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OBJECTIVE: to explore the experience of family members of a relative hospitalised in the Intensive Care Unit and recognise their emotions and needs and describe the phases or milestones they go through and the strategies they use to cope with the situations that arise. METHOD: Qualitative study developed under the grounded theory method proposed by Anselm Strauss and Juliet Corbin. During the period from July 2017 to July 2019, semi-structured interviews were conducted with 26 relatives of hospitalised patients in fifteen third-level private clinics in the city of Manizales and Medellín, Colombia. In the latter, 200 h of participant observation were performed in ICUs of two private third-level clinics. The analysis procedure consisted of a microanalysis of the data and the process of open, axial, and selective coding of the information was continued. RESULTS: We identified that the experience of relatives when they accompany their sick relative in the Intensive Care Unit is represented in two categories: family disorganisation which is characterised by generating a change and mismatch in family dynamics and, family reorganisation in which a restoration of order is sought to cope with the situation. CONCLUSIONS: The family in the Intensive Care Unit develops a situational crisis characterised by intense, varied, and negative emotions and needs that wear down the relatives. Faced with this, family members undertake a reorganisation process to restore the order of family dynamics to cope with the situation and overcome difficulties.

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Objetivo:Explorar cómo vive una familia la experiencia de tener un pariente hospitalizado en la unidad de cuidados intensivos (UCI) y reconocer sus emociones y necesidades, describir las fases o momentos por los que pasan y las estrategias que utilizan para hacerle frente a las situaciones que se les presentan.Método:Estudio cualitativo desarrollado bajo el método de la teoría fundamentada propuesta por Anselm Strauss y Juliet Corbin. Durante el periodo de julio de 2017 a julio del 2019 se realizaron entrevistas semiestructuradas a 26 familiares de pacientes hospitalizados en 15 clínicas privadas de tercer nivel de la ciudad de Manizales y Medellín, Colombia. En esta última se realizó 200h de observación participante en la UCI de 2 clínicas privadas de tercer nivel. El procedimiento de análisis consistió en un microanálisis de los datos, y se continuó con el proceso de codificación abierta, axial y selectiva de la información.Resultados:Se identificó que la experiencia de los familiares cuando acompañan a su pariente enfermo en la UCI se representa en 2 categorías: 1) Desorganización familiar (como una crisis situacional): implica un cambio y un desajuste de la dinámica familiar, y 2) Reorganización familiar en la que se busca un restablecimiento del orden para hacerle frente a la situación.Conclusiones:La familia en la UCI desarrolla una crisis situacional caracterizada por emociones y necesidades intensas, variadas y negativas que desgastan a los familiares. Frente a esto, los familiares emprenden un proceso de reorganización para restablecer el orden de la dinámica familiar para hacerle frente a la situación y superar las dificultades.

Objective:To explore the experience of family members of a relative hospitalized in the intensive care unit and recognize their emotions and needs and describe the phases or milestones they go through and the strategies they use to cope with the situations that arise.Method:Qualitative study developed under the grounded theory method proposed by Anselm Strauss and Juliet Corbin. During the period from July 2017 to July 2019, semi-structured interviews were conducted with 26 relatives of hospitalized patients in fifteen third-level private clinics in the city of Manizales and Medellín, Colombia. In the latter, 200 hours of participant observation were performed in ICUs of two private third-level clinics. The analysis procedure consisted of a microanalysis of the data and the process of open, axial, and selective coding of the information was continued.Results:We identified that the experience of relatives when they accompany their sick relative in the intensive care unit is represented in two categories: family disorganization which is characterized by generating a change and mismatch in family dynamics and, family reorganization in which a restoration of order is sought to cope with the situation.Conclusions:The family in the intensive care unit develops a situational crisis characterized by intense, varied, and negative emotions and needs that wear down the relatives. Faced with this, family members undertake a reorganization process to restore the order of family dynamics to cope with the situation and overcome difficulties.

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OBJECTIVE: To explore the experience of family members of a relative hospitalized in the intensive care unit and recognize their emotions and needs and describe the phases or milestones they go through and the strategies they use to cope with the situations that arise. METHOD: Qualitative study developed under the grounded theory method proposed by Anselm Strauss and Juliet Corbin. During the period from July 2017 to July 2019, semi-structured interviews were conducted with 26 relatives of hospitalized patients in fifteen third-level private clinics in the city of Manizales and Medellín, Colombia. In the latter, 200 hours of participant observation were performed in ICUs of two private third-level clinics. The analysis procedure consisted of a microanalysis of the data and the process of open, axial, and selective coding of the information was continued. RESULTS: We identified that the experience of relatives when they accompany their sick relative in the intensive care unit is represented in two categories: family disorganization which is characterized by generating a change and mismatch in family dynamics and, family reorganization in which a restoration of order is sought to cope with the situation. CONCLUSIONS: The family in the intensive care unit develops a situational crisis characterized by intense, varied, and negative emotions and needs that wear down the relatives. Faced with this, family members undertake a reorganization process to restore the order of family dynamics to cope with the situation and overcome difficulties.

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INTRODUCTION: Care in the Intensive Care Unit involves contemplating, among other dimensions of the patient, the family. For this, it is necessary for the nurse to establish relationships with the patient's relatives. OBJECTIVE: To identify the way in which the nurse-family relationship is established in the adult ICU, as well as the conditions, elements and factors that favour or hinder it. METHOD: Integrative narrative review of the scientific literature. The databases consulted were Ovid, PubMed, Science Direct, Scopus, Clinical Key, Google Scholar and Scielo. Articles in English and Spanish published between 2014 and 2018 were searched. The descriptors and formulas used were selected according to the acronym Population and their problems, Exposure and Outcomes or themes- PEO. The population comprised ICU nurses and the relatives of patients in critical condition; Adult Intensive Care Unit exposure or context; the expected results, and how they are related. For the methodological evaluation, the STROBE guide was used for observational articles, PRISMA for review articles, COREQ for qualitative articles and CASPe for articles derived from projects. RESULTS: We identified 214 articles, of which 63 were selected to be included in the review. The central themes identified were: the ICU environment and its effects on the family, empathy as an indicator of relationship, interaction as a means of relating, communication as the centre of relationships and barriers to the establishment of relationships. CONCLUSIONS: The nurse-family relationship in the Intensive Care Unit is based on interaction and communication amidst human, physical, regulatory and administrative barriers. Improving the nurse-family relationship contributes to the humanization of Adult Intensive Care Units.

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OBJECTIVE: To identify the reproductive timing, intensity, and rhythm of the Embera, (Eyabida, Dobida, and Chamibida subgroups) and Zenues ethnic groups. MATERIAL AND METHODS: A sociodemographic study was conducted during 1996-1997 in Antioquia, Colombia, on a non-random population sample, stratified by ethnic group, to compare reproductive behaviors within and between these ethnic groups. Statistical analysis for independent samples was conducted using the software program Epi-Info. Analysis included the Student's t test for difference of means, and the chi-squared test for difference of proportions. RESULTS: Reproductive behavior was characterized by ages at first intercourse of 14.5 and 15.8 years; the average interval before pregnancy was 1 to 1.3 years, followed by 48% to 73.3% of short-spaced intergenesic intervals. Reproductive stress was 50% during reproductive life, reaching an accelerated rhythm at 30-34 years of age, with a high fecundity ratio averaging 10.5 births, except for the better educated Chamibida that had 4 births on average. CONCLUSIONS: Mainstream health policies directed at controlling birthrates are far from appropriate because they do not take into account the specific reproductive behaviors of these ethnic groups. The English version of this paper is available at: http://www.insp.mx/salud/index.html

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