Patients' experiences of technology and care in adult intensive care

被引:35
作者
Stayt, Louise Caroline [1 ]
Seers, Kate [2 ]
Tutton, Elizabeth [2 ]
机构
[1] Oxford Brookes Univ, Oxford OX3 0BP, England
[2] Univ Warwick, Royal Coll Nursing Res Inst, Coventry CV4 7AL, W Midlands, England
关键词
adult; intensive care; nursing; qualitative research; technology; PHENOMENOLOGICAL NURSING-RESEARCH; CONFUSION ASSESSMENT METHOD; UNIT CAM-ICU; NURSES; DELIRIUM;
D O I
10.1111/jan.12664
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
Aims. To investigate patients' experiences of technology in an adult intensive care unit. Background. Technology is fundamental to support physical recovery from critical illness in Intensive Care Units. As well as physical corollaries, psychological disturbances are reported in critically ill patients at all stages of their illness and recovery. Nurses play a key role in the physical and psychological care of patients;, however, there is a suggestion in the literature that the presence of technology may dehumanise patient care and distract the nurse from attending to patients psychosocial needs. Little attention has been paid to patients' perceptions of receiving care in a technological environment. Design. This study was informed by Heideggerian phenomenology. Methods. The research took place in 2009-2011 in a university hospital in England. Nineteen participants who had been patients in ICU were interviewed guided by an interview topic prompt list. Interviews were transcribed verbatim and analysed using Van Manen's framework. Findings. Participants described technology and care as inseparable and presented their experiences as a unified encounter. The theme 'Getting on with it' described how participants endured technology by 'Being Good' and 'Being Invisible'. 'Getting over it' described why participants endured technology by 'Bowing to Authority' and viewing invasive technologies as a 'Necessary Evil'. Conclusion. Patients experienced technology and care as a series of paradoxical relationships: alienating yet reassuring, uncomfortable yet comforting, impersonal yet personal. By maintaining a close and supportive presence and providing personal comfort and care nurses may minimize the invasive and isolating potential of technology.
引用
收藏
页码:2051 / 2061
页数:11
相关论文
共 50 条
[21]   Dexmedetomidine: therapeutic efficacy in adult patients of the intensive care unit [J].
Ge, Xin-Yu ;
Huang, Ying ;
Yan, Xiao-Di ;
Cheng, Wei .
INTERNATIONAL JOURNAL OF CLINICAL AND EXPERIMENTAL MEDICINE, 2017, 10 (02) :2016-2025
[22]   Patient experiences of an intensive care Liaison Nurse support service [J].
Sjostedt, Viktoria ;
Bladh, Anna ;
Chaboyer, Wendy ;
Johansson, Lotta .
INTENSIVE AND CRITICAL CARE NURSING, 2022, 71
[23]   "I will get out of this" - The patients' experiences of early mobilisation in intensive care. A hermeneutic study [J].
Soderberg, Annika ;
Thelandersson, Anneli ;
Olsen, Monika Fagevik ;
Karlsson, Veronika .
INTENSIVE AND CRITICAL CARE NURSING, 2025, 86
[24]   The creation of meaning - Intensive care nurses' experiences of conducting nurse-led follow-up on intensive care units [J].
Flinterud, Stine Irene ;
Moi, Asgjerd Litlere ;
Gjengedal, Eva ;
Grenager, Lisbet Narvestad ;
Muri, Anne-Kristine ;
Ellingsen, Sidsel .
INTENSIVE AND CRITICAL CARE NURSING, 2019, 53 :30-36
[25]   Family members' experiences in adult intensive care units: a systematic review [J].
Imanipour, Masoomeh ;
Kiwanuka, Frank ;
Rad, Sanaz Akhavan ;
Masaba, Ronald ;
Alemayehu, Yisak Hagos .
SCANDINAVIAN JOURNAL OF CARING SCIENCES, 2019, 33 (03) :569-581
[26]   Clinical Practice Guidelines for the Management of Pain, Agitation, and Delirium in Adult Patients in the Intensive Care Unit [J].
Barr, Juliana ;
Fraser, Gilles L. ;
Puntillo, Kathleen ;
Ely, E. Wesley ;
Gelinas, Celine ;
Dasta, Joseph F. ;
Davidson, Judy E. ;
Devlin, John W. ;
Kress, John P. ;
Davidson, Judy E. ;
Devlin, John W. ;
Kress, John P. ;
Joffe, Aaron M. ;
Coursin, Douglas B. ;
Herr, Daniel L. ;
Tung, Avery ;
Robinson, Bryce R. H. ;
Fontaine, Dorrie K. ;
Ramsay, Michael A. ;
Riker, Richard R. ;
Sessler, Curtis N. ;
Pun, Brenda ;
Skrobik, Yoanna ;
Jaeschke, Roman .
CRITICAL CARE MEDICINE, 2013, 41 (01) :263-306
[27]   Pulmonary artery catheters for adult patients in intensive care [J].
Rajaram, Sujanthy S. ;
Desai, Nayan K. ;
Kalra, Ankur ;
Gajera, Mithil ;
Cavanaugh, Susan K. ;
Brampton, William ;
Young, Duncan ;
Harvey, Sheila ;
Rowan, Kathy .
COCHRANE DATABASE OF SYSTEMATIC REVIEWS, 2013, (02)
[28]   The intensive care unit diary as a valuable care tool: A qualitative study of patients' experiences [J].
Calzari, Sergio ;
Villa, Michele ;
Mauro, Stefania ;
Mirto, Valentina ;
Bulloni, Patrizia ;
Zini, Piergiorgio ;
Deelen, Paula ;
Grassellini, Paola Rusca ;
Bernasconi, Stefano ;
Cassina, Tiziano .
INTENSIVE AND CRITICAL CARE NURSING, 2024, 80
[29]   The End-of-Life Care Experiences of Relatives of Brain Dead Intensive Care Patients [J].
Lloyd-Williams, Mari ;
Morton, Juliet ;
Peters, Sarah .
JOURNAL OF PAIN AND SYMPTOM MANAGEMENT, 2009, 37 (04) :659-664
[30]   End-of-life care provision: experiences of intensive care nurses in Iraq [J].
Rafii, Forough ;
Nasrabadi, Alireza Nikbakht ;
Karim, Muaf Abdulla .
NURSING IN CRITICAL CARE, 2016, 21 (02) :105-112