1,721,064 research outputs found
Att vaka en begreppsanalytisk studie To watch a study of the concept
No full textTo watch over a sick or dying person is a common phrase and phenomenon used both by relatives and hospital staff. The aim of this study was to analyse the concept of watch and it's meaning for caring in the context of intensive care. The study was conducted in two steps. First an etymological and semantic analysis was conducted, in the second step, 35 persons, including 19 registered nurses undergoing a specialist training program in critical care and 16 persons representing the public were asked to write down their personal opinions about the meaning of the concept. A synthesis of the semantic analysis and the empirical study was made and finally a tentative meaning of the concept was formulated. To watch (over someone) is to be present by a person's side with attention, in the purpose of protecting the loved one from danger and to assist and help in presence of illness and/or dying. The person who watches can do it day or night and be a next of kin or a nurse. To watch means to be emotionally involved and your own needs are put aside in favour of the concern and care for the ill or dying person. This abstract was translated into English by the publisher or author
Konsensusbegrepp som epistemologiska begrepp
No full textTeoretiska kunskaper är en bas för makt och vetenskapliga discipliners autonomi, men indirekt också för yrkesutövares autonomi. Därför är en begrepps- och teoriutveckling viktig, eftersom teorier och teoretiska resonemang bygger på ett begreppsliggörande av den verklighet som vårdandet är. Kommunikation och intradisciplinära diskussioner och debatter är viktiga för att ständigt utveckla disciplinens "eget språk". Det behöver inte betyda att det språk eller begrepp som används inte kan förstås av andra utanför disciplinen. Innehållet i något artikuleras genom begrepp, vilket betyder att om vårdandet skall kunna beskrivas måste begreppen innehålla det som vårdandet består av
Bringing research into a closed and protected place – the development and implementation of a complex clinical intervention project in an ICU.
No full textThis article reports a Swedish research project designed to study the impact of a cyclic light system,sound absorbents, and selected interior design changes in rooms within an intensive care unit.The authors describe the limitations of many previously reported intensive care unit (ICU) designresearch projects, and believe that much more knowledge is needed, which reflects a multidisciplinaryperspective. It is complicated to carry out intervention research in ICUs because of thecondition of patients, family presence, staffing, and other issues. A combination of methodologicalapproaches, close contact with the clinical field, secure funding, and clear communication withinthe multidisciplinary research team are of vital importance. The results from the authors’ initialevaluation process are reported including patient interviews and data from medical records. TheMedical Research Council’s guideline for design and evaluation of complex interventions directedthe actual project and forms the structure for this article. Key words: environment, experimentalstudy, intensive care, nursing intervention, researchEvidensbaserad vård inom intensivvård - en framtida utmanin
End-of-life care in intensive care units : family routines and environmental factors
No full textThe purpose of this study was to describe family care routines and to explore environmental factors when patients die in Swedish intensive care units (ICUs). The main research questions were: what are the physical environmental circumstances and facilities when caring for patients in end-of-life and are there any routines or guidelines when caring for dying patients and their families? A questionnaire was sent to 79 eligible Swedish ICUs in December 2003, addressed to the unit managers. The response rate was 94% (n = 74 units). The findings show that, despite recommendations highlighting the importance of privacy for dying ICU patients and their families, only 11% of the respondents stated that patients never died in shared rooms in their ICU. If a patient dies in a shared room, nurses strive to ensure a dignified goodbye by moving the body to an empty room or to one specially designated for this purpose. The majority (76%) of the units had waiting rooms within the ICU. The study also revealed that there is a need for improvements in the follow-up routines for bereaved families. Many units reported (51%) that they often or almost always offer a follow-up visit, although in most cases the bereaved family had to initiate the follow-up by contacting the ICU. Guidelines in the area of end-of-life care were used by 25% of the ICUs. Further research is necessary to acquire a deeper knowledge of the circumstances under which patients die in ICUs and what impact the ICU environment has on bereaved families.</p
Meanings of Being Critically Ill in a Sound-Intensive ICU Patient Room : A Phenomenological Hermeneutical Study
No full textThe aim of this study was to illuminate the meanings of being critically ill in a sound-intensive ICU patient room, as disclosed through patients’ narratives. Patient rooms in ICUs are filled with loud activity and studies have revealed sound levels comparable to those of a busy road above the patient’s head. There is a risk that the sound or noise is disturbing and at worst a major problem for the patient, but there is a lack of knowledge concerning the patients’ own experiences. Thirteen patients were asked to narrate their experiences of the sound environment in ICU patient rooms. The interviews were analyzed using a phenomenological- hermeneutical method inspired by the philosophy of Ricoeur. Six themes emerged from the analysis. Conclusion: The meanings of being a patient in a sound- intensive environment were interpreted as never knowing what to expect next regarding noise, but also of being situated in the middle of an uncontrollable barrage of noise, unable to take cover or disappear. This condition is not to be seen as static; for some patients there is movement and change over time. The meanings indicate that the unpredictable shifts between silence and disturbing sounds stress the critically ill patient and impede sleep and recovery. Our findings indicate the need to reduce disturbing and unexpected sounds and noise around critically ill patients in high-tech environments in order to facilitate wellbeing, sleep and recovery. Nurses have a vital role in developing such an environment.</p
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