Navigating Uncertainty: Family Experiences and Coping Strategies During Critical Care Hospitalisation: A Descriptive Qualitative Study.
Melissa Riegel, Monica Rückholdt, Sue Randall and 4 others
PMID 41062430WHAT IT FOUND
Family members of critical care patients described waiting for updates, feeling isolated, and suppressing emotions to appear strong as sources of stress.
Detailed, repeated explanations and active bedside involvement helped some cope.
Key findings
01Family members described waiting for updates, inconsistent communication and feeling excluded as sources of stress.
02Some participants suppressed emotions to appear strong for family, while others felt stress as the main point of contact for relatives.
03Active involvement in patient care and detailed, frequent explanations from healthcare professionals helped some family members cope.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The study was done at one tertiary hospital in Sydney, so the findings may not fit other critical care settings. Participants were English-speaking family members who visited the patient soon after admission, so families who could not visit, did not speak English, or were not available are not represented. Interviews stopped before all eligible follow-up participants were interviewed, so some experiences may be missing. No transcripts or findings were returned to participants, so their own words were not checked for interpretation. The study did not measure anxiety, depression or PTSD, so it cannot say how coping strategies affected psychological symptoms. The researchers had prior relationships with participants through the larger study, which may have influenced interviews.
The easy way to misread this
Do not read these coping themes as evidence that communication strategies reduce family anxiety. The study asked families about their experiences and did not test an intervention or measure psychological outcomes.