Please use this identifier to cite or link to this item:
Title: Supportive interventions for family members of very seriously ill patients in inpatient care: A systematic review
Authors: Soikkeli-Jalonen, Anu 
Mishina, Kaisa 
Virtanen, Heli 
Charalambous, Andreas 
Haavisto, Elina 
Major Field of Science: Medical and Health Sciences
Field Category: Health Sciences
Keywords: Critical illness;Family;Inpatients;Palliative care;Psychological support system;Systematic review;Terminal care
Issue Date: Aug-2021
Source: Journal of Clinical Nursing, 2021, vol. 30, no. 15-16, pp. 2179-2201
Volume: 30
Issue: 15-16
Start page: 2179
End page: 2201
Journal: Journal of Clinical Nursing 
Abstract: Aims and objectives To systematically review existing literature exploring supportive interventions for family members of very seriously ill patients in inpatient care. Background Being around a patient with a very serious illness in inpatient care setting is stressful and burdensome for family members. There is little information available on interventions that support family members of very seriously ill patients in inpatient care. Design A systematic review. Methods The literature review was conducted in May 2020 using four databases: PubMed (Medline), CINAHL, PsycINFO and Cochrane. A quality assessment was performed using the Quality Assessment Tool for Before-After (Pre-Post) Studies With No Control Group by the National Heart, Lung, and Blood Institute. The PRISMA checklist was used to support specific reporting and the TIDieR checklist to form detailed descriptions of the interventions. Results Of the 7165 identified studies, 11 studies were included in the review based on predetermined criteria. Interventions were based on meetings with family members, education or therapy. Mindfulness- and therapy-based interventions and multiple-session tailored interventions showed beneficial outcomes for psychological symptoms and educational interventions on preparedness and self-efficacy. Several different measuring instruments to evaluate similar outcomes, such as psychological symptoms and coping, were used. Conclusions Only a few supportive interventions for family members of very seriously ill patients in inpatient care were found, which made comparing the differences in the varying study methods and outcomes difficult. More studies on supportive interventions and their feasibility and effectiveness are essential. Further evaluation of instruments is necessary to identify the most valid and reliable ways of measuring symptoms and coping. Relevance to Clinical Practice The results of this study can be used in clinical practice when selecting effective interventions or assessing family members' need for support. Additionally, the results can be used for guidance when developing new, effective interventions.
ISSN: 1365-2702
DOI: 10.1111/jocn.15725
Rights: © The Authors. This is an open access article published under the terms of the Creative Common Attribution License.
Attribution-NonCommercial-NoDerivatives 4.0 International
Type: Article
Affiliation : University of Turku 
Cyprus University of Technology 
Satakunta Central Hospital 
Appears in Collections:Άρθρα/Articles

Files in This Item:
File Description SizeFormat
jocn.15725.pdfFulltext1.68 MBAdobe PDFView/Open
jocn15725-sup-0001-appendixs1.pdfSupplement83.26 kBAdobe PDFView/Open
jocn15725-sup-0002-appendixs2.pdfSupplement229.67 kBAdobe PDFView/Open
CORE Recommender
Show full item record

Page view(s)

checked on Sep 17, 2021

Google ScholarTM



This item is licensed under a Creative Commons License Creative Commons