Presence Of Family Members Research Articles

Knowledge, Attitude and Practices Regarding Third Wave of Coronavirus Pandemic among the Community People in Kathmandu Valley, Nepal

Background: Coronavirus pandemic (COVID-19) is a massive global health crisis. This paper aims to describe knowledge, attitude and practices (KAP) regarding Coronavirus pandemic among the community people residing in Kathmandu Valley. Methods: We have applied cross-sectional study design in which required data were collected from 312 sample households using accidental sampling procedure. We applied self-administered hand given questionnaire (Cronbach's alpha 0.97) consisting 105 items variables (35 each for KAP) on a six-point Likert scale, from 0(not applicable) to 5(strongly agree). Results: The study found that summative values of attitude (x̄ 3.71-3.97) and practices (x̄ 3.70-4.12) found comparatively weaker than knowledge (x̄ 3.09-4.24). About 124(39.7%) respondents have associated comorbidities allied with social distancing, masking/globing behavior, hand washing and sanitizing, physical exercise, PCR test/vaccination, health seeking behavior. KAP index is largely defined by variable family monthly expenditure on food/vegetable and their KAP index was significantly higher than others. However, presence of family members suffered from COVID-19 has negatively contributed to the KAP index. Conclusion: The denser views on KAP are the consistently with closer to agree and strongly agree points. KAP index found significant but skewed to left for Kirtipur and skewed to right for Lalitpur and Suryabinayak. Novelty: The municipal governments have been offering efficient and dedicated health services to the community people. However, knowledge, attitude and practices among the community people of residing in Kathmandu, Bhaktapur and Lalitpur found different. Therefore, the results of the study are valuable to policy makers and planners especially in the areas of healthcare and public health during pandemics.

The relationship between ego identity status and acculturation strategies (comparative study)

The present study aims to investigate the acculturation strategies employed by Yemeni students in Turkey and China, and their relationship with Ego identity status and perceived cultural distance. The study involved 506 Yemeni students enrolled in Turkish and Chinese universities, with 290 participants studying in Turkey (57.3 %) and 216 studying in China (42.7 %). The age of the participants ranged from 18 to 42 years, with a standard deviation of 5.45 and a mean of 27.34 years. The results indicated that the strategies adopted by Yemeni students were similar in both countries. Ego-identity states were found to be predictors of acculturation strategies. Identity achievement was found to predict integration strategy, while foreclosure identity predicted separation strategy. Additionally, identity moratorium and identity diffusion predicted the marginalization strategy. Knowledge of the host country's language was a predictor of willingness to integrate into the host society. The immigrant's lack of knowledge of the host country's language led them to adopt a separation strategy. Cultural distance was also found to be highly predictive of the assimilation and separation strategy. Furthermore, the presence of family members with the immigrants led to the adoption of tendencies to preserve the native culture, while immigrants living without their families in the host country tended to adopt the assimilation strategy.

Nursing Care to Promote Comfort for People in Palliative Care: A Scoping Review

Introduction: Understanding the meaning and significance of comfort for people in palliative care can be a challenge for nurses when defining care. Objective: To map the available scientific evidence on nursing care that promotes comfort for people in palliative care. Materials and methods: This is a literature review based on the Joanna Briggs Institute and PRISMA-ScR guidelines. A complete search was conducted in the Medline Complete, Cinahl Complete, Scopus, Web of Science, Repositório Científico de Acesso Aberto de Portugal, and OpenGrey databases. Primary studies were included, with quantitative, qualitative, or mixed methods designs, published between January 2014 and March 2023, in Portuguese, English, or Spanish. The search syntax was adjusted for each database. A combination of MeSH, text words, and indexing terms using the boolean operators AND and OR was used. Truncation * was used to enhance the search. Results: 681 articles were found, of which 239 were duplicates. A total of 442 studies were analyzed and 409 were excluded for not reflecting the theme. The full texts from 33 articles were retrieved, of which eight were included in the review. Comfort-promoting nursing care integrates the physical, psychospiritual, environmental, and sociocultural dimensions. Of particular relevance are the implementation of pharmacological measures, respect for religious and cultural beliefs, encouragement for the presence of family members, communication, and the relaxation of rules. Conclusions: Promoting comfort for patients in palliative care includes direct care and support for the family. The individualization of care and the response to specific needs can result in relief, ease, and transcendence.

Caregivers of Children with Autism Spectrum Disorders: The Role of Guilt Sensitivity and Support.

Background/Objectives: Burden Syndrome, also known as Caregiver Syndrome, particularly affects those who serve in the role of informal caregiver in the presence of family members with conditions. The ABCX dual model examines the impact on the caregiver of the diagnosis of autism spectrum disorder (ASD) on the family. This model considers the severity of the stressor (A), the additional demands of life stress (aA), the family's internal resources (B), the family's external resources (bB), the family's assessment of the situation (C), coping strategies (cC), and outcome (X). The purpose of the present study is to investigate the relationships between resilience, guilt, and burden of care in caregivers of children with ASD. Methods: Various assessment instruments were used, including the "Caregiver Burden Inventory" to measure burden, the "Brief Resilience Scale" to assess resilience, the "Guilt Sensitivity Questionnaire" to examine guilt sensitivity, and the "DA.L.I.A." to collect information on parent and child characteristics. A total of 80 parents/caregivers participated in the research, including 53 women (Age M = 41.72; SD = 7.8) and 27 men (Age M = 43.35; SD = 6.29). Results: The findings indicate that individuals' resilience to stressful events correlates negatively with burden, a developmental subtype. However, guilt seems not to play a significant role in the overall perception of burden. In contrast, it was found that the use of informal supports is associated with higher levels of guilt and emotional burden, whereas the use of formal supports is correlated with higher emotional burden, but not higher perceptions of guilt. Conclusions: This study provides important information about the support needed by caregivers and suggests how to address emotional burdens to prevent burnout and support families with children with ASD.

Household migration decisions: Understanding Ethiopians irregular migration from Kembata‐Tembaro zone to the Republic of South Africa

AbstractThis research intends to shed light on the household migration decision‐making process of Ethiopian irregular migrants heading to the Republic of South Africa. Data were drawn from a cross‐sectional household survey (n = 659) and in‐depth interviews (n = 24) conducted in 2022. Descriptive statistics, binary logistic regressions and thematic analysis were employed to analyse the data. Our findings reveal that being a young male, having a large household size, the presence of family members and smugglers positively influence households' decisions for irregular migration. Possession of farmland, being employed and married have a negative influence on household decisions for migration. The study findings further show that prior information about the migration destination is important in the household's migration decision‐making process. We suggest that government actions and policy interventions should be based on such empirical evidence to promote safe and regular migrations while addressing potential migrants' aspirations and needs in their pursuit of a better life.

Associations between physicians' SDM behaviour and participation of older patients and family members in triadic decision-making: An observational study

BackgroundMedical consultations with older patients often include triadic conversations and decision-making processes involving physicians, patients, and family members. The presence of family members may change the communication dynamics and therefore increase the complexity of the consultation and decision-making process. ObjectiveThis study explored associations between physicians' shared decision-making (SDM) behaviour and patients' and family members' participation in the decision-making process. MethodsUsing an observational design, we analysed 95 recorded consultations between medical specialists, patients aged ≥65 years, and accompanying family members at a Dutch hospital. The OPTIONMCC was used to assess the physicians' SDM behaviour and patients' and family members' levels of involvement in SDM. ResultsWe found a strong positive correlation between physicians' behaviour and patients' and family members' participation in SDM (0.68 and 0.64, respectively, p < .01). Family members were more involved in SDM for patients aged 80 and older. ConclusionWhile not asserting causation, our study suggests physicians potentially play a facilitating role in shaping the SDM process together with proactive contributions from patients and family members. InnovationThe results offer new insights into triadic SDM and provide suggestions for refining the OPTIONMCC. Further research is recommended into participants' mutual directional influences in triadic SDM.

The magnitude and associated factors of unused medications storage practice among households in Jimma city, southwest of Ethiopia: Community-based cross-sectional study

BackgroundMedicines are kept unused at home for many therapeutic reasons. Conversely, unused medication and subsequent wastage can be attributed to several primary factors such as medication change, death, and non-adherence. This study aimed to assess the magnitude and associated factors of unused medication storage practice among households in Jimma City, southwest Ethiopia. MethodsA community-based cross-sectional study design was conducted among households (n = 397) in Jimma Town from July to August 2021. The data were collected using the pre-tested and interviewer-administered questionnaire. SPSS version 21.0 was used for data analysis. The multivariate logistic regression was used to determine the factors associated with the storage of unused medicine at a 5% level of significance. ResultsOut of 397 households that responded, (n = 90, 23%) of households were found to have unused medicine at home. This study showed that the majority of households dispose of unused drugs by burning them (32.2%) and burying them in the ground (29%). Antibiotics were the most (6.3%) unused medicines stored while the anti-diabetics (1.3%) were the least unused drugs stored among households. The presence of family members working in the health sector (AOR: 0.402, 95%, CI: 0.202, 0.800) and family size in households (AOR: 2.325, 95%, CI: 1.045, 5.174) were significantly associated with the magnitude of unused medicine storage. ConclusionThe magnitude and improper disposal of unused medicines storage among households were significant in the study area. Therefore, it is important to educate the community and encourage health professionals to understand their role in problems and solutions.

The Influence of Health Education on Developmental Tasks in Caring for Elderly Family Members with Hypertension

This writing aims to understand the health education of elderly families in responding to the presence of family members by using a Quasi Experiment research type approach to assess the influence of health education on family health tasks in caring for elderly family members with hypertension. The research design was a pre-post experiment by measuring before and after the intervention was carried out (Notoatmodjo, 2010). Conclusion of the influence of health education on family health tasks in caring for (knowing, deciding, providing care, modifying the environment, utilizing health facilities) in elderly people with hypertension with a value (P &lt; 0.05), namely 0.002 &lt; 0.05, there is a significant difference between Family Health Tasks in Caring for Elderly Family Members with Hypertension before and after Implementing Health Education with a P Value &lt;0.05. namely 0.000 &lt; 0.05. It is hoped that health workers or community health centers will continue to increase socialization and motivation for elderly families to be more active in helping elderly people to improve their health status.

Risk factors and protective factors for substance abuse among adolescents

The article presents a brief descriptive review aimed at identifying risk factors and protective factors of drug abuse among adolescents in three important areas - personality, family and society. Individual risk factors are described: high impulsivity, rebelliousness, violation of emotional balance, alexithymia. Family risk factors were prenatal smoking of the mother, and her poor psychological status, low education of parents, the presence of family members who use psychoactive substances. Among the risk factors in society was the presence of peers who abuse drugs in the environment of a teenager. Protective factors are also identified: individual optimism, the desire to preserve their health, etc.

Does having a family member with dementia affect health beliefs about changing lifestyle and health behaviour for dementia risk reduction?

Dementia is a worldwide public health concern. Implementing lifestyle changes that target modifiable risk factors is crucial for reducing the risk of dementia. The aim of this study was to investigate the effect of having family members with dementia on individuals' health beliefs and tendencies towards adopting healthier lifestyles and behaviours. A cross-sectional, comparative study was conducted with 338 people aged 40 years and older, of whom 168 have the experience of having family members with dementia, and 170 have no such experience. Data were collected using a characteristics form, the Motivation to Change Lifestyle and Health Behaviours for Dementia Risk Reduction scale, and the modified Charlson comorbidity index. Descriptive statistics, Pearson's chi-square and independent t-tests, were used. Those with family members with dementia were more likely to have greater motivation to modify their lifestyle (perceived susceptibility, severity, benefits, and cues to action) to reduce their risk of developing dementia. Additionally, they had greater perceived barriers to gain by adopting a healthy lifestyle, in contrast to those without such family members. The presence of family members with dementia could be an important factor to consider when designing initiatives targeting health beliefs related to dementia prevention behaviours and lifestyle changes.

Association between the utilization of senior centers and participation in health check-ups

The global older adult population is increasing. Early detection and intervention through health check-ups are crucial for successful aging, as they play a significant role in identifying and addressing diseases. This study explored the relationship between the utilization of senior centers and the promotion of health check-ups. It utilized data from 10,097 individuals aged 65 years and above, sourced from the 2020 Elderly Survey in South Korea. The primary variable of interest was classified into two groups: those who utilized senior centers and those who did not. Subgroups were further categorized based on the frequency of usage and the presence of family members among senior centers users. Logistic regression analyses were conducted to assess the association between the utilization of senior centers and participation in health check-ups. Both men and women utilizing senior centers demonstrated a higher likelihood of participating in health check-ups compared with those who did not use senior centers. Participants visiting senior centers in a week exhibited a progressively higher likelihood of engaging in health check-ups compared with those who visited such senior centers zero times a week. Senior centers can serve as effective intervention methods to enhance health check-ups among older adults. Furthermore, this can contribute to fostering successful aging among older adults.

Traditional Chinese medicine health literacy among rural older adults: a cross-sectional study.

The purpose of this study was to understand the current status of traditional Chinese medicine (TCM) health literacy among rural older adults people and its influencing factors. This study used a random number table method to select one prefecture from Henan Province, China and used a convenience sampling method to select 200 rural older adults who met the inclusion criteria in a township in northern Henan from March to April 2023. A cross-sectional survey was conducted using a general information questionnaire and a traditional Chinese medicine health literacy questionnaire, and the influencing factors of rural older adults were analyzed using univariate analysis of variance (ANOVA) and multiple linear regression. The total TCM health literacy score of 200 rural older adults people was 84.14 ± 6.709. One-way ANOVA revealed that six factors, including education level, marital status, type of occupation, presence of family members engaged in medical-related work, main economic sources, and monthly income, influenced the TCM health literacy score of rural older adults people (p < 0.05). Multiple linear regression analysis revealed that education level, occupation type, and the presence of family members engaged in medical-related work were the factors influencing the TCM health literacy of rural older adults. The TCM health literacy level of rural older adults people is at the lower to middle level, and health educators should strengthen the publicity and education of TCM healthcare knowledge for rural older adults people to improve their TCM health literacy level and thus enhance their quality of life.

Politik Dinasti Dari Perspektif Demokrasi dan Hak Warga Negara Dalam Pemilihan Umum Di Indonesia

The implementation of democracy in Indonesia is a mandate from the provisions of Article 2 paragraph (1) and Article 6A paragraph (1) of the 1945 Constitution of the Republic of Indonesia, where one of the indicators is general elections. However, the implementation of general elections is often overshadowed by the presence of family members of powerful politicians running for general elections and succeeding, including the elections for president, governor, regent, and others. This condition can trigger much debate and concern about democracy, the quality of elections, and political stability in Indonesia. Nevertheless, the right to elect and to be elected are protected rights and their existence is recognized by the constitution. The limitations of the problem in this paper include: 1) Political dynasty in the perspective of democracy; 2) Political dynasty in the perspective of democracy and citizens' rights in elections in Indonesia. This research used a normative juridical approach by using secondary data in the form of literature studies so that the conclusions are obtained that: a) political dynasty is contrary to democratic principles that emphasize transparency, accountability, and fair participation; b) although the regulations have been set up to protect citizens' rights to elect and be elected, the rise of political dynasty shows incompatibility with democratic principles. It is difficult to avoid political dynasty in a democracy, but efforts are needed to maintain balance and avoid abuse of power by the ruling family.

Quality of life of individuals with serious mental illness and family caregivers

The well-being and satisfaction of individuals with serious mental illnesses (SMI) and their family caregivers are less than desirable. Research on the quality of life (QoL) of individuals with SMI and their caregivers, including disorders other than schizophrenia, is limited. Thus, this study aimed to investigate the self-perception of QoL in patients with SMI and their family caregivers and the associated factors. This cross-sectional study was conducted in patients with SMI and their caregivers who completed self-assessment instruments to determine their QoL. Social support and burden in caregivers and symptomatology levels in individuals with SMI were assessed. The physical aspect of QoL in individuals with SMI was associated with employment status and symptom severity. The physical component of caregivers’ QoL was associated with kinship relationship, the presence of other family members with disabilities, social support, and age. The mental component was associated with global symptomatology and the diagnosis of major depression in individuals with SMI and caregiver burden in family members. In conclusion, these findings on correlated factors of QoL in individuals with SMI and their caregivers could be used in developing therapeutic interventions for mental health.Plain summaryA significant number of people with serious mental health problems and their families often endure poor quality of life. However, research on how these individuals truly feel about their lives is limited. This study aimed to explore the perceptions of quality of life among individuals with serious mental health issues and their family caregivers in Spain. We sought to understand the personal sentiments of these individuals and their caregivers regarding their quality of life and the factors that influence it. Our findings indicate that job status, symptoms of the illness, and family relationships play crucial roles in how these individuals view their quality of life. Additionally, caregivers' age, support they receive, and the challenges they face in their families can influence their feelings. This implies that, to enhance their lives, it is crucial to consider these factors and provide appropriate support.

“Online Teaching in Times of COVID-19 in India and Palestinian Universities: Challenges and Antidotes"

Purpose&#x0D; Covid-19 pandemic has influenced universities across the world to make an abrupt shift from face-to-face teaching to digital/online teaching. The present paper investigates challenges experienced by Indian and Palestinian universities while teaching online in times of Covid-19 pandemic.&#x0D; Design/methodology/approach&#x0D; Data was collected from instructors of four Palestinian and Indian universities using a semi-tailored electronic questionnaire and analyzed using SPSS.&#x0D; Findings&#x0D; Results showed that unique challenges experienced by four Palestinian and four Indian universities’ instructors when teaching online during the Covid-19 pandemic include difficulty in receiving feedback from students in online classes compared to traditional face-to-face classes; difficulty in categorizing students into sub-groups to facilitate group working; and unfavorable online environment at home because of the presence of other family members and children. On the basis of this study’s findings, universities should prepare for future crises by ensuring instructors are competent and have knowledge in information communication technologies (ICT) as well as take into consideration the development and enhancement of the quality of online (virtual) courses delivered during emergencies.&#x0D; Originality&#x0D; This paper aims to research the implications involved in online teaching and online learning. Through data collection, this research paper was able to measure the impact and suggest recommendations.&#x0D; Practical implications&#x0D; Study in the research will contribute to overcome the challenges of stakeholders involved in education profession. Online teaching and learning, both had its own challenge and discomfort whilst implementing it.&#x0D; Social implications&#x0D; This research will help to strengthen the bond between educators and learners. Online teaching and learning created an unsaid interest and dilution in education world. This research can pave the way to develop better understanding between stakeholders.

Reliability and validity of the training satisfaction questionnaire for family members (TSQ-FM) entering the ICU during an isolation disease outbreak

BackgroundThe presence of family members in an isolated ICU during an isolation disease outbreak is restricted by hospital policies because of the infectious risk. This can be overcome by conferring to family members the skill and the ability to safely don and doff the personal protective equipment (PPE) through a nurse-led training intervention and assess their satisfaction, to respond to the need to define a safe, effective and quality care pathway focused on Family-Centered Care (FCC) principles. Objectivethe study aimed to build a valid and reliable instrument for clinical practice to assess family members’ satisfaction to allow ICU nurses to restore family integrity in any case of infectious disease outbreak that requires isolation. MethodsA cross-sectional study was conducted to test the psychometric properties. The questionnaire was constructed based on a literature review on the needs of family members in the ICU. 76 family members were admitted to a COVID-ICU. Cronbach's coefficient, Geomin rotated loading, and EFA were applied to assess the reliability and validity of the instrument. ResultsThe Kaiser-Mayer-Olkin (KMO) measure was 0.662, the Bartlett sphericity test showed a significant p-value (χ²=448.33; df=45; p < 0.01), Cronbach's alpha coefficient was.896. A further CFA analysis confirmed that all fit indices were acceptable. The results showed satisfactory validity and reliability, which could be generalized and extended to any outbreak of isolation disease. ConclusionsThis study provides a valid and reliable instrument for clinical practice to maintain family integrity in the dyadic relationship between the patient and the family member, even during an emergency infectious disease outbreak that requires isolation.

Tell me who you’re coming with, I’ll tell you what you have!

IntroductionPsychiatric care is unique in its scope and complexity, as it involves the assessment and treatment of a wide variety of pathologies and, as these patients seek treatment, it is imperative to understand who accompanies them in clinical consultations and how the presence of these companions influences the treatment path. The dynamics between psychiatric patients and their companions in consultation, is extremely important as it can have significant implications for the effectiveness of treatment and the well-being of the patient.. Therefore, the presence of companions can take different forms, varying according to the diagnosis and needs of each person.ObjectivesThus, the authors intend, through carrying out a research study, to fill a critical gap in the understanding of presence of companions in psychiatric consultations, exploring the diversity of companions and their profiles in relation to patients psychiatric patients with specific diagnoses. Furthermore, they intend to understand how their presence impacts the process of adherence to the treatment.MethodsTo achieve this, they defined a two-year follow-up period, where they examined in detail the composition of companions in psychiatric consultations, including who they are, their relationship with the patient and how this relationship varies according to different psychiatric diagnoses.ResultsThe presence of companions in psychiatric consultations is expected to prove to be a significant facet in the field of mental health, providing valuable insights into the dynamics of consultations and the treatment of patients with different psychiatric diagnoses. In this study we highlight how the presence of companions varied in relation to psychiatric diagnoses and how this influenced the process therapeutic. One of the main results was the identification of the different types of companions who were present at the consultations psychiatric disorders, reflecting the diversity of available social support and highlighting the importance of understanding the available support networks. A notable variation in the presence of companions in relation to psychiatric diagnoses was also observed, emphasizing the variations monitoring needs according to the nature of psychiatric disorders, suggesting the need for management strategies personalized treatment. This study also highlighted the influence of the presence of companions on doctor-patient communication and on adherence to treatment, in which the presence of family members often facilitated communication, allowing for a better understanding comprehensive history of the patient.ConclusionsIn conclusion, this study contributes to a more holistic understanding of mental health care provision, highlighting the importance to consider not only the patient, but also the support context in which they are insertedDisclosure of InterestNone Declared

Retrospective comparison of the frequency of Do Not Intubate orders among patients diagnosed with sepsis in the emergency room between 2017 and 2022

Background: This study retrospectively evaluated the frequency of "Do Not Intubate" (DNI) orders in patients with sepsis diagnosed in the emergency room in 2017 and 2022. The objective was to understand the longitudinal adoption of the Advanced Care Planning (ACP) concept over a 5-year span. Methods: We included patients primarily diagnosed with sepsis by emergency physicians at Kurashiki Central Hospital in 2017 and 2022. The primary outcome was the frequency of DNI orders, whereas the secondary outcomes were morbidity and length of hospital stay. We compared the outcomes between 2017 and 2022. Additionally, patient characteristics, such as age, sex, presence of co-resident family members, malignancy status, source of infection, and degree of official care certification were collected. Results: We included 82 and 77 patients with sepsis in 2017 and 2022, respectively. Regarding the primary outcome, 39% (95% confidence interval [CI]: 27-49%) (31/82) of patients with sepsis in 2017 had DNI orders, compared to 44% (95% CI: 33-56%) (34/77) in 2022. There were no significant differences in the primary and secondary outcomes between the two years. The only significant difference noted was in the degree of official care certification among patient characteristics. Conclusion: The frequency of DNI orders remained relatively stable between 2017 and 2022. This suggests that the ACP concept has not yet been widely integrated into the decision-making process for treatment strategies for patients with sepsis.

Nurses' views on the presence of family members during invasive procedures in hospitalised children: A questionnaire survey.

(I) To identify the opinion and practices of nursing professionals regarding the presence of family members during invasive procedures in hospitalised children; (II) to determine the knowledge of nursing professionals about the patient-and family-centred care model. Family presence in invasive procedures benefits the patient and their relatives, but varied attitudes exist among healthcare personnel, with some being favourable and others unfavourable toward family presence. Observational, descriptive, cross-sectional study. Study population: Nurses from paediatric critical care services, emergency services, hospital wards, day hospitals and outpatient clinics at a Catalan tertiary hospital who participated voluntarily between September 2021 and July 2022. Data collection instrument: A questionnaire prepared by the researchers, based on the literature and reviewed by experts. REDCap link with access to the questionnaire was sent out to potential respondents through the institutional email. Bivariate analysis was performed with the R 4.2 program. The study was approved by the hospital's Clinical Research Committee and participants gave informed consent before responding to the questionnaire. A total of 172 nurses participated, and 155 valid responses were obtained. All respondents consider the family as a key element in paediatric care and report inviting family members to participate in the care given to their child. However, 12.0% of nurses do not invite the family to be present in invasive procedures. Almost all respondents note the need for training to acquire communication skills and improve the management of emotions. The results show a favourable opinion towards the presence of family members and highlight the need to train nurses to develop communication skills. The data provided can favour the design of measures to improve and promote the presence of parents during invasive procedures, reinforcing the patient-and family-centred care model and improving the quality of care provided. One example is the creation of family care protocols where the inclusion of parents and the roles of each individual involved in the care process appears.

Nurses' Interventions in Minimizing Adult Patient Vulnerability During Extracorporeal Membrane Oxygenation as a Bridge to Lung Transplantation: An Integrative Review.

People during extracorporeal membrane oxygenation (ECMO) as a bridge to lung transplantation find themselves in a high degree of physical and psychological vulnerability, which could cause additional problems for their health status. Therefore, this review aims to identify the interventions that shape critical nursing care to minimize patient vulnerability during ECMO as a bridge to lung transplantation. A literature review was performed using CINAHL, MEDLINE, PubMed, Scopus and Web of Science databases with searches conducted in March 2023, with temporal restriction of articles published between 2013 and 2023. After selecting articles involving adults in critical situations on ECMO, their quality was assessed using the critical appraisal tools from the Joanna Briggs Institute. Articles with the pediatric population, reviews, and opinion articles were excluded. A spreadsheet was built for data extraction and a narrative analysis was performed. Three articles were included involving 40 participants in total. Interventions that shape critical nursing care to minimize a person's vulnerability are in the physical domain (basic precautions to prevent infection) and in the psychological domain (trusting relationships, consistent and clear communication, physical presence of nurses and family members and the use of advocacy). The Awake ECMO strategy was identified as beneficial for reducing vulnerability. By recognizing and identifying the person's vulnerability during ECMO as a bridge to lung transplantation, nurses can implement effective interventions to minimize vulnerability in this population, thus contributing to the person's well-being through personalization and individualization of care. Additionally, the results of this review could be useful for developing tools to assess the degree of vulnerability and for implementing person-centered care measures and policies. However, further research is warranted given the scarcity of literature on these topics.