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Families' experiences with an adult family member in a critical care area: a qualitative systematic review
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Gibson, Janelle. Families' experiences with an adult family member in a critical care area: a qualitative systematic review. Retrieved from https://doi.org/doi:10.7282/t3-v8gz-4g85

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TitleFamilies' experiences with an adult family member in a critical care area: a qualitative systematic review
NameGibson, Janelle (author); EdD, RN, ANEF, FNAP, Cheryl Holly (chair); Rutgers University; School of Nursing - RBHS
Date Created2019
Other Date2019-05 (degree)
SubjectPost-Master's DNP Practice, Intensive care, Critical care, Critically ill -- Family relationships
Extent1 online resource (55 pages) : illustrations
DescriptionBackground: Having a family member in the critical care unit is a challenging experience. The needs of families whose relatives are in a critical care unit are often poorly understood, underappreciated and ignored in the daily operations of the complex machineries that are integral to fully functioning healthcare environments.
Objectives: The purpose of this review was to understand and illuminate the total experience of critical care families and to use this information to generate recommendations for best practices, as an anticipated outcome.
Method: The method used was a systematic review of qualitative studies involving family members of ICU patients. The standard 3-step search strategy of JBI was used to find eligible studies. These were then screened by title, abstract and full review for relevance. Critical appraisal was performed by two reviewers working independently using the JBI MASTARI critical appraisal tools. Data were extracted by two reviewers working independently using a de novo tool designed for this review.
Data Analysis: A meta-synthesis of qualitative research findings using the JBI QARI program was done. This involved the aggregation or synthesis of findings to generate a set of statements that represent that aggregation, through assembling the findings (Level 1 findings), rating them according to their quality, and categorizing these findings based on similarity in meaning (Level 2 findings) to produce a single comprehensive set of synthesized findings (Level 3 findings), which can be used as a basis for evidence-based practice.
Findings: From 407 findings and 24 categories, three themes emerged: 1) Behind the Facade; 2) Balancing the Chaos; 3) Conquering the Alien Situation. This systematic review revealed that family members of patients in the ICU harbor feelings of isolation, helplessness, and anxiety and that accurate and timely information served as an antidote.
Evidence Transfer: An infographic for staff members was developed based on the findings.
NoteDNP
NoteIncludes bibliographical references
Genretheses, ETD doctoral
Persistent URLhttps://doi.org/doi:10.7282/t3-v8gz-4g85
LanguageEnglish
CollectionSchool of Nursing (RBHS) DNP Projects
Organization NameRutgers, The State University of New Jersey
RightsThe author owns the copyright to this work.
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