Critical care nursing practice regarding patient anxiety assement and management

Debra K. Moser, Misook Lee Chung, Sharon McKinley, Barbara Riegel, Kyungeh An, Candace C. Cherrington, Wendy Blakely, Martha Biddle, Susan K. Frazier, Bonnie J. Garvin

Research output: Contribution to journalArticlepeer-review

35 Scopus citations

Abstract

Anxiety is common in critically ill patients and can adversely affect recovery if not properly assessed and treated. The objectives of this study were to: (1) identify the clinical indicators that critical care nurses consider to be the defining attributes of anxiety in critically ill patients; and (2) delineate the interventions that critical care nurses use to alleviate anxiety in their patients. A total of 2500 nurses who worked in adult critical care areas were randomly selected from the membership of the American Association of Critical Care Nurses. Nurses selected were mailed a survey designed to determine what they considered to be the important attributes of anxiety in their patients and what interventions they commonly used to manage anxiety. The 593 nurses (31.6% response rate) who responded identified 70 individual anxiety indicators and 61 anxiety management strategies that were categorized into four and three major categories, respectively. The four major anxiety assessment categories were: (1) physical/physiological; (2) behavioral; (3) psychological/cognitive; and (4) social. The three major anxiety management strategies were: (1) care techniques; (2) improving knowledge and communication; and (3) support. Critical care nurses reported numerous and distinctive anxiety indicators and management strategies. Further research is needed to examine exactly how appropriate and effective these assessment indicators and management strategies are.

Original languageEnglish (US)
Pages (from-to)276-288
Number of pages13
JournalIntensive and Critical Care Nursing
Volume19
Issue number5
DOIs
StatePublished - Oct 2003
Externally publishedYes

Keywords

  • Anxiety
  • Critically ill
  • Nursing practice

ASJC Scopus subject areas

  • Critical Care

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