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Journal articles on the topic 'Family nursing; Nursing of family; Critical care'

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Published: 4 June 2021

Last updated: 1 February 2022

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1

Robb, Yvonne A. "Family nursing in intensive care part one: is family nursing appropriate in intensive care?" Intensive and Critical Care Nursing 14, no. 3 (1998): 117–23. http://dx.doi.org/10.1016/s0964-3397(98)80363-7.

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2

Leon, Ana M., and Sandra Knapp. "Involving Family Systems in Critical Care Nursing." Dimensions of Critical Care Nursing 27, no. 6 (2008): 255–62. http://dx.doi.org/10.1097/01.dcc.0000338866.47164.6d.

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3

Krumberger, Joanne M. "Linking Critical Care Family Research to Quality Assurance." AACN Advanced Critical Care 2, no. 2 (1991): 321–28. http://dx.doi.org/10.4037/15597768-1991-2019.

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The Joint Commission on Accreditation of Health Care Organizations standards require the inclusion of all major clinical functions performed by nurses in the nursing quality assurance (QA) program. To achieve this goal, nurses must first define the scope of care, which includes articulating the specific activities performed in the critical care unit, who provides the care, where and when nursing care is provided, and to whom nursing care is provided. Interventions directed toward families are recognized as falling within the scope of nursing practice. This article addresses how family research

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4

Chesla, Catherine A. "Reconciling Technologic and Family Care in Critical-Care Nursing." Image: the Journal of Nursing Scholarship 28, no. 3 (1996): 199–203. http://dx.doi.org/10.1111/j.1547-5069.1996.tb00352.x.

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5

Damboise, Cindy, and Suzette Cardin. "Family-Centered Critical Care." AJN, American Journal of Nursing 103, no. 6 (2003): 56AA—56EE. http://dx.doi.org/10.1097/00000446-200306000-00045.

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6

McAndrew, Natalie S., Rachel Schiffman, and Jane Leske. "Relationships among Climate of Care, Nursing Family Care and Family Well-being in ICUs." Nursing Ethics 26, no. 7-8 (2019): 2494–510. http://dx.doi.org/10.1177/0969733019826396.

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Background: Frequent exposure to ethical conflict and a perceived lack of organizational support to address ethical conflict may negatively influence nursing family care in the intensive care unit. Research aims: The specific aims of this study were to determine: (1) if intensive care unit climate of care variables (ethical conflict, organizational resources for ethical conflict, and nurse burnout) were predictive of nursing family care and family wellbeing and (2) direct and indirect effects of the climate of care on the quality of nursing family care and family wellbeing. Research design: A

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7

Smith, Kim, Barbara J. Kupferschmid, Carrie Dawson, and Tess I. Briones. "A Family-centered Critical Care Unit." AACN Advanced Critical Care 2, no. 2 (1991): 258–66. http://dx.doi.org/10.4037/15597768-1991-2011.

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Although care of the family has long been a focus of nursing, there has been an increased emphasis in recent years to provide opportunities for families to be an integral part of the hospitalization experience. This has been difficult for many nurses who perceive themselves as competent to care for a patient in “medical crisis” but feel unqualified to provide family care. This article will address issues related to implementing a family-centered philosophy of care in a critical care unit. Implementation strategies that will be discussed include: formulating a staff-led family support group and

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8

Palmer, Cynthia A., and Maryalice Cullen. "Nursing-Care Birth Plan for the Surrogate Family." Journal of Obstetric, Gynecologic & Neonatal Nursing 48, no. 3 (2019): S30. http://dx.doi.org/10.1016/j.jogn.2019.04.050.

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9

Lebel, Valérie, and Sylvie Charette. "Nursing Interventions to Reduce Stress in Families of Critical Care Patients: An Integrative Review." Critical Care Nurse 41, no. 1 (2021): 32–44. http://dx.doi.org/10.4037/ccn2021188.

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Background Having a family member admitted to an intensive care unit is a stressful experience that may lead to psychological symptoms including depression, anxiety, and posttraumatic stress disorder. Objective To better understand the phenomenon of stress experienced by families of intensive care unit patients and identify nursing interventions that may help reduce it. Methods An integrative literature review was performed to identify principal stressors for families of patients receiving care in neonatal, pediatric, and adult intensive care units and recommended nursing interventions. Result

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10

McShane, Ruth E. "Family Theoretical Perspectives and Implications for Nursing Practice." AACN Advanced Critical Care 2, no. 2 (1991): 210–19. http://dx.doi.org/10.4037/15597768-1991-2005.

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Health care professionals have focused for the most part on individuals within families as they provide care in acute care settings. The lack of a theoretical perspective to permit observing the family as a unit with interacting parts has contributed to this practice. This article presents an overview of trends and of four theoretical frameworks that have contributed to family practice and research, both for other disciplines and for nursing. Symbolic interactionism, systems, developmental, and social exchange theories are promising frameworks for considering family relationships now and into

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11

Duhamel, Fabie. "Translating Knowledge From a Family Systems Approach to Clinical Practice: Insights From Knowledge Translation Research Experiences." Journal of Family Nursing 23, no. 4 (2017): 461–87. http://dx.doi.org/10.1177/1074840717739030.

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While there has been continued growth in family nursing knowledge, the complex process of implementing and sustaining family nursing in health care settings continues to be a challenge for family nursing researchers and clinicians alike. Developing knowledge and skills about how to translate family nursing theory to practice settings is a global priority to make family nursing more visible. There is a critical need for more research methods and research evidence about how to best move family nursing knowledge into action. Enhancing health care practice is a multifactorial process that calls fo

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12

Montigny, Francine de, Annie Devault, David Este, Annie Fleurant, and Lucila Castanheira Nascimento. "Nursing students' perceptions of their experiences with fathers during their family nursing clinical practicum." Texto & Contexto - Enfermagem 20, no. 4 (2011): 649–57. http://dx.doi.org/10.1590/s0104-07072011000400002.

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There is consensus that supporting fathers' involvement in their children's care is essential and that nurses can play an important role, facilitating this process. There is little evidence about how nurses' education as family nurses enable them to work with fathers. This study aimed to explore undergraduate nursing students' perceptions of their experience with fathers during family nursing clinical practicum. An exploratory descriptive qualitative study allowed twelve nursing students to participate in a one-hour interview, at a university of Central Canada. The critical incident technique

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13

Lindow, Karol Burkhart. "Premenstrual Syndrome: Family Impact and Nursing Implications." Journal of Obstetric, Gynecologic & Neonatal Nursing 20, no. 2 (1991): 135–38. http://dx.doi.org/10.1111/j.1552-6909.1991.tb01685.x.

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14

Chesla, CA, and D. Stannard. "Breakdown in the nursing care of families in the ICU." American Journal of Critical Care 6, no. 1 (1997): 64–71. http://dx.doi.org/10.4037/ajcc1997.6.1.64.

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BACKGROUND: Factors that can lead to breakdown in the care of the families of patients in the ICU include gaps in the healthcare providers' education and skill in working with families, unclear lines of responsibility for various aspects of family care, and insufficient support or supervision for the difficult emotional work of family care. OBJECTIVE: The purpose of this study was to highlight instances in which negative or difficult aspects of nursing care of family members of ICU patients were evident, so that needed changes in caring for the families could be emphasized. METHOD: Interpretiv

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15

Coombs, Maureen, Kathleen A. Puntillo, Linda S. Franck, et al. "Implementing the SCCM Family-Centered Care Guidelines in Critical Care Nursing Practice." AACN Advanced Critical Care 28, no. 2 (2017): 138–47. http://dx.doi.org/10.4037/aacnacc2017766.

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16

Hickman, Ronald L., Barbara J. Daly, Sara L. Douglas, and Christopher J. Burant. "Evaluating the Critical Care Family Satisfaction Survey for Chronic Critical Illness." Western Journal of Nursing Research 34, no. 3 (2011): 377–95. http://dx.doi.org/10.1177/0193945911402522.

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17

Burke, Mary Ellen. "Maternal and Neonatal Nursing: Family-centered Care, Third Edition." Journal of Perinatal & Neonatal Nursing 8, no. 4 (1995): 77–78. http://dx.doi.org/10.1097/00005237-199503000-00010.

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18

Padilla Fortunatti, Cristóbal Felipe. "Most Important Needs of Family Members of Critical Patients in Light of the Critical Care Family Needs Inventory." Investigación y Educación en Enfermería 32, no. 2 (2014): 306–16. http://dx.doi.org/10.17533/udea.iee.v32n2a13.

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19

Puurveen, Gloria, Jennifer Baumbusch, and Preet Gandhi. "From Family Involvement to Family Inclusion in Nursing Home Settings: A Critical Interpretive Synthesis." Journal of Family Nursing 24, no. 1 (2018): 60–85. http://dx.doi.org/10.1177/1074840718754314.

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20

Robb, Yvonne A. "Family nursing in intensive care part two: the needs of a family with a member in intensive care." Intensive and Critical Care Nursing 14, no. 4 (1998): 203–7. http://dx.doi.org/10.1016/s0964-3397(98)80538-7.

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21

Yamase, Yoshie, Hiroaki Yamase, and Junko Tatsuno. "Family Nursing Based on Aguilera’s Crisis Model in the Critical Care." Journal of Japan Academy of Critical Care Nursing 7, no. 1 (2011): 8–19. http://dx.doi.org/10.11153/jaccn.7.1_8.

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22

Powers, Kelly A., and Lori Candela. "Nursing Practices and Policies Related to Family Presence During Resuscitation." Dimensions of Critical Care Nursing 36, no. 1 (2017): 53–59. http://dx.doi.org/10.1097/dcc.0000000000000218.

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23

Mendyka, Brian E. "The Dying Patient in the Intensive Care Unit: Assisting the Family in Crisis." AACN Advanced Critical Care 4, no. 3 (1993): 550–57. http://dx.doi.org/10.4037/15597768-1993-3043.

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Critically ill patients belong to larger phenomenologic systems, their families. What affects one member affects other system members. Nursing care requires meticulous observation and assessment of family concerns, understanding of clinical events, and practical experience to achieve positive outcomes even if a death occurs. It seems easy to dismiss the family from the clinical and technical matters of the critical care unit, especially when much nursing energy goes into operating peripheral machinery, performing tasks, and pursuing ever-changing patient-centered goals. The following case stud

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24

Montiel, Tahani Casameni, Andrea Ancer Leal, and Nicole Baltazar. "Family-centered practice in nursing education." Nursing 50, no. 7 (2020): 61–62. http://dx.doi.org/10.1097/01.nurse.0000668608.92405.0f.

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25

Kleiber, C., M. Halm, M. Titler, et al. "Emotional responses of family members during a critical care hospitalization." American Journal of Critical Care 3, no. 1 (1994): 70–76. http://dx.doi.org/10.4037/ajcc1994.3.1.70.

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BACKGROUND: The needs and satisfaction levels of family members of critically ill patients have received much attention in the literature. The feelings of family members, however, have not been thoroughly investigated. To develop appropriate nursing interventions to assist family members in coping with a critical care hospitalization, accurate information about their emotional response to the situation is needed. OBJECTIVE: To examine emotional responses of family members and their descriptions of supportive behaviors of others during a critical care hospitalization. METHODS: An exploratory de

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26

Neils, Priscilla E. "The Influence of Nightingale Rounding by the Liaison Nurse on Surgical Patient Families With Attention to Differing Cultural Needs." Journal of Holistic Nursing 28, no. 4 (2010): 235–43. http://dx.doi.org/10.1177/0898010110368862.

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This article is a tribute to Florence Nightingale whose book Notes on Nursing was published 150 years ago in 1860. Nightingale was a proponent of rounding on patients to ensure their environment contributed to healing. Patients and their families experience greater satisfaction when a registered nurse rounds on them. The liaison nurse provides the connection between a surgical patient and the family in the waiting room. This activity promotes communication and spiritual support for family members who will participate in patient care both during hospitalization and after the patient returns hom

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27

Burr, Gayle. "The family and critical care nursing: a brief review of the literature." Australian Critical Care 10, no. 4 (1997): 124–27. http://dx.doi.org/10.1016/s1036-7314(97)70415-6.

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28

Falcó-Pegueroles, Anna, Teresa Lluch-Canut, Juan Roldan-Merino, Josefina Goberna-Tricas, and Joan Guàrdia-Olmos. "Ethical conflict in critical care nursing." Nursing Ethics 22, no. 5 (2014): 594–607. http://dx.doi.org/10.1177/0969733014549883.

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Background: Ethical conflicts in nursing have generally been studied in terms of temporal frequency and the degree of conflict. This study presents a new perspective for examining ethical conflict in terms of the degree of exposure to conflict and its typology. Objectives: The aim was to examine the level of exposure to ethical conflict for professional nurses in critical care units and to analyze the relation between this level and the types of ethical conflict and moral states. Research design: This was a descriptive correlational study. Central and dispersion, normality tests, and analysis

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29

Golembeski, Susan, Beth Willmitch, and Sandy S. Kim. "Perceptions of the Care Experience in Critical Care Units Enhanced by a Tele-ICU." AACN Advanced Critical Care 23, no. 3 (2012): 323–29. http://dx.doi.org/10.4037/nci.0b013e31825ed8bb.

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The purpose of this study was to determine patients’ and families’ perceptions of care in 10 critical care units enhanced by a tele–intensive care unit (ICU) in a 5-hospital health care system. Patients and family members who had a critical care experience were approached for participation. An adapted version of the Schmidt Perception of Nursing Care Survey was administered. The Schmidt Perception of Nursing Care Survey factors–-seeing the individual patient, explaining, responding, and watching over—were analyzed for 637 participants (263 before and 374 after the tele-ICU implementation). Ana

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30

Mitchell, M., W. Chaboyer, E. Burmeister, and M. Foster. "Positive Effects of a Nursing Intervention on Family-Centered Care in Adult Critical Care." American Journal of Critical Care 18, no. 6 (2009): 543–52. http://dx.doi.org/10.4037/ajcc2009226.

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31

Mundy, Cynthia A. "Assessment of Family Needs in Neonatal Intensive Care Units." American Journal of Critical Care 19, no. 2 (2010): 156–63. http://dx.doi.org/10.4037/ajcc2010130.

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Background Limited research has been conducted to assess family needs in neonatal intensive care units. Health care providers often make assumptions about what families need, but these assumptions are unfounded and can lead to inappropriate conclusions. When assessed appropriately, family needs can be incorporated into individualized plans of care, enhancing family-centered care. Objective To assess the needs of parents in neonatal intensive care units, we asked the following 3 questions: What are the most and least important needs of families in a level III neonatal intensive care unit? Do pa

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32

Hoffman, Leslie A., Mary Beth Happ, Carmella Scharfenberg, Dana DiVirgilio-Thomas, and Frederick J. Tasota. "Perceptions of Physicians, Nurses, and Respiratory Therapists About the Role of Acute Care Nurse Practitioners." American Journal of Critical Care 13, no. 6 (2004): 480–88. http://dx.doi.org/10.4037/ajcc2004.13.6.480.

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• Background Information about the contributions of acute care nurse practitioners to medical management teams in critical care settings is limited.• Objective To examine contributions of acute care nurse practitioners to medical management of critically ill patients from the perspectives of 3 disciplines: medicine, respiratory care, and nursing.• Methods Attending physicians, respiratory therapists, and nurses in 2 intensive care units were asked to list 3 advantages and 3 disadvantages of collaborative care provided by acute care nurse practitioners. Qualitative methods (coding/constant comp

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33

Norton, Colleen K., Alison Dimon, Rachael Knapp Richards, Suzanne Kelly, and Ingrid Frey. "The Introduction of Family Presence Evidence-Based Practice Into a Baccalaureate Nursing Curriculum." Critical Care Nursing Quarterly 30, no. 4 (2007): 364–71. http://dx.doi.org/10.1097/01.cnq.0000290369.32128.4b.

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34

Belcaster, A. "Creutzfeldt-Jakob disease: a family-centered approach." Critical Care Nurse 14, no. 4 (1994): 38–43. http://dx.doi.org/10.4037/ccn1994.14.4.38.

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Care of the patient with CJD requires particular attention to infection control and optimizing comfort. It also demands a great deal of consideration to family needs. Although none of these nursing interventions can change the final outcome for these patients, each may have an effect on the outcome for the family. A nurse with a finely tuned sense of ethics, who can prioritize the compassionate delivery of comfort, safety, and support, can make a great difference in the way a family copes with their loss.

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35

Kajs-Wyllie, M. "Thrombotic thrombocytopenic purpura: pathophysiology, treatment, and related nursing care." Critical Care Nurse 15, no. 6 (1995): 44–52. http://dx.doi.org/10.4037/ccn1995.15.6.44.

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The patient diagnosed with TTP presents to the critical care unit with myriad life-threatening problems. Knowledge of the pathophysiology and treatment of this rare syndrome is essential to plan care appropriately. However, despite immediate diagnosis and intervention, the outcome may not be successful. Critical care nurses play a vital role in caring for these patients, as well as helping family members deal with this devastating disease.

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36

Tomlinson, PS, M. Kirschbaum, B. Tomczyk, and J. Peterson. "The relationship of child acuity, maternal responses, nurse attitudes and contextual factors in the bone marrow transplant unit." American Journal of Critical Care 2, no. 3 (1993): 246–52. http://dx.doi.org/10.4037/ajcc1993.2.3.246.

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PURPOSE: This study was designed to examine the relationships between maternal perceptions of an acutely ill child, nurse caregivers and contextual factors in a pediatric critical care unit. METHODS: Subjects were mothers of 20 children who had had their first bone marrow transplant and the primary nurse of each child. The study was conducted on a bone marrow transplant unit. Variables included the acuity of the child, maternal satisfaction with nursing care, maternal vigilance as measured by the time spent at the child's bedside, nurses' attitudes toward family involvement with care, nursing

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37

Liu, Lisa Xiaoyang, Maryam Mozafarinia, Anna Axelin, and Nancy Feeley. "Parents' Experiences of Support in NICU Single-Family Rooms." Neonatal Network 38, no. 2 (2019): 88–97. http://dx.doi.org/10.1891/0730-0832.38.2.88.

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PurposeThis study aimed to explore support for mothers and fathers in single-family rooms (SFRs) of a NICU.DesignA qualitative descriptive design was employed.SampleA convenience sample of 15 parents (nine mothers, six fathers) were recruited from a Level III NICU.MethodDuring their infants' hospitalization, each parent recorded their thoughts and feelings regarding support whenever appropriate over a period of 48 hours using Handy Application to Promote Preterm infant happY-life (HAPPY), an android recording application.ResultsParents felt supported when staff facilitated their learning in a

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38

Leske, Jane Stover. "Overview of Family Needs after Critical Illness: From Assessment to Intervention." AACN Advanced Critical Care 2, no. 2 (1991): 220–26. http://dx.doi.org/10.4037/15597768-1991-2006.

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Results of numerous independent studies suggest that families of a critically ill hospitalized member have similar needs that they can readily identify as very important. Empirical analysis of results compiled from many studies across patient populations, settings, geographic locations, and over time indicates that families have primary needs for assurance, proximity, and information. These primary family needs provide a research-based framework to guide critical care nurses in implementing and evaluating family-centered nursing interventions

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39

Downey, Lois, Ruth A. Engelberg, Sarah E. Shannon, and J. Randall Curtis. "Measuring Intensive Care Nurses’ Perspectives on Family-Centered End-of-Life Care: Evaluation of 3 Questionnaires." American Journal of Critical Care 15, no. 6 (2006): 568–79. http://dx.doi.org/10.4037/ajcc2006.15.6.568.

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• Background Attempts to improve end-of-life care increasingly focus on family-centered care, but few validated assessment tools exist. • Objectives To evaluate 3 new short questionnaires measuring nurses’ perspectives on family-centered end-of-life care in the intensive care unit and to show the usefulness of the questionnaires. • Methods Principal components analysis of data from 141 critical care nurses evaluating care given to families of 218 patients was used to develop domain scores for number of nursing activities with each family, number of barriers experienced, and nurses’ satisfactio

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40

Moss, Sidney Z., Miriam S. Moss, Helen K. Black, and Robert L. Rubinstein. "How Family Members Respond to Residents' Wish to Die." OMEGA - Journal of Death and Dying 51, no. 4 (2005): 301–21. http://dx.doi.org/10.2190/3pnw-w6g4-v1p9-j98y.

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Living and dying are inextricably associated in nursing homes. It is not unusual for old nursing home residents to express a wish to die. This article examines interwoven patterns of family responses to resident's wish to die. As part of a multi-site ethnographic study of bereavement in long-term care, we analyzed themes in audio-transcribed in-depth qualitative interviews with 20 family members in two religiously and culturally diverse nursing homes. Rooted in the contexts of the nursing home, the family system, and the socio-cultural milieu, three patterns of family responses emerged: avoida

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41

Mitchell, Sarah, Phillip Oliver, Clare Gardiner, et al. "Community end-of-life care during the COVID-19 pandemic: findings of a UK primary care survey." BJGP Open 5, no. 4 (2021): BJGPO.2021.0095. http://dx.doi.org/10.3399/bjgpo.2021.0095.

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BackgroundThousands of people in the UK have required end-of-life care in the community during the COVID-19 pandemic. Primary healthcare teams (general practice and community nursing services) have provided the majority of this care, alongside specialist colleagues. There is a need to learn from this experience in order to inform future service delivery and planning.AimTo understand the views of GPs and community nurses providing end-of-life care during the first wave of the COVID-19 pandemic.Design & settingA web-based, UK-wide questionnaire survey circulated via professional general prac

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42

YAMASE, Yoshie, Hiroaki YAMASE, and Junko TATSUNO. "Structure Model of Family Nursing Provided by Nurses in Emergency and Critical Care." Yamaguchi Medical Journal 62, no. 2 (2013): 91–98. http://dx.doi.org/10.2342/ymj.62.91.

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43

Kleinpell, RM. "Needs of families of critically ill patients: a literature review." Critical Care Nurse 11, no. 8 (1991): 34–40. http://dx.doi.org/10.4037/ccn1991.11.8.34.

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More research is needed to assess and address all areas of concern to family members. Options such as family discussion groups, patient-family or psychiatric liaison nurses, or clinical nurse specialist involvement might be used to improve family care and coping. Family perceptions of important needs warrant further research, and nursing interventions such as orientation-education programs, descriptive visitor pamphlets, nurse-family interaction sessions, and open or flexible visiting policies need additional investigation. It is only through continued assessment, evaluation, and intervention

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44

Dean, Spencer, Meghan Long, Edie Ryan, Kelly Tarnoviski, Antara Mondal, and Amy Jo Lisanti. "Assessment of an Educational Tool for Pediatric Cardiac Nurses on Individualized Family-Centered Developmental Care." Critical Care Nurse 41, no. 2 (2021): e17-e27. http://dx.doi.org/10.4037/ccn2021213.

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Background Prevention of neurodevelopmental sequelae is a high priority in the care of infants with congenital heart defects. Individualized family-centered developmental care has been identified as a promising approach to promote infant neurodevelopment during hospitalization. Objective To educate nurses on the concept of individualized family-centered developmental care and its application to nursing practice and to reduce perceived barriers to its implementation. Methods Two evidence-based visual educational tools called “developmental care flowers” were created and implemented in the inpat

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45

Beesley, Sarah, Michelle Van De Graff, Jorie Butler, et al. "852: PARTNERS IN HEALING: POSTSURGICAL OUTCOMES AFTER FAMILY INVOLVEMENT IN NURSING CARE." Critical Care Medicine 46, no. 1 (2018): 410. http://dx.doi.org/10.1097/01.ccm.0000528861.85861.1b.

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46

Kirchhoff, KT, E. Pugh, RM Calame, and N. Reynolds. "Nurses' beliefs and attitudes toward visiting in adult critical care settings." American Journal of Critical Care 2, no. 3 (1993): 238–45. http://dx.doi.org/10.4037/ajcc1993.2.3.238.

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OBJECTIVE: To assess the beliefs and attitudes of critical care nurses about the effects of visiting on patients, staff and family. DESIGN: Both interviews and questionnaires were used to gather data on nurses' attitudes and beliefs about visiting and open visiting according to the format of Ajzen and Fishbein's Theory of Reasoned Action. SETTING: Five Utah intensive care units and three Ohio intensive care units. SAMPLE: Critical care nurses in Utah (N = 29) and Ohio (N = 41) were interviewed to assess their beliefs about the effects of visiting on patients, families, nurses and nursing care

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KUPPERSCHMID, BARBARA. "DESIGNING A FAMILY-FOCUSED CRITICAL CARE UNIT." AACN Clinical Issues: Advanced Practice in Acute and Critical Care 4, no. 3 (1993): 517. http://dx.doi.org/10.1097/00044067-199308000-00014.

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48

Jerdee, AL. "Heparin-associated thrombocytopenia: nursing implications." Critical Care Nurse 18, no. 6 (1998): 38–43. http://dx.doi.org/10.4037/ccn1998.18.6.38.

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Because of the potential severity of the associated complications, nurses have an essential role in the care of patients with HAT. Bedside nurses have the opportunity to report information that may indicate a change in a patient's condition after administration of heparin. This information could lead to diagnosis of heparin sensitivity and prompt treatment to decrease the associated thrombotic complications. Once HAT is diagnosed, a variety of resources are available as the patient's condition evolves. Primary concerns include determining effective strategies to provide appropriate skin care,

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49

Frelchels, Thomas Allen. "Clinical Application of Family Research: A Unit-based Approach." AACN Advanced Critical Care 2, no. 2 (1991): 316–20. http://dx.doi.org/10.4037/15597768-1991-2018.

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The needs of family members with a critically ill relative present a significant challenge to nursing professionals in the intensive care unit. Initially, interventions aimed at providing focused information and relieving anxiety take precedence. As the crisis period passes, however, the family may need to reestablish familiar patterns of functioning. Thus, family assessment and intervention is vital throughout the course of the patient’s hospitalization. This article examines how a medical-respiratory intensive care unit has applied family need research in designing and implementing an ongoin

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50

Gottlieb, Laurie N., and Bruce Gottlieb. "Strengths-Based Nursing: A Process for Implementing a Philosophy Into Practice." Journal of Family Nursing 23, no. 3 (2017): 319–40. http://dx.doi.org/10.1177/1074840717717731.

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Strengths-Based Nursing (SBN) is both a philosophy and value-driven approach that can guide clinicians, educators, manager/leaders, and researchers. SBN is rooted in principles of person/family centered care, empowerment, relational care, and innate health and healing. SBN is family nursing yet not all family nursing models are strengths-based. The challenge is how to translate a philosophy to change practice. In this article, we describe a process of implementation that has organically evolved of a multi-layered and multi-pronged approach that involves patients and families, clinicians, educa

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