Date of Award

Fall 2025

Project Type

Thesis

College or School

CHHS

Department

Nursing

Program or Major

DEMN

Degree Name

Master of Science

First Advisor

Deborah Simonton

Second Advisor

Pamela Kallmerten

Abstract

BACKGROUND: The Intensive Care Unit (ICU) is often a source of psychological, physical, social, financial, and spiritual distress for families of patients. Multidisciplinary support resources are available but are often underutilized. Nurses are uniquely positioned to assess needs and integrate resources into care. Therefore, enhancing nurses' ability to guide families to appropriate support resources may alleviate distress and promote holistic well-being for patients and their families.

METHODS: The Plan-Do-Study-Act (PDSA) model was used to guide this project. A pre-intervention survey assessed awareness, utilization, and perception of ownership. Following dissemination of the intervention, a post-survey evaluated improvements in knowledge and integration.

INTERVENTION: A reference of available resources grouped according to support category was created and posted at nurse stations in a 20-bed adult ICU in Northern New England. Attention was brought to the intervention during multiple shifts.

RESULTS: Pre-intervention (n=13), nurses reported using an average of three resources monthly, often social work and clergy. Post-intervention (n=3), two out of three participants reported learning about new resources and plans to incorporate them into nursing practice. Night shift and weekend resource availability were identified as barriers. The specific aim was not conclusively achieved due to limited data, although qualitative feedback suggests an overall positive influence on the microsystem.

CONCLUSION: This low-cost, accessible intervention was well-received and elicited conversations on the importance of holistic support for families of ICU patients. Barriers such as staffing shortage, high census, and resource availability likely influenced participation.

Included in

Nursing Commons

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