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The nurse-family interaction of the critically ill person in a cardiac intensive care unit
Session:
Posters (Sessão 2 - Écran 7) - Enfermagem e Técnicos
Speaker:
Ana Rita Pires Olo Machado
Congress:
CPC 2022
Topic:
M. Cardiovascular Nursing
Theme:
32. Cardiovascular Nursing
Subtheme:
32.1 Acute Nursing Care
Session Type:
Pósters Electrónicos
FP Number:
---
Authors:
Ana Rita Pires Olo Machado; Cristina Maria Inocência Imaginário; Maria Cristina Quintas Antunes
Abstract
<p style="text-align:justify"><span style="font-size:10pt"><span style="font-family:"Liberation Mono""><strong><span style="font-size:12.0pt"><span style="font-family:"Liberation Serif",serif"><span style="color:#202124">Introduction:</span></span></span></strong><span style="font-size:12.0pt"><span style="font-family:"Liberation Serif",serif"><span style="color:#202124"> Family members of the critically ill person (CIP) often present with symptoms of anxiety, depression, and post-traumatic stress disorder. This set of long-term changes has been called Post Intensive Care Family Syndrome. Supporting CIP's family minimizes the impact of critical illness on them and prepares them for decision-making and the CIP's need for care. <strong>Methodology:</strong> To understand the nurses’s perception about the practices of positive interaction with CIP family members, at a Cardiac Intensive Care Unit (CICU) of a Hospital Center in northern Portugal, a quantitative, descriptive-correlational, cross-sectional study was carried out. The target population was the 27 nurses working in the unit. The inclusion criteria defined was: working in the CICU during the study. The exclusion criteria was: not completing the entire questionnaire. Twenty-six nurses participated in the study. The data collection instrument was a questionnaire consisting of two parts: i) characterization of the work environment; ii) </span></span></span><span style="font-size:12.0pt"><span style="font-family:"Times New Roman",serif"><span style="color:black">the Relational Practices of Nurses with the Family at Intensive Care Unit (RPNFICU) – Importance and Frequency Scales. </span></span></span><span style="font-size:12.0pt"><span style="font-family:"Liberation Serif",serif"><span style="color:#202124">These scales contain 15 items which can be put into 3 dimensions: Welcoming and Information Practices (WIP); Integration Practices in Technical Procedures and Decision-Making Processes (IPTPDMP); and Visit Management Practices (VMP). <strong>Results:</strong> On RPNFICU – Importance scale, the practice with the highest percentage of responses as "Totally important" was <em>"Make yourself available to clarify doubts for family members"</em> (65.4%; n=17). On the other hand, the practice <em>"Allowing shared decision-making with the client's family regarding procedures"</em> was considered "Not at all important" by (3.8%; n=1) of the participants. On RPNFICU – Frequency scale, the practice <em>"Make yourself available to clarify doubts for family members"</em> was the one that the participants considered implementing "Always" in greater numbers (61.5%; n=16) and the practice <em>"Promoting the presence of family members, with the client, during non-invasive procedures (hygiene care, alternating positions, changing clothes)"</em>, the one more participants reported "Never" to implement (26.9%; n =7). The WIP and the VMP stood out positively. Lower importance and frequency values were assigned to IPTPDMP. <strong>Conclusion: </strong>Participants demonstrated a positive attitude towards the importance of the RPNFICU, however the frequency with which they implement them is moderate.</span></span></span></span></span></p>
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