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Open Access Critical Care Nurses' Perceptions of Their Roles in Family-Team Conflicts Related to Treatment Plans Les perceptions qu'a le personnel infirmier en soins intensifs de son rôle dans les conflits entre la famille et l'équipe de soins relativement aux plans de traitement

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Conflict over treatment plans is a cause of concern for those working in critical care environments. The purpose of this study was to explore and describe critical care nurses' perceptions of their roles in situations of conflict between family members and health-care providers in intensive care units. Using a qualitative descriptive design, 12 critical care nurses were interviewed individually and 4 experienced critical care nurses participated in focus group interviews. The roles described by the nurses were as follows: providing safe, competent, quality care to patients; building or restoring relationships of trust with families; and supporting other nurses. The nurses highlighted the level of stress when conflict arises, the need to be cautious in providing care and communicating with family members, and the need for support for nurses. More research related to working in situations of conflict is required, as is enhanced education for critical care nurses.

Les conflits concernant les plans de traitement sont une source de préoccupation pour les personnes qui travaillent dans le domaine des soins intensifs. Cette étude a pour but d'explorer et de décrire les perceptions qu'ont les infirmières et les infirmiers en soins intensifs de leur rôle dans les situations de conflit entre les membres de la famille et les fournisseurs de soins dans les services de soins intensifs. Suivant un plan d'analyse descriptive et qualitative, l'étude a comporté des entretiens individuels avec douze membres du personnel infirmier en soins intensifs et des entretiens de groupe avec quatre membres d'expérience. Ces personnes ont décrit leur rôle comme suit : fournir des soins sûrs, satisfaisants et de qualité aux malades; bâtir ou rétablir des relations de confiance avec les familles; et soutenir les autres membres du personnel infirmier. Elles ont attiré l'attention sur le niveau de stress dans les situations de conflit, le besoin de faire preuve de prudence dans la prestation des soins et dans les communications avec les membres de la famille, et le besoin de soutien du personnel infirmier. Les auteures concluent qu'il faudra faire d'autres recherches sur le travail dans les situations de conflit ainsi qu'améliorer la formation dans ce domaine pour le personnel infirmier en soins intensifs.

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Document Type: Research Article

Publication date: 2012-03-01

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