Reducing family members' anxiety and uncertainty in illness around transfer from intensive care: an intervention study

Title

Reducing family members' anxiety and uncertainty in illness around transfer from intensive care: an intervention study

Creator

Mitchell ML; Courtney M

Publisher

Intensive and Critical Care Nursing

Date

2004

Subject

Female; Humans; Male; Intensive Care Units; Adult; Aged; Middle Aged; Australia; Analysis of Variance; adolescent; 80 and over; Family/psychology; ICU Decision Making; social support; Intervention; Interventions; Patient Transfer; Anxiety/prevention & control; Pamphlets

Description

INTRODUCTION: This intervention study examines anxiety and uncertainty in illness in families transferring from intensive care to a general ward. METHODS: The pre-test, post-test design purposively allocated family members to a control (n = 80) and intervention group (n = 82). The intervention group experienced a structured individualised transfer method whereas the control group received existing ad hoc transfer methods. Families were surveyed before and after transfer. RESULTS: Families' uncertainty was significantly related to their state anxiety (P < 0.000), the relationship to the patient (P = 0.022), and the unexpected nature of patients' admission (P < 0.000). Anxiety increased significantly with reduced social support (P = 0.002). Following transfer, anxiety reduced significantly for both groups whereas uncertainty reduced significantly for the intervention group (P = 0.03). CONCLUSION: Families at the time of transfer experience uncertainty and anxiety, which are significantly related in this study. The intervention significantly reduced uncertainty scores. When the family member was a parent, when admissions were unexpected, and those with fewer social supports represent potential 'at risk' groups whose adaptation to transfer may limit their coping ability. The structured individualised method of transfer is recommended with further research of ICU families to further examine the dimension of uncertainty and how it affects patient outcomes.
2004

Rights

Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).

Type

Journal Article

Citation List Month

Backlog

Pages

223-231

Issue

4

Volume

20

Citation

Mitchell ML; Courtney M, “Reducing family members' anxiety and uncertainty in illness around transfer from intensive care: an intervention study,” Pediatric Palliative Care Library, accessed May 19, 2022, https://pedpalascnetlibrary.omeka.net/items/show/13054.

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