Cent Eur J Nurs Midw 2018, 9(1):758-766 | DOI: 10.15452/CEJNM.2018.09.0002

PERCEPTION OF INTENSIVE CARE STRESSORS BY PATIENTS, NURSES AND FAMILY

Hana Locihová1,2,*, Karel Axmann3,4, Hana Padyšáková5, Vendula Pončíková6
1 Department of Nursing, Jesseniuss Faculty of Medicine in Martin, Comenius University in Bratislava, Slovakia (student)
2 AGEL Educational and Research Institute (VAVIA), Prostějov, Czech Republic
3 Department of Anaesthesiology and Resuscitation and Intensive Care Medicine, University Hospital Olomouc, Czech Republic
4 Faculty of Medicine and Dentistry, Palacky University Olomouc, Czech Republic
5 Faculty of Nursing and Professional Health Studies, Slovak Medical University Bratislava, Slovakia
6 Interdisciplinary Intensive Care Unit, Hospital Nový Jičín, Czech Republic

Aim: The aim of this study was to compare the perception of selected stressors acting on the Czech intensive care unit (ICU) of Czech patients, their families and attending nurses.

Design: A descriptive comparative study.

Methods: Stressor perception was measured by a Czech version of the standardised questionnaire, The Environmental Stressor Questionnaire (ESQ). The sample group consisted of 90 people. Data were obtained via pairing (patient - relative - nurse). The family and the attending nurses evaluated stressors by empathising with the patient.

Results: When evaluating the data obtained, it was ascertained that the relatives and attending nurses perceive stressors acting on the ICU as worse than patients themselves do. The overall level of stressor perception in the relatives was statistically significantly higher than in the patients (z = -3.72; p < 0.001). A statistically significant difference was also confirmed with regard to perception of stressors between attending nurses and patients (z = - 2.23; p < 0.001).

Conclusion: Both the relatives and attending nurses perceive stressors in the intensive care unit as worse than the patients themselves do. The negative impacts of stressors can be reduced by implementing new approaches in nursing care.

Keywords: family, intensive care unit, nurse, patient, stressor

Received: July 18, 2017; Accepted: September 2, 2017; Published: March 30, 2018  Show citation

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Locihová H, Axmann K, Padyšáková H, Pončíková V. PERCEPTION OF INTENSIVE CARE STRESSORS BY PATIENTS, NURSES AND FAMILY. Central European Journal of Nursing and Midwifery. 2018;9(1):758-766. doi: 10.15452/CEJNM.2018.09.0002.
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    References

    1. Beaton DE, Bombardier C, Guillemin F, Ferraz MB. Guidelines for the process of cross-cultural adaptation of selfreports measures. Spine. 2000;25(24):3186-3191. Go to original source... Go to PubMed...
    2. Bem SL. The measurement of psychological androgyny. Journal of Consulting and Clinical Psychology. 1974;42(2):155-162. Go to original source... Go to PubMed...
    3. Berwick DM, Kotagal M. Restricted visiting hours in ICUs: time to change. JAMA. 2004;292(6):736-737. Go to original source... Go to PubMed...
    4. Biancofiore G, Bindi ML, Romanelli AM, Urbani L, Mosca F, Filipponi F. Stress-inducing factors in ICUs: what liver transplant recipients experience and what caregivers perceive. Liver Transplantation. 2005;11(8):967-972. Go to original source... Go to PubMed...
    5. Chan KS, Twinn S. An analysis of the stressors and coping strategies of Chinese adults with a partner admitted to an intensive care unit in Hong Kong: an exploratory study. Journal of Clinical Nursing. 2007;16(1):185-193. Go to original source... Go to PubMed...
    6. Cochran J, Ganong LH. A comparison of nurses' and patients' perceptions of intensive care unit stressors. Journal of Advanced Nursing. 1989;14(12):1038-1043. Go to original source... Go to PubMed...
    7. Cornock MA. Stress and the intensive care patient: perceptions of patients and nurses. Journal of Advanced Nursing. 1998;27(3):518-527. Go to original source... Go to PubMed...
    8. Drahošová L, Jarošová D. Concept caring in nursing. Central European Journal of Nursing and Midwifery. 2016;7(2):453- 460. Go to original source...
    9. Ehlers VJ, Watson H, Moleki MM. Factors contributing to sleep deprivation in a multidisciplinary intensive care unit in South Africa. Curationis. 2013;36(1):E1-8. Go to original source... Go to PubMed...
    10. Fontaine DK, Briggs LP, Pope-Smith B. Designing humanistic critical care environments. Critical Care Nursing Quarterly. 2001;24(3):21-34. Go to original source... Go to PubMed...
    11. Formánková L. Variace na gender. Poststrukturalismus, diskursivní analýza a genderová identita. Gender, Rovné příležitosti, Výzkum. 2009;10(2):76-78. (in Czech)
    12. Hakl M. Léčba bolesti: Současné přístupy k léčbě bolesti a bolestivých syndromů. 2. vyd. Praha: Mladá Fronta; 2013. (in Czech)
    13. Hamilton NA, Catley D, Karlson C. Sleep and the affective response to stress and pain. Health Psychology. 2007;26(3):288-295. Go to original source... Go to PubMed...
    14. Hughes F, Bryan K, Robbins I. Relativesʼ experiences of critical care. Nursing in Critical Care. 2005;10(1):23-30. Go to original source...
    15. Jakšová K, Sikorová L, Hladík M. Nurses' role in promoting relations between parents and premature newborns in accordance with the concept of Family-Centered Care. Central European Journal of Nursing and Midwifery. 2016;7(1):396-401. Go to original source...
    16. Kaur M, Patidar AB, Kaur J, Sharma SK. A comparative study of the patients' and staff nurses' perception of environmental stressors in ICU at a tertiary care hospital in Punjab, India. International Journal of Nursing Education. 2013;5(2):114-117. Go to original source...
    17. Kline GA. Does a view of nature promote relief from acute aain? Journal of Holistic Nursing. 2009;27(3):159-166. Go to original source... Go to PubMed...
    18. Lusk B, Lash AA. The stress response, psychoneuroimmunology, and stress among ICU patients. Dimensions of Critical Care Nursing: DCCN. 2005;24(1):25- 31. Go to original source... Go to PubMed...
    19. Marosti CA, Dantas RAS. Relation between stressors and sociodemographic and clinical characteristics of patients hospitalized at a coronary unit. Revista Latino-Americana de Enfermagem. 2006;14(5):713-719. Go to original source... Go to PubMed...
    20. Mellot KG, Sharp PB, Anderson LM. Biobehavioral measures in a critical-care healing environment. Journal of Holistic Nursing. 2008;26(2):128-135. Go to original source... Go to PubMed...
    21. Novaes MA, Knobel E, Bork AM, Pavão OF, NogueiraMartins LA, Ferraz MB. Stressors in ICU: perception of the patient, relatives and health care team. Intensive Care Medicine. 1999;25(12):1421-1426. Go to original source... Go to PubMed...
    22. Pang PSK, Suen LKP. Stressors in the ICU: a comparison of patientsʼ and nursesʼ perceptions. Journal of Clinical Nursing. 2008;17(20):2681-2689. Go to original source... Go to PubMed...
    23. Pang PSK, Suen LKP. Stressors in the intensive care unit: comparing the perceptions of Chinese patients and their family. Stress and Health. 2009;25(2):151-159. Go to original source...
    24. Papathanassoglou ED, Giannakopoulou M, Mpouzika M, Bozas E, Karabinis A. Potential effects of stress in critical illness through the role of stress neuropeptides. Nursing in Critical Care. 2010;15(4):204-216. Go to original source... Go to PubMed...
    25. Pilkington S. Causes and consequences of sleep deprivation in hospitalised patients. Nursing Standard. 2013;27(49):35-42. Go to original source... Go to PubMed...
    26. Salem AH. Critical care nursesʼ perceptions of ethical distresses and workplace stressors in the intensive care units. International Journal of Nursing Education. 2015;7(2):93-99. Go to original source...
    27. Soh KL, Soh KG, Ahmad Z, Abdul Raman R, Japar S. Perception of intensive care unit stressors in Malaysian Federal Territory hospitals. Contemporary Nurse. 2008;31(1):86-93. Go to original source... Go to PubMed...
    28. Swanson KM, Wojnar DM. Optimal healing environments in nursing. The Journal of Alternative and Complementary Medicine. 2004;10(Suppl 1):S43-48. Go to original source... Go to PubMed...
    29. Yava A, Tosun N, Ünver V, Çiçek H. Patient and nurse perceptions of stressors in the intensive care unit. Stress and Health. 2011;27(2):e36-47. Go to original source... Go to PubMed...
    30. White PF. Use of alternative medical therapies in the perioperative period: is it time to get on board? Anesthesia & Analgesia. 2007;104(2):251-254. Go to original source... Go to PubMed...

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