Wie sich Konflikte mit Familien und Bezugspersonen proaktiv lösen lassen

 

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Familien und Bezugspersonen von Intensivpatient*innen tragen maßgeblich zur Genesung bei, können jedoch auch herausfordernd sein. Eine familienzentrierte Pflege verbessert das Wohlbefinden von Patient*innen, erfordert jedoch klare Kommunikation und systematische Einbindung mit den Bezugspersonen. Der proaktive Ansatz zielt darauf ab, Konflikte durch gezielte Einbindung und empathische Kommunikation zu vermeiden.

Publication History

Article published online:
04 July 2025

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• Literatur

• 1 Hwang DY, Oczkowski SJW, Lewis K. et al SCCM guidelines on family-centered care for adult ICUs: 2024. Crit Care Med 2025; 53 (02) e465-e482
  CrossrefPubMedSearch in Google Scholar
• 2 Deffner T, Hierundar A, Knochel K. et al Intensivmedizin: Besuche fördern die Genesung. Dtsch Arztebl 2021; 118 (45) A 2112-4
  Search in Google Scholar
• 3 Scheer A, Denhof M, Kaltwasser A. et al Certification of a family-friendly intensive care unit – families are always welcome! Nurs Crit Care 2025; im Druck.
• 4 Abt-Zegelin A.. Angehörigenfreundliche Intensivstation. Dr. med. Mabuse 2018; 11: 46-7
  Search in Google Scholar
• 5 Ely EW.. The ABCDEF bundle: Science and philosophy of how ICU liberation serves patients and families. Crit Care Med 2017; 45: 321-30
  CrossrefPubMedSearch in Google Scholar
• 6 Moraes FDS, Marengo LL, Moura MDG. et al ABCDE and ABCDEF care bundles: A systematic review of the implementation process in intensive care units. Medicine (Baltimore) 2022; 101: e29499
  CrossrefPubMedSearch in Google Scholar
• 7 Kumpf O, Assenheimer M, Bloos F. et al Quality indicators in intensive care medicine for Germany – fourth edition 2022. Ger Med Sci 2023; 21: 1-27
  CrossrefPubMedSearch in Google Scholar
• 8 Dayton K, Lindroth H, Engel HJ. et al Creating a culture of an awake and walking intensive care unit: In-hospital strategies to mitigate post-intensive care syndrome. Crit Care Clin 2025; 41: 121-40
  CrossrefPubMedSearch in Google Scholar
• 9 Davidson JE, Aslakson RA, Long AC. et al Guidelines for family-centered care in the neonatal, pediatric, and adult ICU. Crit Care Med 2017; 45: 103-28
  CrossrefPubMedSearch in Google Scholar
• 10 Galvin IM, Leitch J, Gill R. et al Humanization of critical care-psychological effects on healthcare professionals and relatives: A systematic review. Can J Anaesth 2018; 65: 1348-71
  CrossrefPubMedSearch in Google Scholar
• 11 Kleinpell R, Heyland DK, Lipman J. et al Patient and family engagement in the ICU: Report from the task force of the World Federation of Societies of Intensive and Critical Care Medicine. J Crit Care 2018; 48: 251-6
  CrossrefPubMedSearch in Google Scholar
• 12 Joo Y, Jang Y, Kwon OY.. Contents and effectiveness of patient- and family-centred care interventions in adult intensive care units: A systematic review. Nurs Crit Care 2024; 29: 1290-302
  CrossrefPubMedSearch in Google Scholar
• 13 Wu Y, Wang G, Zhang Z. et al Efficacy and safety of unrestricted visiting policy for critically ill patients: A meta-analysis. Crit Care 2022; 26: 267
  CrossrefPubMedSearch in Google Scholar
• 14 Gunnlaugsdóttir T, Jónasdóttir RJ, Björnsdóttir K. et al How can family members of patients in the intensive care unit be supported? A systematic review of qualitative reviews, meta-synthesis, and novel recommendations for nursing care. Int J Nurs Stud Adv 2024; 7: 100251
  CrossrefPubMedSearch in Google Scholar
• 15 Hoffmann M, Nydahl P, Brauchle M. et al Angehörigenbetreuung auf Intensivstationen. Med Klin Intensivmed Notfmed 2022; 117: 349-57
  CrossrefPubMedSearch in Google Scholar
• 16 Deffner T, Münch U, Riessen R. et al [Psychosocial care for relatives in the ICU: framework concept]. Med Klin Intensivmed Notfmed 2022; 117: 600-6
  CrossrefPubMedSearch in Google Scholar
• 17 Studdert DM, Mello MM, Burns JP. et al Conflict in the care of patients with prolonged stay in the ICU: Types, sources, and predictors. Intensive Care Med 2003; 29: 1489-97
  CrossrefPubMedSearch in Google Scholar
• 18 Hamilton R, Kleinpell R, Lipman J. et al International facilitators and barriers to family engagement in the ICU: Results of a qualitative analysis. J Crit Care 2020; 58: 72-7
  CrossrefPubMedSearch in Google Scholar
• 19 Riley BH, White J, Graham S. et al Traditional/restrictive vs patient-centered intensive care unit visitation: Perceptions of patients’ family members, physicians, and nurses. Am J Crit Care 2014; 23: 316-24
  CrossrefPubMedSearch in Google Scholar
• 20 Sridharan V, Leung KC, Peisah C.. Understanding aggression displayed by patients and families towards intensive care staff: A systematic review. J Intensive Care Soc 2024; 25: 266-78
  CrossrefPubMedSearch in Google Scholar
• 21 Wendlandt B, Kime M, Carson S.. The impact of family visitor restrictions on healthcare workers in the ICU during the COVID-19 pandemic. Intensive Crit Care Nurs 2022; 68: 103123
  CrossrefPubMedSearch in Google Scholar
• 22 Pun BT, Badenes R, Heras La Calle G. et al Prevalence and risk factors for delirium in critically ill patients with COVID-19 (COVID-D): A multicentre cohort study. Lancet Respir Med 2021; 9: 239-50
  CrossrefPubMedSearch in Google Scholar
• 23 Rogge A, Naeve-Nydahl M, Nydahl P. et al Ethische Entscheidungsempfehlungen zu Besuchsregelungen im Krankenhaus während der COVID-19-Pandemie. Med Klein Intensivmed Notfmed 2021; 116: 415-20
  CrossrefPubMedSearch in Google Scholar
• 24 Mailer J, Ward K, Aspinall C.. The impact of visiting restrictions in intensive care units for families during the COVID-19 pandemic: An integrative review. J Adv Nurs 2024; 80 (04) 1355-69
  CrossrefPubMedSearch in Google Scholar
• 25 Hriberšek M, Eibensteiner F, Kapral L. et al „Loved ones are not ,visitors‘ in a patient’s life“ – the importance of including loved ones in the patient’s hospital stay: An international Twitter study of #HospitalsTalkToLovedOnes in times of COVID-19. Front Public Health 2023; 11: 1100280
  CrossrefPubMedSearch in Google Scholar
• 26 Jeitziner MM, Jenni-Moser B, Zante B. et al Family support in intensive care units during COVID-19 visit ban: A multinational Delphi Study during first COVID-19 wave. Intensive Crit Care Nurs 2023; 74: 103308
  CrossrefPubMedSearch in Google Scholar
• 27 Arnold D.. Aber in die Praxis umzusetzen ist es dann halt schwierig. Pflege Zeitschrift 2000; 13
  Search in Google Scholar
• 28 Rose L, Allum LJ, Istanboulian L. et al Actionable processes of care important to patients and family who experienced a prolonged intensive care unit stay: Qualitative interview study. J Adv Nurs 2022; 78: 1089-99
  CrossrefPubMedSearch in Google Scholar
• 29 Seaman JB, Arnold RM, Scheunemann LP. et al An integrated framework for effective and efficient communication with families in the adult intensive care unit. Ann Am Thorac Soc 2017; 14: 1015-20
  CrossrefPubMedSearch in Google Scholar
• 30 Deffner T, Hierundar A, Waydhas C. et al [Relatives after a stay on the intensive care unit: A care gap to be closed]. Med Klin Intensivmed Notfmed 2024; 119: 285-90
  CrossrefPubMedSearch in Google Scholar
• 31 Bateman TS, Crant JM.. The proactive component of organizational behavior: A measure und correlates. J Organ Behav 1993; 14: 103-118
  Search in Google Scholar
• 32 Frese M, Tornau K, Fay D.. Forschung zur Analyse und Förderung der Eigeninitiative: Love it, leave it or change it. Zeitschrift für Personalführung 2008; 3: 48-57
  Search in Google Scholar
• 33 Naef R, Brysiewicz P, McAndrew NS. et al Intensive care nurse-family engagement from a global perspective: A qualitative multi-site exploration. Intensive Crit Care Nurs 2021; 66: 103081
  CrossrefPubMedSearch in Google Scholar
• 34 Krüger L, Zittermann A, Mannebach T. et al Randomized feasibility trial for evaluating the impact of primary nursing on delirium duration during intensive care unit stay. Intensive Crit Care Nurs 2024; 84: 103748
  CrossrefPubMedSearch in Google Scholar
• 35 Bienstein C.. Persönliche Kommunikation. 2010
  Search in Google Scholar
• 36 Maier J.. Das aktive Angehörigentelefonat. Pflegen Intensiv 2010; 10 (04) 28-31
  Search in Google Scholar
• 37 Keim C, Maier J, Naef R. et al Vom passiven zum aktiven Angehörigentelefonat. intensiv 2018; 26: 14-8
  Search in Google Scholar
• 38 Brauchle M, Deffner T, Brinkmann A. et al Besuche von minderjährigen Angehörigen in der Intensiv- und Notfallmedizin. Med Klein Intensivmed Notfmed 2023;
  CrossrefPubMedSearch in Google Scholar
• 39 Listerfelt S, Fridh I, Lindahl B.. Facing the unfamiliar: Nurses’ transcultural care in intensive care – a focus group study. Intensive Crit Care Nurs 2019; 55: 102752
  CrossrefPubMedSearch in Google Scholar
• 40 Degrie L, Gastmans C, Mahieu L. et al How do ethnic minority patients experience the intercultural care encounter in hospitals? A systematic review of qualitative research. BMC Med Ethics 2017; 18: 2
  CrossrefPubMedSearch in Google Scholar
• 41 Wyskiel RM, Weeks K, Marsteller JA.. Inviting families to participate in care: A family involvement menu. Jt Comm J Qual Patient Saf 2015; 41: 43-6
  CrossrefPubMedSearch in Google Scholar
• 42 Hoffmann M, Holl AK, Burgsteiner H. et al Prioritizing information topics for relatives of critically ill patients: Cross-sectional survey among intensive care unit relatives and professionals. Wien Klin Wochenschr 2018; 130: 645-52
  CrossrefPubMedSearch in Google Scholar
• 43 Zante B, Camenisch SA, Schefold JC.. Interventions in post-intensive care syndrome-family: A systematic literature review. Crit Care Med 2020; 48: e835-e840
  CrossrefPubMedSearch in Google Scholar
• 44 Naef R, von Felten S, Petry H. et al Impact of a nurse-led family support intervention on family members’ satisfaction with intensive care and psychological wellbeing: A mixed-methods evaluation. Aust Crit Care 2021; 34: 594-603
  CrossrefPubMedSearch in Google Scholar
• 45 Wesuls R, Gehring G, Kautz M.. Präventive Deeskalationsstrategien und Handlungsempfehlungen. Unfallkasse Baden-Württemberg; 2010. Im Internet: t1p.de/okgmj; Stand: 15.04.2025