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The focus of family members' functioning in the acute phase of traumatic coma, part one: the initial battle and protecting life

Sofie Verhaeghe UGent, Florence J Van Zuuren, Maria Grypdonck UGent, Mia SH Duijnstee and Tom Defloor UGent (2010) JOURNAL OF CLINICAL NURSING. 19(3-4). p.574-582
abstract
Aims: The identification and description of the basic psychological process linked with the focus of family members' functioning during the acute phase of traumatic coma. Background: Earlier research learned that hope is a core category in coping with traumatic coma. Hope seems to be the drive to keep family members going and to enable them to fulfil their main task namely protecting. In two articles on the focus of family members functioning, this task is defined and the process linked with it is described. Design: A qualitative approach according to the grounded theory method with constant comparison. Method: Twenty four in-depth interviews with 22 family members of 16 patients with traumatic coma. Results: Family members describe the period after the confrontation with traumatic coma as a battle. During this battle, they feel the urge to protect their relative in coma, other family members and themselves. They go through three phases: protecting life, protecting from suffering, protecting what remains to rebuild live. In this article (Part One) we describe the initial battle and the phase of protecting life. Conclusions: All relatives go through the three phases. Family members who have already overcome previous set-backs get through the process slightly more quickly and experience less extreme emotions. Relevance to clinical practice: Understanding the process of protecting in different phases may help health care professionals to do anything in their power to avoid unnecessary suffering, to ease the pain and to support family members in their task of protecting.
Please use this url to cite or link to this publication:
author
organization
year
type
journalArticle (original)
publication status
published
subject
keyword
trauma, support, nurses, family, coma, INTENSIVE-CARE-UNIT, CRITICALLY ILL PATIENTS, OF-THE-LITERATURE, PERCEIVED NEEDS, ADULT PATIENTS, RELATIVES, NURSES, nursing, PERCEPTIONS, EXPERIENCES, IMPACT
journal title
JOURNAL OF CLINICAL NURSING
J. Clin. Nurs.
volume
19
issue
3-4
pages
574 - 582
Web of Science type
Article
Web of Science id
000273599200031
JCR category
NURSING
JCR impact factor
1.228 (2010)
JCR rank
23/85 (2010)
JCR quartile
2 (2010)
ISSN
0962-1067
DOI
10.1111/j.1365-2702.2009.02987.x
language
English
UGent publication?
yes
classification
A1
copyright statement
I have transferred the copyright for this publication to the publisher
id
836374
handle
http://hdl.handle.net/1854/LU-836374
date created
2010-01-25 11:03:20
date last changed
2011-07-13 13:55:08
@article{836374,
  abstract     = {Aims: The identification and description of the basic psychological process linked with the focus of family members' functioning during the acute phase of traumatic coma.
Background: Earlier research learned that hope is a core category in coping with traumatic coma. Hope seems to be the drive to keep family members going and to enable them to fulfil their main task namely protecting. In two articles on the focus of family members functioning, this task is defined and the process linked with it is described.
Design: A qualitative approach according to the grounded theory method with constant comparison.
Method: Twenty four in-depth interviews with 22 family members of 16 patients with traumatic coma.
Results: Family members describe the period after the confrontation with traumatic coma as a battle. During this battle, they feel the urge to protect their relative in coma, other family members and themselves. They go through three phases: protecting life, protecting from suffering, protecting what remains to rebuild live. In this article (Part One) we describe the initial battle and the phase of protecting life.
Conclusions: All relatives go through the three phases. Family members who have already overcome previous set-backs get through the process slightly more quickly and experience less extreme emotions.
Relevance to clinical practice: Understanding the process of protecting in different phases may help health care professionals to do anything in their power to avoid unnecessary suffering, to ease the pain and to support family members in their task of protecting.},
  author       = {Verhaeghe, Sofie and Van Zuuren, Florence J and Grypdonck, Maria and Duijnstee, Mia SH and Defloor, Tom},
  issn         = {0962-1067},
  journal      = {JOURNAL OF CLINICAL NURSING},
  keyword      = {trauma,support,nurses,family,coma,INTENSIVE-CARE-UNIT,CRITICALLY ILL PATIENTS,OF-THE-LITERATURE,PERCEIVED NEEDS,ADULT PATIENTS,RELATIVES,NURSES,nursing,PERCEPTIONS,EXPERIENCES,IMPACT},
  language     = {eng},
  number       = {3-4},
  pages        = {574--582},
  title        = {The focus of family members' functioning in the acute phase of traumatic coma, part one: the initial battle and protecting life},
  url          = {http://dx.doi.org/10.1111/j.1365-2702.2009.02987.x},
  volume       = {19},
  year         = {2010},
}

Chicago
Verhaeghe, Sofie, Florence J Van Zuuren, Maria Grypdonck, Mia SH Duijnstee, and Tom Defloor. 2010. “The Focus of Family Members’ Functioning in the Acute Phase of Traumatic Coma, Part One: The Initial Battle and Protecting Life.” Journal of Clinical Nursing 19 (3-4): 574–582.
APA
Verhaeghe, S., Van Zuuren, F. J., Grypdonck, M., Duijnstee, M. S., & Defloor, T. (2010). The focus of family members’ functioning in the acute phase of traumatic coma, part one: the initial battle and protecting life. JOURNAL OF CLINICAL NURSING, 19(3-4), 574–582.
Vancouver
1.
Verhaeghe S, Van Zuuren FJ, Grypdonck M, Duijnstee MS, Defloor T. The focus of family members’ functioning in the acute phase of traumatic coma, part one: the initial battle and protecting life. JOURNAL OF CLINICAL NURSING. 2010;19(3-4):574–82.
MLA
Verhaeghe, Sofie, Florence J Van Zuuren, Maria Grypdonck, et al. “The Focus of Family Members’ Functioning in the Acute Phase of Traumatic Coma, Part One: The Initial Battle and Protecting Life.” JOURNAL OF CLINICAL NURSING 19.3-4 (2010): 574–582. Print.