Schneeberger, Antonia and Brandstetter, Susanne and Bein, Thomas and Blecha, Sebastian and Apfelbacher, Christian (2020) Stressors and strains of next of kin of patients with ARDS in intensive care: A qualitative interview study using a stress-strain approach. INTENSIVE AND CRITICAL CARE NURSING, 57: 102783. ISSN 0964-3397, 1532-4036
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Objectives: This study aims to explore and analyse the stressors and strains of next of kin of acute respiratory distress syndrome (ARDS) patients during their stay in the intensive care unit utilising the stressors and strain approach as a theoretical framework. Methods: Data collection was performed as semi-standardised qualitative interviews. 35 families of patients with ARDS were approached when visiting the intensive care unit. Participants were recruited until thematic saturation was reached; finally, 17 persons (age ranging from 26 to 71 years, nine women) took part. Systematic content analysis was conducted on the theoretical foundations of the stressors and strain approach. Findings: Numerous stressors were identified; they can be divided into three main categories: in relation to organising the visit, occurring during the visit and arising at home. These stressors were reported highly consistently throughout participants. However, the strains resulting from these stressors were varying in manifestation and level. Conclusions: This study explores the manifold stressors and strains of next of kin of a critically ill patient. Some stressors are inherent to the life-threatening condition of a family member; others arise from the health care system and could be modified. The level of strain experienced depends on social support, individual coping skills and life circumstances. (C) 2019 Elsevier Ltd. All rights reserved.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | RESPIRATORY-DISTRESS-SYNDROME; SURROGATE DECISION-MAKERS; FAMILY-CENTERED CARE; CRITICAL ILLNESS; INFORMAL CAREGIVERS; COPING STRATEGIES; SUPPORT NEEDS; OF-LIFE; EXPERIENCES; RELATIVES; Acute respiratory distress syndrome; Critical illness; Family; Interview; Stressors and strain approach; Qualitative research |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Anästhesiologie Medicine > Institut für Epidemiologie und Präventivmedizin |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 29 Mar 2021 07:06 |
| Last Modified: | 29 Mar 2021 07:06 |
| URI: | https://pred.uni-regensburg.de/id/eprint/44872 |
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