Counselling offered to and needed by Finnish adult intensive care unit patients based on patients' records and memories

Objectives of this study were to characterize the counselling (broadly defined) that Finnish adult intensive care unit patients received and needed during intensive care according to patients’ records and memories. The study was based on retrospective analysis of patient records and documented follo...

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Veröffentlicht in:Intensive & critical care nursing 2023-06, Vol.76, p.103395-103395, Article 103395
Hauptverfasser: Vanhanen, Minna, Ala-Kokko, Tero, Kaakinen, Pirjo, Meriläinen, Merja
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Ala-Kokko, Tero
Kaakinen, Pirjo
Meriläinen, Merja
description Objectives of this study were to characterize the counselling (broadly defined) that Finnish adult intensive care unit patients received and needed during intensive care according to patients’ records and memories. The study was based on retrospective analysis of patient records and documented follow-up clinics, using a descriptive, qualitative approach and deductive-inductive content analysis. According to both the records and documented memories of 162 patients (56 women and 106 men aged 18–75 years; mean 50.8, median 53.5 years) patients’ confidence in their own recovery, including feelings of safety and ability to participate, is enhanced by counselling during intensive care. They had strong memories of counselling that gave them knowledge about their medical conditions and procedures, symptoms, care, and psychological support. At follow-up, patients did not have such strong memories of lifestyle counselling that they received during intensive care. Patients need counselling during an intensive care unit stay to improve their confidence in their recovery. The counselling strategy for intensive care should be documented, and patient memories collected during follow-up clinics, to help assessment of the quality of counselling provided in intensive care. Counselling during intensive care enhances patients’ confidence in their own recovery. To assess the quality of counselling it is essential to recognize the types provided and needed. Appropriate documentation is crucial for evaluating intensive care unit patient counselling, and planning its continuity.
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source MEDLINE; Elsevier ScienceDirect Journals Complete; Applied Social Sciences Index & Abstracts (ASSIA); ProQuest Central UK/Ireland
subjects Adult
Anxiety
Clinical medicine
Clinics
Content analysis
Counseling
Counselling
Critical Care - psychology
Documentation
Female
Finland
Hospitals
Humans
ICU patient
Intensive care
Intensive care follow-up clinic
Intensive Care Units
Male
Medical conditions
Memories
Patients
Qualitative research
Recovery
Rehabilitation
Retrospective Studies
Social support
title Counselling offered to and needed by Finnish adult intensive care unit patients based on patients' records and memories
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