Forskningen visar att patienter som vårdats på intensivvårdsavdelning har både psykiska och fysiska problem efter utskrivning som kan leda till försämrad livskvalitet. På senare år har detta fenomen uppmärksammats alltmer och uppföljning blir allt vanligare. Vårt syfte var att belysa patienternas erfarenhet av att följas upp efter intensivvård. Metoden var en litteraturstudie där 15 artiklar granskades, bearbetades och analyserades. Resultatet visade att det finns ett behov av uppföljning eftersom patienterna upplevde minnesluckor från intensivvårdsvistelsen eller hade overkliga minnen därifrån och behövde både information och förklaring. Dagboken som skrevs av både närstående och personal under intensivvårdstiden, ansågs som ett vikrigt redskap under återhämtningen. Patienterna uppskattade att ge feedback till personalen och komma med förslag om förändringar som kunde förbättra vården. Mer forskning behövs för att klargöra patienters upplevelse av intensivvården för att utveckla standradvårdplaner och dagboken så att intensivvårspatienten gagnas på bästa sätt.

The technological complexity of the ICU is often focused on saving lives however, it is frequently a place to support the dying. Because of the serious nature of critical illness, patients are unable to communicate their wishes, values and views. Family members are often called upon to communicate the critically ill patients’ wishes and many report feeling burdened with the task. The distress described may lead to difficulty mobilizing coping mechanisms and may affect their ability to make appropriate decisions for their family member’s care. Hence, an in depth understanding of the surrogate’s experience is critical to plan effective interventions and provide anticipatory guidance to support the process of making decisions around end of life care. Objective The purpose of the study is to describe the surrogate decision makers’ appraisals of the demands of decision making for a critically ill adult intensive care unit patient and the coping strategies employed by them during this experience. Method A descriptive study design using a qualitative interviewing approach extracted perceived stressors and coping strategies using systematic, focused thematic analysis guided by Folkman and Lazarus’ Stress and Coping Paradigm. Findings Respondents appraisals identified the following perceived stressors: doubt of self efficacy, unknowns, impingement of real life, and problematic relay of information. The surrogates’ perception of their ability to manage the decision making process required their awareness of the decision making role and magnitude of illness, their need to form partnerships, time to reflect on prior discussions and experience, and their appraisal of the patients’ suffering. Participants described emotion and problem based coping strategies they employed during the task. To emotionally justify their decisions, surrogates’ referred to their understanding of patient wishes and sought solace and comfort from the health care staff. In addition, surrogates used strategies to solve problems encountered including dealing with others, employing strategies to decrease their uncertainty and mobilizing time to process the events unfolding. Conclusions End of life decisions in the intensive care are complex and demanding. A better understanding of the process may guide health care professionals in developing focused interventions to assist surrogates through a painful process. / Thesis (Master, Nursing) -- Queen's University, 2008-04-25 09:29:27.1

Purpose: The purpose of this study was to identify the stressors that affecting the critical care nurses in Abu Dhabi hospitals in order for the managers to take action to decrease or control these stressors where possible, or to take other appropriate action. Design: A cross sectional survey design was adopted in this study, as the phenomena of stress in CCNs was surveyed at one point of time . Sample: A convenient sample of 50 CCNs was included in the study. The participants were working as a CCNs in Abu Dhabi hospitals for a minimum one-year. Instruments: Two questionnaires were utilized to collect the data for this study; The Critical Care Stressors Scale and The Hamilton Anxiety Scale. Results: Results showed that The CCNs did not show a high level of anxiety according to the adopted scale. The most frequent stressors perceived by the CCNs were the stressors related to the critical care unit environment and the nursing responsibilities. On the other hand, the most severe stressors perceived by the CCNs were also under the categories of the critical care unit environment and Nurse-Health care workers conflicts. Conclusion: The hospital/nursing administrations were asked to revise the policies of visiting , dealing with infectious hazards, and portable X-rays . Also, the results showed that hiring more rton-nurses staff to deal with non-nursing jobs, and more male staff to carry out the heavy jobs such as changing position will aid in decreasing the stress perceived by the CCNs. / Thesis (M.Cur.)-University of Natal, Durban, 2003.

Purpose: The of this study was to explore the knowledge, level of practice, and the frequency of problems met during the use of CTSS amongst intensive care unit (ICU) nurses and suggest ways to improve the use of the system. Design: A non experimental exploratory design using a descriptive survey approach was employed. Sample: The sample of participants were taken from three governmental hospitals in Abu Dhabi chosen randomly. It included all nurses in the ICUs of three hospitals who happened to be working at the time of the study. The response was Eighty three staff nurses, three charge nurses, and one respiratory therapist. Instrument: A questionnaire consisting of twenty one questions was used to explore the ICU nurses' knowledge, experience, practice, and difficulties met by nurses. Averages, tables, figures, and correlation coefficient were used to analyze the data. Results: Results showed a positive correlation (+0.0433) between the level of knowledge and length of use of the system but the effect is minimal. Again the knowledge and the frequency of use on ventilated patients were minimally positive (+0.0898). On the other hand, the relation between the frequency of use and the years of experience was more positively related than the frequency of use and the knowledge. Conclusion: There is a need to set a plan aiming at making the system more frequently used. Not only that , but it should be used safely and appropriately and supported by policy and procedure guidelines. / Thesis (M.Cur.)-University of Natal, Durban, 2001.

The psychometric properties of this Parental Stressor Scale: Neonatal Intensive Care Unit (PSS:NICU) were assessed, before using the scale to describe stress experienced by parents in a Neonatal Intensive Care Unit (NICU). The extent to which parental stress from the parent-infant relationship in the unit was linked to parenting they received as a child, and adjustment to their couple relationship, was also examined. The sample consisted of 182 mothers and 183 fathers, who were in a cohabitating relationship, of infants from the NICU at Christchurch Women's Hospital. The self-report questionnaires included the PSS:NICU, Parental Bonding Instrument, and the Dyadic Adjustment Scale, and were administered to parents within 2-3 weeks of their infant's birth. This study extends the finding of satisfactory psychometric properties of the PSS:NICU (Franck, Cox, Allen & Winter, 2005; Miles, Funk & Carlson, 1993; Reid & Bramwell, 2003) to this New Zealand sample. Mothers experienced significantly higher stress from the unit compared to fathers (p < .01). A previous finding, for mothers, of the parent-infant relationship being the most stressful aspect of the unit (Franck et al., 2005; Reid & Bramwell, 2003; Shields-Poe & Pinelli, 1997) extends to the New Zealand sample. The most stressful aspect of the unit for fathers was sights and sounds. Lack of evidence was found for associations between parental stress from the parent-infant relationship in the unit and parenting received as a child, or adjustment to their couple relationship. A weak but significant negative correlation was, however, found between stress from the mother-infant relationship and maternal care received in childhood. It is unnecessary to provide all parents with intervention further to what is already being practiced in the unit, as overall low levels of stress were reported. Some parents, however, did find the unit more stressful, and they may benefit from increased intervention.

No description available.

No description available.

Title page, table of contents and abstract only. The complete thesis in print form is available from the University of Adelaide Library. / This study aimed to identify tools, systems and processes that inform nurse skill-assessment and nurse-to-patient allocation decisions in Adult Level III Australian Intensive Care Units (ICU), and to develop a Nurse Skill Matching Decision-Support Framework that could be incorporated within an ICU risk management system. / http://proxy.library.adelaide.edu.au/login?url= http://library.adelaide.edu.au/cgi-bin/Pwebrecon.cgi?BBID=1274724 / Thesis (Ph.D.) -- University of Adelaide, School of Population Health and Clinical Practice, 2007

The psychometric properties of this Parental Stressor Scale: Neonatal Intensive Care Unit (PSS:NICU) were assessed, before using the scale to describe stress experienced by parents in a Neonatal Intensive Care Unit (NICU). The extent to which parental stress from the parent-infant relationship in the unit was linked to parenting they received as a child, and adjustment to their couple relationship, was also examined. The sample consisted of 182 mothers and 183 fathers, who were in a cohabitating relationship, of infants from the NICU at Christchurch Women's Hospital. The self-report questionnaires included the PSS:NICU, Parental Bonding Instrument, and the Dyadic Adjustment Scale, and were administered to parents within 2-3 weeks of their infant's birth. This study extends the finding of satisfactory psychometric properties of the PSS:NICU (Franck, Cox, Allen & Winter, 2005; Miles, Funk & Carlson, 1993; Reid & Bramwell, 2003) to this New Zealand sample. Mothers experienced significantly higher stress from the unit compared to fathers (p < .01). A previous finding, for mothers, of the parent-infant relationship being the most stressful aspect of the unit (Franck et al., 2005; Reid & Bramwell, 2003; Shields-Poe & Pinelli, 1997) extends to the New Zealand sample. The most stressful aspect of the unit for fathers was sights and sounds. Lack of evidence was found for associations between parental stress from the parent-infant relationship in the unit and parenting received as a child, or adjustment to their couple relationship. A weak but significant negative correlation was, however, found between stress from the mother-infant relationship and maternal care received in childhood. It is unnecessary to provide all parents with intervention further to what is already being practiced in the unit, as overall low levels of stress were reported. Some parents, however, did find the unit more stressful, and they may benefit from increased intervention.

Thesis (M.S.N.)--University of North Carolina at Greensboro, 2007. / Title from PDF t.p. (viewed Mar. 3, 2008). Directed by Susan Letvak; submitted to the School of Nursing. Includes bibliographical references (p. 53-58).