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首页> 外文期刊>Journal of nursing scholarship: an official publication of Sigma Theta Tau International Honor Society of Nursing >The Impact of Social Support Networks on Family Resilience in an Australian Intensive Care Unit: A Constructivist Grounded Theory
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The Impact of Social Support Networks on Family Resilience in an Australian Intensive Care Unit: A Constructivist Grounded Theory

机译：社会支持网络对澳大利亚重症监护单位家族复原力的影响：建构主义基础理论

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Purpose This article discusses the findings of a grounded theory of family resilience in an Australian intensive care unit (ICU) with a specific focus on families' experiences of their interactions with other members within their own family, and the families of other patients in the ICU. Design A constructivist grounded theory methodology was adopted. Data were collected using in-depth interviews with 25 family members of 21 critically ill patients admitted to a tertiary-level ICU in Australia. Findings The core category regaining control represents the families' journey toward resilience when in ICU. The major categories represent facilitators for, and barriers to, regaining control. One of the main facilitators is drawing strength, and it explains the manner with which families receive social support from their own and other family members to help them cope. Conclusions This study offers a framework to improve patient- and family-centered care in the ICU by facilitating families' ability to manage their situation more effectively. Social support offered by family members facilitates the families' ability to regain control. An ICU family resilience theoretical framework, situated within the context of the Australian healthcare system, adds to what is currently known about the families' experiences in the ICU. Clinical Relevance The relationships that develop between families in the ICU may provide a source of social support; however, not all families welcome interactions with other ICU families, and it may cause further emotional distress. Further research is warranted to determine whether families suffer a secondary stress reaction from incidental interactions with other patients' families in the ICU. Furthermore, when family members pull together and offer social support to each other, they are better able to regain control. This process contributes to an ICU family resilience framework.
机译：目的本文讨论了澳大利亚重症监护股（ICU）的家庭复原力地面理论的调查结果，特别关注家庭与自身家庭中其他成员的互动的经验，以及ICU中​​其他患者的家庭。设计建设主义接地理论方法。使用深入的访谈收集数据，其中21名批判性患者的21名患者21名批判性患者入住澳大利亚的高等级ICU。调查结果核心类别恢复控制代表了家庭在ICU时的恢复力。主要类别代表扶持人，恢复控制的障碍。其中一个主要的促进者是借鉴力量，它解释了家庭从自己和其他家庭成员获得社会支持的方式，以帮助他们应对。结论本研究提供了一个框架，通过促进家庭更有效地管理其局势，以改善ICU的患者和家庭为中心的护理。家庭成员提供的社会支持促进了家庭重新获得控制的能力。 ICU家族弹性理论框架，位于澳大利亚医疗保健系统的背景下，增加了目前在ICU中所知的内容。临床相关性，ICU中家庭之间发展的关系可以提供社会支持的来源;然而，并非所有家庭都欢迎与其他ICU家庭的互动，并且可能导致进一步的情绪困扰。有必要进一步研究，以确定家庭是否患有与ICU中其他患者家庭的偶然相互作用的二次压力反应。此外，当家庭成员一起拉持并互相提供社会支持时，它们更能重新获得控制。这一过程有助于ICU家族恢复力框架。

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