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2015 ; 30
(3
): 557-61
Nephropedia Template TP
gab.com Text
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Twit Text #
English Wikipedia
Care and caring in the intensive care unit: Family members distress and
perceptions about staff skills, communication, and emotional support
#MMPMID25682345
Carlson EB
; Spain DA
; Muhtadie L
; McDade-Montez L
; Macia KS
J Crit Care
2015[Jun]; 30
(3
): 557-61
PMID25682345
show ga
PURPOSE: Family members of intensive care unit (ICU) patients are sometimes
highly distressed and report lower satisfaction with communication and emotional
support from staff. Within a study of emotional responses to traumatic stress,
associations between family distress and satisfaction with aspects of ICU care
were investigated. MATERIALS AND METHODS: In 29 family members of trauma patients
who stayed in an ICU, we assessed symptoms of depression and posttraumatic stress
disorder (PTSD) during ICU care. Later, family members rated staff communication,
support, and skills and their overall satisfaction with ICU care. RESULTS:
Ratings of staff competence and skills were significantly higher than ratings of
frequency of communication, information needs being met, and support. Frequency
of communication and information needs being met were strongly related to ratings
of support (rs = .75-.77) and staff skills (rs = .77-.85), and aspects of
satisfaction and communication showed negative relationships with symptoms of
depression (rs = -.31 to -.55) and PTSD (rs = -.17 to -.43). CONCLUSIONS:
Although satisfaction was fairly high, family member distress was negatively
associated with several satisfaction variables. Increased understanding of the
effects of traumatic stress on family members may help staff improve
communication and increase satisfaction of highly distressed family members.