The Culture of Nurses in a Critical Care Unit

Overview

Journal Glob Qual Nurs Res

Publisher Sage Publications

Specialty Nursing

Date 2017 May 3

PMID 28462324

Citations 11

Authors

Suegnet Scholtz

Elsabe W Nel

Marie Poggenpoel

Chris P H Myburgh

Affiliations

Soon will be listed here.

Abstract

Critical care nurses have to adapt to a fast-paced and stressful environment by functioning within their own culture. The objective of this study was to explore and describe the culture of critical care nurses with the purpose of facilitating recognition of wholeness in critical care nurses. The study had a qualitative, exploratory, descriptive, and contextual design. The ethnographic study included data triangulation of field notes written during 12 months of ethnographic observations, 13 interviews from registered nurses, and three completed diaries. Coding and analysis of data revealed patterns of behavior and interaction. The culture of critical care nurses was identified through patterns of patient adoption, armor display, despondency because of the demands to adjust, sibling-like teamwork, and non-support from management and medical doctors. An understanding of the complexity of these patterns of behavior and interaction within the critical care nursing culture is essential for transformation in the practice of critical care nursing.

Citing Articles

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References

Cronqvist A, Theorell T, Burns T, Lutzen K . Caring about--caring for: moral obligations and work responsibilities in intensive care nursing. Nurs Ethics. 2004; 11(1):63-76. DOI: 10.1191/0969733004ne667oa. View

Schmalenberg C, Kramer M . Nurse-physician relationships in hospitals: 20,000 nurses tell their story. Crit Care Nurse. 2009; 29(1):74-83. DOI: 10.4037/ccn2009436. View

Comrie R . An analysis of undergraduate and graduate student nurses' moral sensitivity. Nurs Ethics. 2011; 19(1):116-27. DOI: 10.1177/0969733011411399. View

Price A . Caring and technology in an intensive care unit: an ethnographic study. Nurs Crit Care. 2013; 18(6):278-88. DOI: 10.1111/nicc.12032. View

Stievano A, De Marinis M, Russo M, Rocco G, Alvaro R . Professional dignity in nursing in clinical and community workplaces. Nurs Ethics. 2012; 19(3):341-56. DOI: 10.1177/0969733011414966. View

Vouzavali F, Papathanassoglou E, Karanikola M, Koutroubas A, Patiraki E, Papadatou D . 'The patient is my space': hermeneutic investigation of the nurse-patient relationship in critical care. Nurs Crit Care. 2011; 16(3):140-51. DOI: 10.1111/j.1478-5153.2011.00447.x. View

McGettrick K, ONeill M . Critical care nurses--perceptions of 12-h shifts. Nurs Crit Care. 2006; 11(4):188-97. DOI: 10.1111/j.1362-1017.2006.00171.x. View

Fry M . Literature review of the impact of nurse practitioners in critical care services. Nurs Crit Care. 2011; 16(2):58-66. DOI: 10.1111/j.1478-5153.2010.00437.x. View

Brunault P, Fouquereau E, Colombat P, Gillet N, El-Hage W, Camus V . Do transactive memory and participative teamwork improve nurses' quality of work life?. West J Nurs Res. 2013; 36(3):329-45. DOI: 10.1177/0193945913493015. View

10.

Hughes L . Bridging the gap between problem recognition and treatment: the use of proactive work behaviors by experienced critical care nurses. Policy Polit Nurs Pract. 2012; 13(1):54-63. DOI: 10.1177/1527154412443286. View

11.

Scribante J, Bhagwanjee S . National audit of critical care resources in South Africa - nursing profile. S Afr Med J. 2008; 97(12 Pt 3):1315-8. View

12.

Ulrich B, Woods D, Hart K, Lavandero R, Leggett J, Taylor D . Critical care nurses' work environments: value of excellence in Beacon units and Magnet organizations. Crit Care Nurse. 2007; 27(3):68-77. View

13.

Palda V, Bowman K, McLean R, Chapman M . "Futile" care: do we provide it? Why? A semistructured, Canada-wide survey of intensive care unit doctors and nurses. J Crit Care. 2005; 20(3):207-13. DOI: 10.1016/j.jcrc.2005.05.006. View

14.

Tschannen D, Kalisch B . The effect of variations in nurse staffing on patient length of stay in the acute care setting. West J Nurs Res. 2008; 31(2):153-70. DOI: 10.1177/0193945908321701. View

15.

Bray K, Wren I, Baldwin A, Ledger U, Gibson V, Goodman S . Standards for nurse staffing in critical care units determined by: The British Association of Critical Care Nurses, The Critical Care Networks National Nurse Leads, Royal College of Nursing Critical Care and In-flight Forum. Nurs Crit Care. 2010; 15(3):109-11. DOI: 10.1111/j.1478-5153.2010.00392.x. View

16.

Hickman Jr R, Daly B, Douglas S, Burant C . Evaluating the critical care family satisfaction survey for chronic critical illness. West J Nurs Res. 2011; 34(3):377-95. PMC: 4370175. DOI: 10.1177/0193945911402522. View

17.

McGibbon E, Peter E, Gallop R . An institutional ethnography of nurses' stress. Qual Health Res. 2010; 20(10):1353-78. DOI: 10.1177/1049732310375435. View

18.

Cobanoglu N, Algier L . A qualitative analysis of ethical problems experienced by physicians and nurses in intensive care units in Turkey. Nurs Ethics. 2004; 11(5):444-58. DOI: 10.1191/0969733004ne723oa. View

19.

Burston A, Tuckett A . Moral distress in nursing: contributing factors, outcomes and interventions. Nurs Ethics. 2013; 20(3):312-24. DOI: 10.1177/0969733012462049. View

20.

Wiegand D, Funk M . Consequences of clinical situations that cause critical care nurses to experience moral distress. Nurs Ethics. 2012; 19(4):479-87. DOI: 10.1177/0969733011429342. View