A mixed-methods feasibility study: Eliciting ICU experiences and measuring outcomes of family caregivers of patients who have undergone hematopoietic stem cell transplantation Journal Article


Authors: McAndrew, N. S.; Erickson, J.; Hetland, B.; Guttormson, J.; Patel, J.; Wallace, L.; Visotcky, A.; Banerjee, A.; Applebaum, A. J.
Article Title: A mixed-methods feasibility study: Eliciting ICU experiences and measuring outcomes of family caregivers of patients who have undergone hematopoietic stem cell transplantation
Abstract: The impact of an intensive care unit (ICU) admission on family caregivers of patients who have undergone hematopoietic stem cell transplantation (HSCT) has not been well described. Aims of this study were to determine the feasibility of conducting research with family caregivers of HSCT patients during an ICU admission and generate preliminary data about their experiences and engagement in care. Using a mixed-methods, repeated measures design, we collected data from family caregivers after 48 hr in the ICU (T1) and at 48 hr after transferring out of ICU (T2). Enrolling HSCT caregivers in research while in the ICU was feasible (10/13 consented; 9/10 completed data collection at T1); however, data collection at T2 was not possible for most caregivers. Caregiver distress levels were high, and engagement in care was moderate. The three themes that emerged from interviews (n = 5) highlighted that although HSCT family caregivers faced many challenges and received limited support during their ICU experience, they were able to access their own personal resources and demonstrated resilience.
Keywords: intensive care unit; patients; family; critical illness; adults; caregivers; cancer-patients; intensive-care-unit; family caregivers; trauma; hospital anxiety; of-life; hematopoietic stem; experiences; critically ill patients; cell transplant; centered care; informal; sofa score; family engagement
Journal Title: Journal of Family Nursing
Volume: 29
Issue: 3
ISSN: 1074-8407
Publisher: Sage Publications  
Date Published: 2023-08-01
Start Page: 227
End Page: 247
Language: English
ACCESSION: WOS:001000949300001
DOI: 10.1177/10748407231166945
PROVIDER: wos
PMCID: PMC10330518
PUBMED: 37191306
Notes: Article -- Source: Wos
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  1. Allison Joyce Applebaum
    191 Applebaum