AACN clinical issues in critical care nursing
-
AACN Clin Issues Crit Care Nurs · May 1991
ReviewParent stress associated with pediatric critical care nursing: linking research and practice.
This paper connects research findings to nursing practices that may be helpful when working with stressed parents of critically ill children. Theories and concepts foundational to understanding parental stress related to pediatric critical care are reviewed. Research findings particularly associated with parent role stress are introduced, and suggestions for using these findings to design nursing interventions are presented.
-
AACN Clin Issues Crit Care Nurs · May 1991
Strengthening nurse-family relationships in critical care.
Establishing relationships with families in critical care is an essential part of high quality care. Critical care nurse-family relationships are important to the patient and family and also benefit the nurse. Thus, nurse-family relationships should be started when families first enter the critical care environment. ⋯ Essential qualities of successful relationships include: trust, respect, empathy, warmth, sensitivity, and touching, when appropriate. Each of these qualities is dependent on the verbal and nonverbal skills of the critical care nurse. As with anything worthwhile, relationship skills take practice to develop, involving a commitment to the importance of nurse-family relationships in critical care.
-
AACN Clin Issues Crit Care Nurs · May 1991
Linking critical care family research to quality assurance.
The Joint Commission on Accreditation of Health Care Organizations standards require the inclusion of all major clinical functions performed by nurses in the nursing quality assurance (QA) program. To achieve this goal, nurses must first define the scope of care, which includes articulating the specific activities performed in the critical care unit, who provides the care, where and when nursing care is provided, and to whom nursing care is provided. Interventions directed toward families are recognized as falling within the scope of nursing practice. This article addresses how family research was used to develop a QA tool to evaluate family satisfaction with nursing interventions to meet their identified needs in an intensive care unit setting.
-
AACN Clin Issues Crit Care Nurs · May 1991
Emergent admission to the pediatric intensive care unit: parental concerns.
To identify parental concerns when a child is suddenly admitted to the pediatric intensive care unit, 17 parents of ten critically ill children were interviewed using a structured format between 20 and 36 hours after admission about their concerns around the time of admission and at the time of interview using the Parental Concerns Scale. The individual concern items receiving the highest ratings were the child's survival, the possibility of mental or physical impairment, the child's diagnosis, and the amount of pain experienced by the child. Total concern scores decreased over time for both mothers and fathers when the child's prognosis was good and, for mothers only, when the child had an infectious illness rather than accidental injuries. Implications for nursing practice are discussed.
-
When patients and their families experience the crisis of sudden hospitalization, much energy is spent providing curative interventions and physical care, often with little time available to help the family deal with the crisis. Incorporating caring behaviors into the cadre of critical care interventions must be used to help patients and families deal with the crisis. Caring is a basic value of health care delivery and embodies a spiritual and metaphysical dimension concerned with preserving, protecting, and enhancing human dignity. ⋯ Four basic behaviors form a foundation for the Humanistic CARE Model and include the interconnection and interrelation of communication, advocacy, reciprocity, and empathy. Finally, our caring actions affect each of the lives we touch. The knowledge that those actions make a difference in the lives of critically ill patients and their families provides us with the insight that we have succeeded in incorporating CARE into caring for families in crisis.