Counselling offered to and needed by Finnish adult intensive care unit patients based on patients' records and memories |
| |
| Affiliation: | 1. Research Unit of Health sciences and Technology, University of Oulu, P.O Box 5000, FI-90014 Oulu, Finland;2. Oulu University of Applied Sciences, PL 222, 90101 Oulu, Finland;3. Medical Research Center (MRC), Oulu University Hospital, Oulu, Finland;4. Oulu University Medical Faculty, Research Group of Intensive Care Medicine, Finland;5. Adjunct Professor of Nursing Science University of Oulu, Research Unit of Health Sciences and Technology, Finland;6. Wellbeing Services County of Ostrobothnia, Finland;7. Oulu University Hospital, Medical Research Center Oulu, Finland;8. Oulu University Hospital, PL 10, 90920 OYS, Finland;1. Dr Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital, Istanbul, Turkey;2. Hamidiye Faculty of Nursing, University of Health Sciences Turkey, Istanbul, Turkey;3. Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Health Application and Research Center, University of Health Sciences Turkey, Istanbul, Turkey;1. University of the Basque Country, Vitoria-Gasteiz School of Nursing (UPV/EHU), Jose Atxotegi, 01009 Vitoria-Gasteiz, Spain;2. Bioaraba Health Research Institute, Jose Atxotegi, 01009 Vitoria-Gasteiz, Spain;3. Osakidetza Basque Health Service, Araba University Hospital, Jose Atxotegi, 01009 Vitoria-Gasteiz, Spain;4. REDISSEC, Health Services Research on Chronic Patients Network, Madrid, Spain;1. Department of Nutrition & Dietetics, Southmead Hospital, North Bristol NHS Trust, BS10 5NB, United Kingdom;2. Department of Nutrition & Dietetics, Royal Brompton and Harefield Hospital, Guy’s and St Thomas’ NHS Foundation Trust, SW3 6NP, United Kingdom;1. Department of Nursing, College of Health Sciences, University of Sharjah, Sharjah, United Arab Emirates;2. Critical Care and Emergency Nursing Department, Faculty of Nursing, Alexandria University, Alexandria, Egypt;3. Clinical Nursing Department, Faculty of Nursing, Applied Science Private University, Amman, Jordan |
| |
| Abstract: | ObjectivesObjectives of this study were to characterize the counselling (broadly defined) that Finnish adult intensive care unit patients received and needed during intensive care according to patients’ records and memories.Design settingThe study was based on retrospective analysis of patient records and documented follow-up clinics, using a descriptive, qualitative approach and deductive-inductive content analysis.FindingsAccording to both the records and documented memories of 162 patients (56 women and 106 men aged 18–75 years; mean 50.8, median 53.5 years) patients’ confidence in their own recovery, including feelings of safety and ability to participate, is enhanced by counselling during intensive care. They had strong memories of counselling that gave them knowledge about their medical conditions and procedures, symptoms, care, and psychological support. At follow-up, patients did not have such strong memories of lifestyle counselling that they received during intensive care.ConclusionPatients need counselling during an intensive care unit stay to improve their confidence in their recovery. The counselling strategy for intensive care should be documented, and patient memories collected during follow-up clinics, to help assessment of the quality of counselling provided in intensive care.Implications for clinical practiceCounselling during intensive care enhances patients’ confidence in their own recovery. To assess the quality of counselling it is essential to recognize the types provided and needed. Appropriate documentation is crucial for evaluating intensive care unit patient counselling, and planning its continuity. |
| |
| Keywords: | Counselling Documentation ICU patient Intensive care Intensive care follow-up clinic Memories |
| 本文献已被 ScienceDirect 等数据库收录！ |
|
