Counselling support for critically ill patients and their families following a critical care experience: a qualitative study
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Tipo de documento: | Dissertação |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://hdl.handle.net/10400.1/17879 |
Resumo: | Abstract Background Patients recovering from the critical illness and their family members can suffer significant psychological distress affecting activity of daily living, family relationship, social participation and professional life. There are few initiatives where the psychological interventions were provided to patients and family group which have shown significantly beneficial impact on psychological health. However, there is a limited number of studies that address the psychological needs of patients, family members and bereaved family members with critical care experience. Objectives The aim of this study was to explore patients’, family members’ and bereaved family members’ experiences of counselling provision. Methods We conducted a qualitative study in three Scottish Intensive care units (ICU) between 2015-2017. Counselling service was provided to former ICU patients and their family members, including those bereaved following a critical illness experience by a qualified, professionally accredited counsellor who had a background in Intensive Care nursing. Participants self-referred to the service. Semi-structured interviews were conducted to explore participants’ experience of accessing the counselling service, their expectations and experiences of the counselling sessions, and their recommendations for future development. Thematic analysis was used to analyse the data. Data reporting was done using Consolidated Criteria for reporting qualitative research checklist (COREQ). Results All twelve participants (Patients n= 3, Family members n = 7 and Bereaved family members n=2) considered their overall experience of the counselling support positive. Four key themes were identified: perceived benefits, feasibility, appraisal and context of care. Conduit to resilience, enhanced coping, relief through disclosure, maintaining family relationship and individualised support were the main perceived benefits experienced by participants. The nurse-counsellor’s counselling expertise and critical care background was appreciated by the majority of the participants. Conclusion In conclusion, the counselling support provided to patients, family members and bereaved family members was considered a feasible and acceptable intervention. Relevance to future research: A full-scale randomised control trial is required to measure the impact of counselling service on patient and family outcomes. Keywords: Critical care, counselling, patients, family members, and bereaved family members. |
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Counselling support for critically ill patients and their families following a critical care experience: a qualitative studyCritical careCounsellingPatientsFamily membersBereaved family membersDomínio/Área Científica::Ciências Médicas::Outras Ciências MédicasAbstract Background Patients recovering from the critical illness and their family members can suffer significant psychological distress affecting activity of daily living, family relationship, social participation and professional life. There are few initiatives where the psychological interventions were provided to patients and family group which have shown significantly beneficial impact on psychological health. However, there is a limited number of studies that address the psychological needs of patients, family members and bereaved family members with critical care experience. Objectives The aim of this study was to explore patients’, family members’ and bereaved family members’ experiences of counselling provision. Methods We conducted a qualitative study in three Scottish Intensive care units (ICU) between 2015-2017. Counselling service was provided to former ICU patients and their family members, including those bereaved following a critical illness experience by a qualified, professionally accredited counsellor who had a background in Intensive Care nursing. Participants self-referred to the service. Semi-structured interviews were conducted to explore participants’ experience of accessing the counselling service, their expectations and experiences of the counselling sessions, and their recommendations for future development. Thematic analysis was used to analyse the data. Data reporting was done using Consolidated Criteria for reporting qualitative research checklist (COREQ). Results All twelve participants (Patients n= 3, Family members n = 7 and Bereaved family members n=2) considered their overall experience of the counselling support positive. Four key themes were identified: perceived benefits, feasibility, appraisal and context of care. Conduit to resilience, enhanced coping, relief through disclosure, maintaining family relationship and individualised support were the main perceived benefits experienced by participants. The nurse-counsellor’s counselling expertise and critical care background was appreciated by the majority of the participants. Conclusion In conclusion, the counselling support provided to patients, family members and bereaved family members was considered a feasible and acceptable intervention. Relevance to future research: A full-scale randomised control trial is required to measure the impact of counselling service on patient and family outcomes. Keywords: Critical care, counselling, patients, family members, and bereaved family members.Kydonaki, ClaireSapientiaRayamajhi, Sharad2022-06-27T16:34:44Z2022-02-232022-02-23T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesisapplication/pdfhttp://hdl.handle.net/10400.1/17879TID:203026888enginfo:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-07-24T10:30:08Zoai:sapientia.ualg.pt:10400.1/17879Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T20:07:45.544249Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Counselling support for critically ill patients and their families following a critical care experience: a qualitative study |
title |
Counselling support for critically ill patients and their families following a critical care experience: a qualitative study |
spellingShingle |
Counselling support for critically ill patients and their families following a critical care experience: a qualitative study Rayamajhi, Sharad Critical care Counselling Patients Family members Bereaved family members Domínio/Área Científica::Ciências Médicas::Outras Ciências Médicas |
title_short |
Counselling support for critically ill patients and their families following a critical care experience: a qualitative study |
title_full |
Counselling support for critically ill patients and their families following a critical care experience: a qualitative study |
title_fullStr |
Counselling support for critically ill patients and their families following a critical care experience: a qualitative study |
title_full_unstemmed |
Counselling support for critically ill patients and their families following a critical care experience: a qualitative study |
title_sort |
Counselling support for critically ill patients and their families following a critical care experience: a qualitative study |
author |
Rayamajhi, Sharad |
author_facet |
Rayamajhi, Sharad |
author_role |
author |
dc.contributor.none.fl_str_mv |
Kydonaki, Claire Sapientia |
dc.contributor.author.fl_str_mv |
Rayamajhi, Sharad |
dc.subject.por.fl_str_mv |
Critical care Counselling Patients Family members Bereaved family members Domínio/Área Científica::Ciências Médicas::Outras Ciências Médicas |
topic |
Critical care Counselling Patients Family members Bereaved family members Domínio/Área Científica::Ciências Médicas::Outras Ciências Médicas |
description |
Abstract Background Patients recovering from the critical illness and their family members can suffer significant psychological distress affecting activity of daily living, family relationship, social participation and professional life. There are few initiatives where the psychological interventions were provided to patients and family group which have shown significantly beneficial impact on psychological health. However, there is a limited number of studies that address the psychological needs of patients, family members and bereaved family members with critical care experience. Objectives The aim of this study was to explore patients’, family members’ and bereaved family members’ experiences of counselling provision. Methods We conducted a qualitative study in three Scottish Intensive care units (ICU) between 2015-2017. Counselling service was provided to former ICU patients and their family members, including those bereaved following a critical illness experience by a qualified, professionally accredited counsellor who had a background in Intensive Care nursing. Participants self-referred to the service. Semi-structured interviews were conducted to explore participants’ experience of accessing the counselling service, their expectations and experiences of the counselling sessions, and their recommendations for future development. Thematic analysis was used to analyse the data. Data reporting was done using Consolidated Criteria for reporting qualitative research checklist (COREQ). Results All twelve participants (Patients n= 3, Family members n = 7 and Bereaved family members n=2) considered their overall experience of the counselling support positive. Four key themes were identified: perceived benefits, feasibility, appraisal and context of care. Conduit to resilience, enhanced coping, relief through disclosure, maintaining family relationship and individualised support were the main perceived benefits experienced by participants. The nurse-counsellor’s counselling expertise and critical care background was appreciated by the majority of the participants. Conclusion In conclusion, the counselling support provided to patients, family members and bereaved family members was considered a feasible and acceptable intervention. Relevance to future research: A full-scale randomised control trial is required to measure the impact of counselling service on patient and family outcomes. Keywords: Critical care, counselling, patients, family members, and bereaved family members. |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022-06-27T16:34:44Z 2022-02-23 2022-02-23T00:00:00Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
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info:eu-repo/semantics/masterThesis |
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masterThesis |
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http://hdl.handle.net/10400.1/17879 TID:203026888 |
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http://hdl.handle.net/10400.1/17879 |
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TID:203026888 |
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eng |
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eng |
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openAccess |
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application/pdf |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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