Search

Your search keyword '"MESH : Professional-Family Relations"' showing total 2 results
Start Over Descriptor "MESH : Professional-Family Relations" Topic [sdv.spee] life sciences [q-bio]/sante publique et epidemiologie
2 results on '"MESH : Professional-Family Relations"'

1. Perceptions of a 24-hour visiting policy in the intensive care unit

Author

Ghylaine Bretteville, Maité Garrouste-Orgeas, Jean Carlet, Alexis Tabah, Jean-François Timsit, Benoit Misset, François Philippart, Aude Verdavainne, Frédérique Diaw, Vincent Willems, Medical-Surgical ICU, Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Université Paris Descartes - Paris 5 (UPD5)-Hôpital Saint Joseph, INSERM U823, équipe 11 (Epidémiologie des cancers et des affections graves), Institut d'oncologie/développement Albert Bonniot de Grenoble (INSERM U823), Université Joseph Fourier - Grenoble 1 (UJF)-CHU Grenoble-EFS-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université Joseph Fourier - Grenoble 1 (UJF)-CHU Grenoble-EFS-Institut National de la Santé et de la Recherche Médicale (INSERM), Assistance publique - Hôpitaux de Paris (AP-HP) - Université Paris Descartes - Paris 5 (UPD5) - Hôpital Saint Joseph, Université Joseph Fourier - Grenoble 1 (UJF) - CHU Grenoble - EFS - Institut National de la Santé et de la Recherche Médicale (INSERM) - Université Joseph Fourier - Grenoble 1 (UJF) - CHU Grenoble - EFS - Institut National de la Santé et de la Recherche Médicale (INSERM), and Vesin, Aurélien

Subjects
Male, Time Factors, MESH : Prevalence, MESH : Aged, MESH : Professional-Family Relations, MESH : Prospective Studies, Anxiety, MESH: Health Care Surveys, Critical Care and Intensive Care Medicine, Hospital Anxiety and Depression Scale, law.invention, Cohort Studies, 0302 clinical medicine, MESH : Anxiety, Professional-Family Relations, law, MESH : Visitors to Patients, MESH : Depression, Prevalence, MESH : Female, Prospective Studies, 030212 general & internal medicine, Simplified Acute Physiology Score, MESH: Cohort Studies, MESH: Aged, Depression, MESH: Paris, MESH : Paris, Intensive care unit, Organizational Policy, 3. Good health, Intensive Care Units, Cohort, Female, medicine.symptom, MESH : Organizational Policy, MESH : Intensive Care Units, MESH : Time Factors, MESH: Visitors to Patients, Paris, medicine.medical_specialty, MESH: Depression, Attitude of Health Personnel, MESH : Male, MESH: Attitude of Health Personnel, MESH : Cohort Studies, Family centered care, 03 medical and health sciences, Intensive care, Severity of illness, medicine, Humans, Family, MESH : Health Care Surveys, Psychiatry, MESH: Professional-Family Relations, MESH: Family, MESH: Prevalence, Aged, MESH: Humans, MESH: Anxiety, business.industry, MESH : Humans, MESH: Time Factors, 030208 emergency & critical care medicine, Visitors to Patients, MESH: Male, MESH: Prospective Studies, [SDV.SPEE] Life Sciences [q-bio]/Santé publique et épidémiologie, Health Care Surveys, Emergency medicine, MESH : Family, MESH: Intensive Care Units, [SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie, MESH: Organizational Policy, business, MESH: Female, MESH : Attitude of Health Personnel
Abstract

International audience; OBJECTIVE: To examine perceptions by intensive care unit (ICU) workers of unrestricted visitation, to measure visiting times, and to determine prevalence of symptoms of anxiety and depression in family members. DESIGN: Observational, prospective, single-center cohort. SETTING: Medical-surgical ICU in a 460-bed tertiary-care hospital. PATIENTS: Two hundred nine consecutive patients hospitalized >3 days were studied over the first 5 ICU days. INTERVENTIONS: None. MEASUREMENTS AND MAIN RESULTS: Characteristics of patients (n = 209), families (n = 149), and ICU workers (n = 43) were collected. ICU workers reported their perceptions of unrestricted visitation, and family members completed the Hospital Anxiety and Depression Scale. Daily severity scores (Simplified Acute Physiology Score II and Logistic Organ Failure) and a workload score (Nine Equivalents of Nursing Manpower) were computed. Maximum median visit length was 120 mins per patient per day and occurred on days 4 and 5. No correlations were found among severity of illness, workload, and visit length. For 115 patients, both nurse and physician questionnaires were available; although several differences were noted, neither nurses nor physicians perceived open visitation as disrupting patient care. The median rating for delay in organizing care was "never" for physicians and "occasionally" for nurses. Nurses perceived more disorganization of care than physicians (p = .008). Compared with nurses, the physicians reported greater family trust (p = .0023), more family stress (p = .047), and greater unease when examining the patient (p = .02). The Hospital Anxiety and Depression Scale indicated symptoms of anxiety in 73 (49%) family members and depression in 44 (29.5%). CONCLUSIONS: The 24-hr visitation policy was perceived favorably by families. It induced only moderate discomfort among ICU workers, due to the potential for care interruption, in particular for nurses.

Published
2008

2. A communication strategy and brochure for relatives of patients dying in the ICU

Author

Fabienne Fieux, Gérald Choukroun, Fayçal Saidi, Jean Reignier, Christophe Adrie, Dany Goldgran-Toledano, Bruno Mégarbane, Benoît Schlemmer, Alexandre Lautrette, J. Randall Curtis, Sylvie Chevret, Michael Darmon, Didier Barnoud, Maité Garrouste-Orgeas, Gérard Bleichner, Richard Galliot, Frédéric Pochard, Georges Loubert, Mercé Jourdain, Elie Azoulay, Bertrand Souweine, Nancy Kentish Barnes, Luc Marie Joly, François Vincent, Hugues Georges, Cédric Bruel, Hôpital Saint-Louis, Université Paris Diderot - Paris 7 (UPD7)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP), Hôpital Lariboisière, Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Hôpital Lariboisière-Fernand-Widal [APHP], Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP), CHU Rouen, Normandie Université (NU), Service de réanimation chirurgicale [Béclère], Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-AP-HP - Hôpital Antoine Béclère [Clamart], Clinique de réanimation médicale, Université Joseph Fourier - Grenoble 1 (UJF)-CHU Grenoble-Hôpital Michallon, Hôpital d'Argenteuil, Hôpital Bichat - Claude Bernard, Hôpital Cochin [AP-HP], Shcool of medicine, University of Washington [Seattle], Hôpital de Pontoise, Medical-Surgical ICU, Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Université Paris Descartes - Paris 5 (UPD5)-Hôpital Saint Joseph, Hôpital de Tourcoing, Hôpital de Gonesse, Hôpital Salengro, Centre Hospitalier Régional Universitaire [Lille] (CHRU Lille), Hôpital Raymond Poincaré [AP-HP], Service de réanimation médicale, Hôpital les oudaries, Hôpital de Nemours, Unité de soins intensifs [Clermont Ferrand], CHU Clermont-Ferrand-CHU Gabriel Montpied [Clermont-Ferrand], CHU Clermont-Ferrand, Service de Réanimation Médico-Chirurgicale [Avicenne], Université Paris 13 (UP13)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Hôpital Avicenne [AP-HP], Vesin, Aurélien, Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Université Paris Diderot - Paris 7 (UPD7), Assistance publique - Hôpitaux de Paris (AP-HP)-Université Paris Diderot - Paris 7 ( UPD7 ), Assistance publique - Hôpitaux de Paris (AP-HP)-Hôpital Lariboisière, Assistance publique - Hôpitaux de Paris (AP-HP)-Hôpital Antoine Béclère, Université Joseph Fourier - Grenoble 1 ( UJF ) -CHU Grenoble-Hôpital Albert Michallon, CHU Cochin [AP-HP], Assistance publique - Hôpitaux de Paris (AP-HP)-Université Paris Descartes - Paris 5 ( UPD5 ) -Hôpital Saint Joseph, Centre Hospitalier Régional Universitaire [Lille] ( CHRU Lille ), AP-HP Hôpital Raymond Poincaré [Garches], CHU Clermont-Ferrand-Hôpital Gabriel Montpied, and Université Paris 13 ( UP13 ) -Assistance publique - Hôpitaux de Paris (AP-HP)-Hôpital Avicenne

Subjects
Male, MESH : Aged, MESH : Professional-Family Relations, MESH : Pamphlets, Anxiety, Hospital Anxiety and Depression Scale, MESH : Stress Disorders, Post-Traumatic, law.invention, Stress Disorders, Post-Traumatic, 0302 clinical medicine, MESH : Anxiety, MESH: Aged, 80 and over, Randomized controlled trial, law, Interquartile range, Professional-Family Relations, MESH : Visitors to Patients, MESH : Depression, Medicine, MESH : Female, 030212 general & internal medicine, MESH: Terminally Ill, Depression (differential diagnoses), Aged, 80 and over, MESH: Aged, MESH: Middle Aged, Depression, Communication, [ SDV.SPEE ] Life Sciences [q-bio]/Santé publique et épidémiologie, General Medicine, Middle Aged, Intensive care unit, 3. Good health, Distress, Intensive Care Units, MESH: Stress Disorders, Post-Traumatic, Female, MESH: Communication, medicine.symptom, MESH : Communication, MESH : Intensive Care Units, MESH: Visitors to Patients, medicine.medical_specialty, MESH: Depression, MESH : Male, MESH : Terminally Ill, 03 medical and health sciences, MESH : Bereavement, Humans, Terminally Ill, Family, MESH : Middle Aged, Psychiatry, MESH : Aged, 80 and over, MESH: Professional-Family Relations, MESH: Family, Aged, MESH: Humans, MESH: Anxiety, business.industry, MESH : Humans, MESH: Bereavement, 030208 emergency & critical care medicine, Visitors to Patients, MESH: Male, Telephone interview, [SDV.SPEE] Life Sciences [q-bio]/Santé publique et épidémiologie, Physical therapy, Pamphlets, MESH : Family, MESH: Intensive Care Units, [SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie, business, MESH: Pamphlets, MESH: Female, Bereavement
Abstract

International audience; BACKGROUND: There is a need for close communication with relatives of patients dying in the intensive care unit (ICU). We evaluated a format that included a proactive end-of-life conference and a brochure to see whether it could lessen the effects of bereavement. METHODS: Family members of 126 patients dying in 22 ICUs in France were randomly assigned to the intervention format or to the customary end-of-life conference. Participants were interviewed by telephone 90 days after the death with the use of the Impact of Event Scale (IES; scores range from 0, indicating no symptoms, to 75, indicating severe symptoms related to post-traumatic stress disorder [PTSD]) and the Hospital Anxiety and Depression Scale (HADS; subscale scores range from 0, indicating no distress, to 21, indicating maximum distress). RESULTS: Participants in the intervention group had longer conferences than those in the control group (median, 30 minutes [interquartile range, 19 to 45] vs. 20 minutes [interquartile range, 15 to 30]; P

Published
2007

Catalog

Books, media, physical & digital resources
See catalog results