Negotiated mobilisation: An ethnographic exploration of nurse-patient interactions in an intensive care unit

Journal of Clinical Nursing
Eva LaerknerHelle Ploug Hansen

Abstract

To explore nurse-patient interactions in relation to the mobilisation of nonsedated and awake, mechanically ventilated patients in the intensive care unit. Lighter sedation has enabled the early mobilisation of mechanically ventilated patients, but little is known about the nurses' role and interaction with critically ill patients in relation to mobilisation. The study had a qualitative design using an ethnographic approach within the methodology of interpretive description. Data were generated in two intensive care units in Denmark, where a strategy of no sedation was applied. Participant observation was conducted during 58 nurse-patient interactions in relation to mobilisation between nurses (n = 44) and mechanically ventilated patients (n = 25). We conducted interviews with nurses (n = 16) and patients (n = 13) who had been mechanically ventilated for at least 3 days. The data were analysed using inductive, thematic analysis. The report of the study adhered to the COREQ checklist. We identified three themes: "Diverging perspectives on mobilisation" showed that nurses had a long-term and treatment-oriented perspective on mobilisation, while patients had a short-term perspective and regarded mobilisation as overwhelming in the...Continue Reading

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Oct 9, 2020·Medicine, Health Care, and Philosophy·S EllingsenR J T Sekse
Feb 28, 2021·Physiotherapy·Victoria A GoodwinSarah E Lamb
Jun 5, 2020·Patient Education and Counseling·Marte Marie Wallander KarlsenLena Günterberg Heyn

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