The experience of intensive care nurses caring for patients with delirium: A phenomenological study

被引:32
作者
LeBlanc, Allana [1 ,2 ]
Bourbonnais, Frances Fothergill [1 ]
Harrison, Denise [1 ]
Tousignant, Kelly [1 ]
机构
[1] Univ Ottawa, 75 Laurier Ave East, Ottawa, ON K1N 6N5, Canada
[2] Vancouver Gen Hosp, Intens Care Unit, 899 West 12th Ave, Vancouver, BC V5Z 1M9, Canada
关键词
Critical care; Critical care nursing; Delirium; ICU delirium; Intensive care; Nursing; Phenomenology; TERM COGNITIVE IMPAIRMENT; BREATHING COORDINATION; UNIT; SEDATION; BUNDLE; GUIDELINES; ICU; MONITORING/MANAGEMENT; FEASIBILITY; INVOLVEMENT;
D O I
10.1016/j.iccn.2017.09.002
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
Objectives: The purpose of this research was to seek to understand the lived experience of intensive care nurses caring for patients with delirium. The objectives of this inquiry were: 1) To examine intensive care nurses' experiences of caring for adult patients with delirium; 2) To identify factors that facilitate or hinder intensive care nurses caring for these patients. Research methodology: This study utilised an interpretive phenomenological approach as described by van Manen. Setting: Individual conversational interviews were conducted with eight intensive care nurses working in a tertiary level, university-affiliated hospital in Canada. Findings: The essence of the experience of nurses caring for patients with delirium in intensive care was revealed to be finding a way to help them come through it. Six main themes emerged: It's Exhausting; Making a Picture of the Patient's Mental Status; Keeping Patients Safe: It's aReally BigJob; Everyone Is Unique; Riding It Out With Families and Taking Every Experience With You. Conclusion: The findings contribute to an understanding of how intensive care nurses help patients and their families through this complex and distressing experience. (c) 2017 Elsevier Ltd. All rights reserved.
引用
收藏
页码:92 / 98
页数:7
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