The process of information-sharing by family and nurses in ICU: Integrative review

Joint Event on 49^th World Congress on Advanced Nursing Research & 27^th International Conference on Clinical Pediatrics

June 10-11, 2019 Berlin, Germany

Anabela Pereira Mendes, Fernanda Simoes Bernardo, Monica Figueiredo Bento, Ana Catarina Barros Alves, Fernanda Leal and Eunice Henriques

Higher Nursing School of Lisbon;
Centro Hospitalar Lisboa Ocidental, HSFX;
Nursing Research & Development Unit (ui&de), Portugal

Scientific Tracks Abstracts: J Nurs Care

Abstract :

In the context of critical care, patient and family members is both nursing client, because they have particular needs that nurses can answer and make them more comfortable. Family in ICU context, faced with the instability of the patient, tell nurses everything what they know and ask nurses for obtain information about their relative. Nurses are interested in knowing the family and responding to their information needs. It is important to identify in the communication process betteen family and nurses, what content, in terms of nursing care, they share. It was decided to carry out an integrative review of the literature since this methodology �??have the potential to build nursing science, informing research, practice, and policy initiatives�?� (Whittemore & Knafl, 2005). The research question was elaborated through the mnemonic "PICo" What information do they share (P), family and nurses (I), when interact in the ICU (Co)? Descriptors, accordance MeSH - Medical Subject Headings: Intensive care units; critical nurses; family; needs assessment; information needs; nurse.

Data bases: MEDLINE e CINAHL - 1 to 8 of Abril, 2019. Articles written in Portuguese, English and Spanish. We use boolean expressions AND and OR. After applying the inclusion and exclusion criteria, 9 articles were selected. It was verified that the family intends: �??to know specific facts concerning the patient�??s progres�?� (1) (Chiena, et al., 2006); �??To know which staff member could give what type of information�?�; �??To talk to the same nurse each day�?� �??To know specific facts concerning the patient�??s progress�?� �??To receive information about the patient once a day�?� �??To be called at home about changes in the condition of the patient�?� �??To have questions answered honestly�?� (Hinkle, et al., 2009); �??family members want honest, intelligible, and timely information�?� (Azoulay, et al., 2001); �??want a nurse to explain to them about the care, the unit, the equipment and what they can do for the patient during visiting hours�?� (Verhaeghe, et al., 2005). For nurses it is important �??to develop collaborative relationships with patients�?? family members, based on an open exchange of information" , �??to provide family members with the appropriate, clear, and compassionate information they need to participate in making decisions about patients who are unable to speak for themselves�?� (Azoulay, et al., 2001). We can conclude that the process of information-sharing has three domains that it is important to study in detail: Cognitive, emotional and practical needs. This process should be central in the nurses�?? approach of family members in ICU.

Biography :

Anabela da Graça Amaro Pereira Mendes has completed her PhD in Nursing - Advanced Nursing - by the Portuguese Catholic University in 2014. She is a Professor at the Nursing School of Lisbon in the Department of Adult and Elderly Nursing. She published 9 articles in specialized magazines and 25 papers in events proceedings, has 1 book published. She is the Project Manager of Master's Degree in Nursing - Specialization Person in Critical Situation.

E-mail: anabelapmendes@esel.pt