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Document Typology: Newspaper / Magazine article
Methodology addressed by the publication:International Classification of Functioning, Disability and Health
Title of document: Relationship between family and intensive care unit nurses: evidence for change
Name of author(s): Concha Zaforteza Lallemand
Name of publisher: Relación entre enfermeras de UCI y familiares: indicios para el
Language of the publication: Spanish
Language of the review: English
Summary:
"Study´s purpose: To find out which are ICU nurses’ expectations regarding their relationship with ICU patients’ relatives and how to care for them.
Methods: This paper is part of a wider research project entitled “Factors that influence the relationship between ICU nurses and critically ill patient’s relatives”. This is a qualitative study based on a
poststructuralist perspective. It was conducted in 3 Spanish public hospitals’ ICUs situated in the island of Mallorca. Data were collected through 8 participant observations and 6 semi-structured interviews.
The observation descriptions and interviews’ transcriptions were analyzed through the codification of units of meaning. Rigour was assured by the triangulation of sources and methods and by reaching saturation of the main categories of analysis.
Results: Nurses considered that their role as information givers is not sufficient and some wished to have a greater participation in the caring process of patient´s relatives. Some of them also wished to make the unit restrictive access more flexible. A certain resistance was shown towards the physician centralism in the process of providing information as well as towards the design of rules governing the relationship between professionals and relatives.
Conclusions: We identified that ICU nurses attitude is intended for change, but different levels of commitment was observed regarding involvement in the care of ICU patient’s family."
Reviewer's comments on the document:
We chose this article because in most of the nurses interviewed were eager to overcome appreciate the historic role of nurses as "technical without critical thinking." Therefore, it is pointed to by the desire to change the power relations within the intensive care unit for greater quality process of care to family members.
Having into account the patient´s relatives help them and the patients in many different ways but the main cuestion is that it allows nurses to be nearer to their patients by the means of listening the families.
Where to find it:

Nure Investigación, nº 3, Marzo 2004

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