Shame feeling in the Intensive Care Unit patient's family members

Intensive Crit Care Nurs. 2017 Aug:41:84-89. doi: 10.1016/j.iccn.2017.03.011. Epub 2017 Apr 19.

Abstract

Objective: To investigate the levels of internal and external shame among family members of critically ill patients.

Research methodology/ design: This prospective study was conducted in 2012/2013 on family members of Intensive Care Unit patients using the Others As Shamer Scale and the Experiential Shame Scale questionnaires.

Setting: Greek university hospital.

Results: Two hundred and twenty-three family members mean-aged (41.5±11.9) were studied, corresponding to 147 ICU patients. Out of these 223, 81 (36.3%) were men and 142 (63.7%) were women, while 79 (35.4%) lived with the patient. Family members who lived with the patient experienced higher internal and external shame compared to those who did not live with the patient (p=0.046 and p=0.028 respectively). Elementary and Junior High School graduates scored significantly higher than the other grades graduates in total Others As Shamer Scale, inferiority and emptiness scale (p<0.001).

Conclusion: Intensive Care Unit patients' family members are prone to shame feelings, especially when being of low educational level. Health professionals have to take into consideration the possible implications for the patients and their care.

Keywords: Education; Family members; Intensive Care Unit; Shame feelings.

MeSH terms

  • Adult
  • Cost of Illness*
  • Critical Illness / psychology
  • Family / psychology*
  • Female
  • Greece
  • Humans
  • Intensive Care Units / organization & administration
  • Intensive Care Units / standards
  • Male
  • Middle Aged
  • Prospective Studies
  • Self Report
  • Shame*
  • Stress, Psychological / etiology
  • Stress, Psychological / psychology
  • Surveys and Questionnaires