PMID- 26724292
OWN - NLM
STAT- MEDLINE
DCOM- 20160923
LR  - 20160102
IS  - 1937-710X (Electronic)
IS  - 1062-3264 (Linking)
VI  - 25
IP  - 1
DP  - 2016 Jan
TI  - Empowering the "Cheerers": Role of Surgical Intensive Care Unit Nurses in
      Enhancing Family Resilience.
PG  - 39-45
LID - 10.4037/ajcc2016926 [doi]
AB  - BACKGROUND: Supporting family resilience, the ability of families to rebound from
      stressful events, is a goal of family nursing. Critical care nurses act as
      liaisons between patients' families and other clinicians and thus are uniquely
      situated to promote family resilience. OBJECTIVE: To explore how nurses perceive 
      the experiences of long-stay surgical intensive care unit patients and their
      families in order to gain insights on how nurses could cultivate family
      resilience. METHODS: A qualitative study including semistructured interviews (n =
      13) and 4 focus groups (n = 17) with nurses in 3 surgical intensive care units in
      a large teaching hospital. RESULTS: Three themes were identified: expectations,
      support, and communication. Nurses noted that clinicians' and families'
      unrealistic expectations regarding the patient's recovery can foster false hope. 
      Nurses recognized families as "cheerers" who provide support by being involved in
      patient care and observed how extensive family involvement can be beneficial to
      patients but overwhelming for families. Nurses noted that communication among
      providers, families, and patients is the cornerstone of creating meaningful
      relationships. Nurses stated that with many teams involved, discrepancies in
      information can occur and often confuse and disturb patients' families. Thus,
      nurses identified ways to enhance family resilience through routine and
      consistent communication. CONCLUSIONS: Nurses note unique stresses faced by
      families of patients in surgical intensive care units. Using the family
      resilience model, nurses can identify and enhance key family resilience factors.
CI  - (c)2016 American Association of Critical-Care Nurses.
FAU - Ellis, Lauren
AU  - Ellis L
AD  - Lauren Ellis is a health researcher at Mathematica Policy Research, Washington,
      DC. Jessica Gergen is a monitoring and evaluation specialist at ThinkWell Global,
      Austin, Texas. Leah Wohlgemuth is a senior research assistant, Johns Hopkins
      Center for Communication Programs, Baltimore, Maryland. Marie T. Nolan is a
      professor and associate dean for academic affairs, Johns Hopkins University
      School of Nursing and the Johns Hopkins Berman Institute of Bioethics, Baltimore,
      Maryland. Rebecca Aslakson is an associate professor, Department of
      Anesthesiology and Critical Care Medicine, Johns Hopkins University School of
      Medicine, Baltimore, Maryland. Lellis@mathematica-mpr.com.
FAU - Gergen, Jessica
AU  - Gergen J
AD  - Lauren Ellis is a health researcher at Mathematica Policy Research, Washington,
      DC. Jessica Gergen is a monitoring and evaluation specialist at ThinkWell Global,
      Austin, Texas. Leah Wohlgemuth is a senior research assistant, Johns Hopkins
      Center for Communication Programs, Baltimore, Maryland. Marie T. Nolan is a
      professor and associate dean for academic affairs, Johns Hopkins University
      School of Nursing and the Johns Hopkins Berman Institute of Bioethics, Baltimore,
      Maryland. Rebecca Aslakson is an associate professor, Department of
      Anesthesiology and Critical Care Medicine, Johns Hopkins University School of
      Medicine, Baltimore, Maryland.
FAU - Wohlgemuth, Leah
AU  - Wohlgemuth L
AD  - Lauren Ellis is a health researcher at Mathematica Policy Research, Washington,
      DC. Jessica Gergen is a monitoring and evaluation specialist at ThinkWell Global,
      Austin, Texas. Leah Wohlgemuth is a senior research assistant, Johns Hopkins
      Center for Communication Programs, Baltimore, Maryland. Marie T. Nolan is a
      professor and associate dean for academic affairs, Johns Hopkins University
      School of Nursing and the Johns Hopkins Berman Institute of Bioethics, Baltimore,
      Maryland. Rebecca Aslakson is an associate professor, Department of
      Anesthesiology and Critical Care Medicine, Johns Hopkins University School of
      Medicine, Baltimore, Maryland.
FAU - Nolan, Marie T
AU  - Nolan MT
AD  - Lauren Ellis is a health researcher at Mathematica Policy Research, Washington,
      DC. Jessica Gergen is a monitoring and evaluation specialist at ThinkWell Global,
      Austin, Texas. Leah Wohlgemuth is a senior research assistant, Johns Hopkins
      Center for Communication Programs, Baltimore, Maryland. Marie T. Nolan is a
      professor and associate dean for academic affairs, Johns Hopkins University
      School of Nursing and the Johns Hopkins Berman Institute of Bioethics, Baltimore,
      Maryland. Rebecca Aslakson is an associate professor, Department of
      Anesthesiology and Critical Care Medicine, Johns Hopkins University School of
      Medicine, Baltimore, Maryland.
FAU - Aslakson, Rebecca
AU  - Aslakson R
AD  - Lauren Ellis is a health researcher at Mathematica Policy Research, Washington,
      DC. Jessica Gergen is a monitoring and evaluation specialist at ThinkWell Global,
      Austin, Texas. Leah Wohlgemuth is a senior research assistant, Johns Hopkins
      Center for Communication Programs, Baltimore, Maryland. Marie T. Nolan is a
      professor and associate dean for academic affairs, Johns Hopkins University
      School of Nursing and the Johns Hopkins Berman Institute of Bioethics, Baltimore,
      Maryland. Rebecca Aslakson is an associate professor, Department of
      Anesthesiology and Critical Care Medicine, Johns Hopkins University School of
      Medicine, Baltimore, Maryland.
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PL  - United States
TA  - Am J Crit Care
JT  - American journal of critical care : an official publication, American Association
      of Critical-Care Nurses
JID - 9211547
SB  - IM
SB  - N
MH  - Communication
MH  - Critical Care Nursing/*methods
MH  - Family/*psychology
MH  - Focus Groups
MH  - Humans
MH  - Intensive Care Units
MH  - Interviews as Topic
MH  - *Nurse's Role
MH  - Power (Psychology)
MH  - Professional-Family Relations
MH  - Qualitative Research
MH  - *Resilience, Psychological
MH  - Stress, Psychological/prevention & control
EDAT- 2016/01/03 06:00
MHDA- 2016/09/24 06:00
CRDT- 2016/01/03 06:00
PHST- 2016/01/03 06:00 [entrez]
PHST- 2016/01/03 06:00 [pubmed]
PHST- 2016/09/24 06:00 [medline]
AID - 25/1/39 [pii]
AID - 10.4037/ajcc2016926 [doi]
PST - ppublish
SO  - Am J Crit Care. 2016 Jan;25(1):39-45. doi: 10.4037/ajcc2016926.