A phenomenological study on the lived experiences of families of ICU patients, Addis Ababa, Ethiopia

Autor: Addisu Gize, Yemane Berhane, Habtamu Kehali
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Male
Service delivery framework
Economics
Health Care Providers
Nursing assessment
Social Sciences
0302 clinical medicine
Cognition
Sociology
Health care
Medicine and Health Sciences
Psychology
030212 general & internal medicine
Medical Personnel
Human Families
Multidisciplinary
030504 nursing
Communication
Middle Aged
Hospitals
Intensive Care Units
Professions
Medicine
Female
0305 other medical science
Psychosocial
Research Article
Adult
Critical Care
Science
Decision Making
MEDLINE
03 medical and health sciences
Nursing
Hermeneutic circle
Intensive care
Physicians
Humans
Family
Government
Psychological and Psychosocial Issues
business.industry
Cognitive Psychology
Biology and Life Sciences
Health Care
Health Care Facilities
People and Places
Cognitive Science
Population Groupings
Ethiopia
business
Finance
Neuroscience
Zdroj: PLoS ONE
PLoS ONE, Vol 15, Iss 12, p e0244073 (2020)
ISSN: 1932-6203
Popis: BackgroundFamily-centered care of ICU patients is increasingly recommended as it is believed to have effect on family members’ psychosocial status and patient outcomes. Defining the nature and extent of families’ involvement in a given health care environment for different stakeholders is a challenge. Understanding the lived experiences of families of ICU patients would help strategize on how to better engage family members for improved ICU care processes and outcomes.ObjectivesThe aim of this study is to explore the lived experiences of families of patients in the ICUs of hospitals in Addis Ababa, Ethiopia.MethodsThe study adopted a qualitative approach and a phenomenological research design. In-depth interviews were conducted with twelve (12) family members who were purposively sampled from two government hospitals and four private hospitals. Thematic approach with the application of hermeneutic circle of interpretation was applied to understand the meanings of their experiences.ResultsThe study revealed the following major themes: financial burden, challenge in decision making, shattered family integrity and expectations, information and communication gap between family members and health professionals, lack of confidence in the service delivery of hospitals, social pressure against patient families, and families being immersed in an unfriendly environment. Though they do not explicitly mention it to the health care tram, further interpretation of the main themes elucidated that family’s need the intensive care process be cut shorter irrespective of the outcome of the patient condition.ConclusionThe study gave an insight on the multiple and interrelated challenges faced by families of ICU patients admitted in the hospitals of Addis Ababa. Further contextualized interpretation of their experiences revealed that families were somehow in a state of despair and they implicitly need the ICU care for their family member be ended irrespective of the potential clinical consequences on the patient. The philosophy of family-centered care be advocated in hospitals. The study result affirms the need to include family members during nursing assessment of patients in ICUs and also offers the basis for guidelines development on informational support to the families of the patients hospitalized in ICUs.
Databáze: OpenAIRE
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