24-hour intensive care: an observational study of an environment and events

Intensive & Critical Care Nursing : the Official Journal of the British Association of Critical Care Nurses
Merja MeriläinenTero Ala-Kokko

Abstract

In intensive care, patients are exposed to a strange and sometimes hostile environment, which can lead to post-traumatic psychological problems. The aim of this study was to describe an intensive care environment from a patient point of view and the events and social contacts during a patient's day. The study had an observational qualitative design. The data were generated by recording on DVD four adult intensive care patients in an intensive care unit over one day (n=96 hours). The DVD recording of two patients also included daylight (lx) and decibel (db) measurement. The material was analysed by inductive and deductive content analysis. An intensive care patient environment is made up of physical, social and symbolic environments. The hospital, ward and patient room constitute an environment that is indirectly connected to the patient. The patient bed and all that is included in it are directly connected to the ICU patient's physical environment. The social environment includes the people who are near the patient and in direct or indirect contact with them. ICU norms, regulations, values, expectations and knowledge make up the symbolic environment. Taken together, these factors constitute an intensive care unit's way of actio...Continue Reading

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Citations

Dec 23, 2014·Nursing Research and Practice·Karin BöleniusUlla H Graneheim
Jun 4, 2013·Intensive & Critical Care Nursing : the Official Journal of the British Association of Critical Care Nurses·Sepideh OlaussonMargaretha Ekebergh
Jan 16, 2016·Journal of Clinical Nursing·Claire Minton, Lesley Batten
Dec 25, 2012·Enfermería intensiva·C A Gómez Sanz
Jun 5, 2012·Intensive & Critical Care Nursing : the Official Journal of the British Association of Critical Care Nurses·Veronika KarlssonIngegerd Bergbom
Jan 3, 2016·Asian Nursing Research·Özlem Aslan, Betül Tosun
Nov 11, 2015·Intensive & Critical Care Nursing : the Official Journal of the British Association of Critical Care Nurses·Jenny MylénCarina Berterö
Jul 29, 2015·Intensive & Critical Care Nursing : the Official Journal of the British Association of Critical Care Nurses·Marie EngwallBerit Lindahl
Jan 5, 2014·Journal of Advanced Nursing·Deene Mollon
Apr 15, 2015·International Journal of Nursing Studies·Amanda J UllmanAlastair M Hull
Aug 6, 2013·International Journal of Nursing Studies·Annelies WassenaarLisette Schoonhoven
Mar 8, 2017·Intensive & Critical Care Nursing : the Official Journal of the British Association of Critical Care Nurses·Marie EngwallBerit Lindahl
Dec 10, 2014·The Cochrane Database of Systematic Reviews·Amanda J UllmanAlastair M Hull
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May 13, 2020·Nursing in Critical Care·Fredrika SundbergIngemar Kåreholt
Jan 8, 2021·Applied Ergonomics·Sara Bayramzadeh, Parsa Aghaei
Aug 10, 2021·Journal of Patient Experience·Elizabeth R Lusczek, Melissa P Knauert

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