Paradoxical Perception of Humanistic Care in the Intensive Care Unit: A Qualitative Study

Overview

Journal Nurs Open

Specialty Nursing

Date 2022 Sep 30

PMID 36177853

Authors

Fateme Hasandoost

Eesa Mohammadi

Mojgan Khademi

Mahyar Seddighi

Affiliations

Soon will be listed here.

Abstract

Aim: The aim of this study was to explore the perceptions of nurses, patients and attendants of humanistic care in the intensive care unit.

Design: The present study was a qualitative conventional content analysis conducted in the intensive care unit in a hospital in Iran, in 2019.

Methods: Data were collected using semi-structured interviews and field notes through purposive sampling with 17 nurses who worked in an adult ICU in a teaching hospital, 4 attendants and 4 alert patients, and then analysed using the Elo-Kyngäs method in 2008.

Results: Analysis of the data led to the extraction of Four main themes as follows: (1) Insufficient understanding of nurses and patients' families of each other's roles, needs and expectations; (2) The use of personal and situational reasoning rather than ethical principles; (3) Caring stagnation; and (4) Satisfaction with care.

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References

Elo S, Kyngas H . The qualitative content analysis process. J Adv Nurs. 2008; 62(1):107-15. DOI: 10.1111/j.1365-2648.2007.04569.x. View

Falco-Pegueroles A, Lluch-Canut M, Martinez-Estalella G, Zabalegui-Yarnoz A, Delgado-Hito P, Via-Clavero G . Levels of exposure to ethical conflict in the ICU: Correlation between sociodemographic variables and the clinical environment. Intensive Crit Care Nurs. 2016; 33:12-20. DOI: 10.1016/j.iccn.2015.10.004. View

Ryan F, Coughlan M, Cronin P . Step-by-step guide to critiquing research. Part 2: Qualitative research. Br J Nurs. 2007; 16(12):738-44. DOI: 10.12968/bjon.2007.16.12.23726. View

Khademi M, Mohammadi E, Vanaki Z . A grounded theory of humanistic nursing in acute care work environments. Nurs Ethics. 2016; 24(8):908-921. DOI: 10.1177/0969733016638140. View

Beltran Salazar O . Impersonal Care or Humanized Care:a Decision Made by Nurses? Hourglass Model. Invest Educ Enferm. 2018; 34(3):444-455. DOI: 10.17533/udea.iee.v34n3a03. View

Sueiras P, Romano-Betech V, Vergil-Salgado A, de Hoyos A, Quintana-Vargas S, Ruddick W . Today´s medical self and the other: Challenges and evolving solutions for enhanced humanization and quality of care. PLoS One. 2017; 12(7):e0181514. PMC: 5536364. DOI: 10.1371/journal.pone.0181514. View

Laerkner E, Egerod I, Hansen H . Nurses' experiences of caring for critically ill, non-sedated, mechanically ventilated patients in the Intensive Care Unit: a qualitative study. Intensive Crit Care Nurs. 2015; 31(4):196-204. DOI: 10.1016/j.iccn.2015.01.005. View

Luiz F, Caregnato R, Costa M . Humanization in the Intensive Care: perception of family and healthcare professionals. Rev Bras Enferm. 2017; 70(5):1040-1047. DOI: 10.1590/0034-7167-2016-0281. View

. Essentials of nursing research: methods, appraisal, and utilization Denise F Polit Essentials of nursing research: methods, appraisal, and utilization , Cheryl Tatano Beck Lipincott Williams and Wilkins 554 £24.95 0781749727 0781749727 [Formula: see.... Nurse Res. 2016; 13(4):91-92. DOI: 10.7748/nr.13.4.91.s11. View

10.

Stayt L, Seers K, Tutton E . Patients' experiences of technology and care in adult intensive care. J Adv Nurs. 2015; 71(9):2051-61. DOI: 10.1111/jan.12664. View

11.

Almerud S, Alapack R, Fridlund B, Ekebergh M . Beleaguered by technology: care in technologically intense environments. Nurs Philos. 2007; 9(1):55-61. DOI: 10.1111/j.1466-769X.2007.00332.x. View

12.

Khademi M, Mohammadi E, Vanaki Z . On the violation of hospitalized patients' rights: A qualitative study. Nurs Ethics. 2017; 26(2):576-586. DOI: 10.1177/0969733017709334. View

13.

Arman M, Rehnsfeldt A, Lindholm L, Hamrin E, Eriksson K . Suffering related to health care: a study of breast cancer patients' experiences. Int J Nurs Pract. 2004; 10(6):248-56. DOI: 10.1111/j.1440-172x.2004.00491.x. View

14.

Salmani F, Mohammadi E, Rezvani M, Kazemnezhad A . The effects of family-centered affective stimulation on brain-injured comatose patients' level of consciousness: A randomized controlled trial. Int J Nurs Stud. 2017; 74:44-52. DOI: 10.1016/j.ijnurstu.2017.05.014. View

15.

McGrath M . The challenges of caring in a technological environment: critical care nurses' experiences. J Clin Nurs. 2008; 17(8):1096-104. DOI: 10.1111/j.1365-2702.2007.02050.x. View

16.

Abbasi M, Mohammadi E, Sheaykh Rezayi A . Effect of a regular family visiting program as an affective, auditory, and tactile stimulation on the consciousness level of comatose patients with a head injury. Jpn J Nurs Sci. 2009; 6(1):21-6. DOI: 10.1111/j.1742-7924.2009.00117.x. View

17.

Lee Roze des Ordons A, de Groot J, Rosenal T, Viceer N, Nixon L . How clinicians integrate humanism in their clinical workplace-'Just trying to put myself in their human being shoes'. Perspect Med Educ. 2018; 7(5):318-324. PMC: 6191400. DOI: 10.1007/s40037-018-0455-4. View

18.

Bagherian B, Sabzevari S, Mirzaei T, Ravari A . Effects of technology on nursing care and caring attributes of a sample of Iranian critical care nurses. Intensive Crit Care Nurs. 2017; 39:18-27. DOI: 10.1016/j.iccn.2016.08.011. View

19.

de la Fuente-Martos C, Rojas-Amezcua M, Gomez-Espejo M, Lara-Aguayo P, Moran-Fernandez E, Aguilar-Alonso E . Humanization in healthcare arises from the need for a holistic approach to illness. Med Intensiva (Engl Ed). 2017; 42(2):99-109. DOI: 10.1016/j.medin.2017.08.002. View

20.

Davidson J, Aslakson R, Long A, Puntillo K, Kross E, Hart J . Guidelines for Family-Centered Care in the Neonatal, Pediatric, and Adult ICU. Crit Care Med. 2016; 45(1):103-128. DOI: 10.1097/CCM.0000000000002169. View