Family Presence for Patients with Severe Acute Brain Injury and the Influence of the COVID-19 Pandemic
| Autor: | Darin B. Zahuranec, Rachael E C Schutz, Ruth A. Engelberg, J. Randall Curtis, Barbara J. Lutz, Claire J. Creutzfeldt |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Adult
Male medicine.medical_specialty Emotional support Palliative care Coronavirus disease 2019 (COVID-19) Traumatic brain injury law.invention 03 medical and health sciences Young Adult 0302 clinical medicine 030502 gerontology law Pandemic Medicine Humans Family Stroke Pandemics General Nursing Aged business.industry COVID-19 Visitors to Patients General Medicine Middle Aged medicine.disease Intensive care unit Intensive Care Units Anesthesiology and Pain Medicine 030220 oncology & carcinogenesis Family medicine Brain Injuries Female Brief Reports Thematic analysis 0305 other medical science business |
| Zdroj: | Journal of Palliative Medicine J Palliat Med |
| ISSN: | 1557-7740 1096-6218 |
| DOI: | 10.1089/jpm.2020.0520 |
| Popis: | Objectives: The global COVID-19 pandemic made strict visitation policies necessary. We explored the experiences of family members of patients with severe acute brain injury focusing on the impact of family presence in the hospital. Methods: Semistructured interviews (February 2018-April 2020) were audiotaped, transcribed, and analyzed using thematic analysis. Results: We interviewed family members of 19 patients with stroke, traumatic brain injury, or cardiac arrest; five interviews occurred after initiation of restrictive visitation policies. Four key themes highlight the role of visitation on family's ability to (1) cope by being at the bedside, (2) protect and advocate for the patient, (3) build trust with clinicians, and (4) receive emotional support in the intensive care unit. After visitation restrictions, families found ways to communicate and support virtually and wished for proactive communication from clinicians. Conclusions: Family presence at patient's bedside fulfills important needs. Visitation restrictions require hospitals to be creative and inclusive to help maintain these connections. |
| Databáze: | OpenAIRE |
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