1. Family experiences of the management of challenging behaviours after traumatic brain injury in the acute hospital setting.
- Author
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Block, Heather, George, Stacey, Hunter, Sarah C., and Bellon, Michelle
- Subjects
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QUALITATIVE research , *RESEARCH funding , *MEDICAL quality control , *INTERVIEWING , *INVECTIVE , *COMPASSION , *AGITATION (Psychology) , *JUDGMENT sampling , *FAMILY attitudes , *THEMATIC analysis , *WORKING hours , *SOUND recordings , *RESEARCH methodology , *FAMILY-centered care , *COMMUNICATION , *BRAIN injuries , *PHENOMENOLOGY , *HEALTH facilities , *FAMILY support , *BEHAVIOR therapy , *CRITICAL care medicine , *DISEASE complications - Abstract
Purpose: This study explored experiences of the management of challenging behaviours after traumatic brain injury (TBI) in the acute hospital setting from the perspectives of family members. Materials and Methods: A qualitative, interpretive phenomenological approach was adopted involving semi-structured interviews with 10 family members. Interviews were transcribed and analysed using thematic analysis, with Ecological Systems Theory applied as a guiding framework to discuss findings and implications for practice. Results: Four primary themes were identified: 1) The hospital environment; 2) Hospital staffing; 3) Identifying and preventing triggers, and 4) Family support and information. Conclusions: This qualitative study highlights the need for further information, education, and support to families of patients with TBI in the acute setting. Further research investigating the implementation of best practice approaches for managing challenging behaviours practice in acute settings is needed to overcome the barriers of the hospital environment, inexperienced and inconsistent staffing, and difficulties identifying triggers within the acute hospital setting, experienced by families. Approaches for family involvement in behaviour management strategies, and facilitation of communication for people with TBI in the acute setting requires exploration. IMPLICATIONS FOR REHABILITATION: Families reported the hospital environment, inexperienced and inconsistent staffing, and difficulty identifying triggers were challenges in effectively managing challenging behaviours after traumatic brain injury (TBI) in the acute setting. Clinicians can support family involvement in preventative strategies with patients with TBI. Clinicians can enable quality of care by building rapport and providing compassionate care to patients with TBI. Families need more support and information during the acute stage of TBI in hospital settings. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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