of authority and duty as families: Helplessness" illustrate situational barriers in attempting to protect and support family member. "Re-establishment of trust relationship with healthcare providers: Gratitude and appreciation" describes how they satisfied with themselves by regaining trust relationship. Lastly, "Acceptance of reality through direct care participation: Relief and peace" illustrates peace of mind by gaining sense of reality through active direct care participation.
CONCLUSION
This study demonstrates the positive and negative experiences of families with ICU patients. The results will be useful in developing family-centered nursing interventions.


MeSH Terms

Caregivers
Critical Care*
Critical Illness
Delivery of Health Care*
Family Nursing
Health Personnel*
Humans
Intensive Care Units*
Love
Qualitative Research

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