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Establishing the Nurse-Family Relationship in the Intensive Care Unit

School of Nursing, College of Human Development, Pennsylvania State University

The nurse-family relationship in the intensive care unit (ICU) may replace the traditional nurse-patient relationship due to the patient's compromised state. As a result, the nurse-family relationship becomes extremely important. Nurses and families may develop a relationship in which they work together to benefit the patient, or an inadequate relationship may develop. In this study, strategies used by nurses andfamilies to either develop or inhibit the development of the nurse-family relationship were identified. Using unstructured interviews with ICU nurses and family members of ICU patients, categories of strategies were identified and behaviors described. Nurses and families perceived that they each displayed only positive behaviors yet identified inhibiting behaviors of the other Once the behaviors were shown to nurses as secondary informants, they were able to identify with theirnegative behaviors. An understanding of these strategies will help nurses to reevaluate theirpractice and enhance their understanding of the behaviors offamily members.

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