A phenomenological study of experiences of being cared for in a critical care setting: The meanings of the patient room as a place of care

Olausson, Sepideh; Lindahl, Berit; Ekebergh, Margaretha

doi:10.1016/j.iccn.2013.02.002

Cited by 47 publications

(69 citation statements)

References 40 publications

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“…This is an important result. Our findings indicate a cycled light system in advantageous and that people continuously interact with their surrounding environment (Olausson et al, 2013;Rashid, 2006). Light is one important factor in this and our findings are meaningful, but more research needs to be done.…”

Section: Reflections On the Findingsmentioning

confidence: 71%

Lighting, sleep and circadian rhythm: An intervention study in the intensive care unit

Engwall

Fridh

Johansson

et al. 2015

Intensive and Critical Care Nursing

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113

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Patients in an intensive care unit (ICU) may risk disruption of their circadian rhythm. In an intervention research project a cycled lighting system was set up in an ICU room to support patients' circadian rhythm. Part I aimed to compare experiences of the lighting environment in two rooms with different lighting environments by lighting experiences questionnaire. The results indicated differences in advantage for the patients in the intervention room (n=48), in perception of daytime brightness (p=0.004). In nighttime, greater lighting variation (p=0.005) was found in the ordinary room (n=52). Part II aimed to describe experiences of lighting in the room equipped with the cycled lighting environment. Patients (n=19) were interviewed and the results were presented in categories: "A dynamic lighting environment", "Impact of lighting on patients' sleep", "The impact of lighting/lights on circadian rhythm" and "The lighting calms". Most had experiences from sleep disorders and half had nightmares/sights and circadian rhythm disruption. Nearly all were pleased with the cycled lighting environment, which together with daylight supported their circadian rhythm. In night's actual lighting levels helped patients and staff to connect which engendered feelings of calm.

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Section: Reflections On the Findingsmentioning

confidence: 71%

Lighting, sleep and circadian rhythm: An intervention study in the intensive care unit

Engwall

Fridh

Johansson

et al. 2015

Intensive and Critical Care Nursing

Self Cite

113

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“…The aim was to present an overall and qualitative description of experiences of the ICU patient room as lived by patients, their close ones, and staff. 10,19,38 The methodological approaches employed were phenomenology and phenomenological-hermeneutics. The data collection (ie, qualitative research interviews) 39 took place in the actual ICU and another 2 general ICUs in order to achieve a deeper understanding of place and place as lived when critical illness is involved.…”

Section: Developing the Intervention: Methodological Design And Implementioning

confidence: 99%

“…Patients who are critical ill and their loved ones are seen as vulnerable research subjects. 9,10 The planning and carrying out of a complex intervention in this context is challenging and demands a well-developed combination of experience in the field and competence among the research team. The first phase in the intervention process is preclinical, in that it has to do with the theoretical rationale for the study.…”

Section: Box 1 Mrc's Description Of the Definition Of The Term "Compmentioning

confidence: 99%

“…The present project focused on placeand space-sensitive issues 15 We also gathered knowledge about how staff, patients, and their close ones related dynamically to spaces and places. 10,19 We consider the meaning of the concept of place being related to location and spatiality, whereas space is related to how people experience the meaning of places that they inhabit. 20…”

Section: Health Geographymentioning

confidence: 99%

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Bringing Research Into a Closed and Protected Place

Lindahl

Bergbom

2015

Critical Care Nursing Quarterly

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This 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) design research projects, and believe that much more knowledge is needed, which reflects a multidisciplinary perspective. It is complicated to carry out intervention research in ICUs because of the condition of patients, family presence, staffing, and other issues. A combination of methodological approaches, close contact with the clinical field, secure funding, and clear communication within the multidisciplinary research team are of vital importance. The results from the authors' initial evaluation process are reported including patient interviews and data from medical records. The Medical Research Council's guideline for design and evaluation of complex interventions directed the actual project and forms the structure for this article.

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“…When patients are admitted to the ICU, they are likely to experience stress (Chamorro & Romera, 2015;Olausson, Lindahl, & Ekebergh, 2013) because of stress-inducing stimuli, such as the admission to a place which poses a vital threat and feeling close to death given the complexity of the health-disease process. In addition, the high degree of care instrumentalization, the more complex environment, the abundance of technological elements, the use of medication that may affect mental clarity and focus (Guttormson, 2014).…”

Section: Introductionmentioning

confidence: 99%

Stressors in patients admitted to adult intensive care units

Ruiz¹,

Consuegra²,

Ruiz³

2018

Rev. Enf. Ref.

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Background: Intensive care units (ICU) are stress-generating settings given the environment and the biomedical approach that is practiced there. Objectives: To identify the perception and level of stress that the situations that occur in the ICU generate on the patients and determine the sociodemographic characteristics influencing stress. Methodology: Observational, cross-sectional study with an analytical approach in which the Escala de Factores Estresantes Experimentados por los Pacientes en UCI was applied. Results: In this sample, 13% of respondents had a moderate or high level of stress. The most stressful situations included being concerned about their health and its consequences, not being able to go to the bathroom, not being able to fulfill their role in the family, not having control over their activities, and feeling pain. The analysis of the sociodemographic data showed that education (p = 0.028): basic (p = 0.028; OR = 16) and university (p = 0.027 ; OR = 17) influenced the level of stress. Conclusion: For most of the interviewees, ICU stay was not stressful or mildly stressful. The educational level predisposes to stress perception. The most stressful situations are emotional situations.

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A phenomenological study of experiences of being cared for in a critical care setting: The meanings of the patient room as a place of care

Cited by 47 publications

References 40 publications

Lighting, sleep and circadian rhythm: An intervention study in the intensive care unit

Lighting, sleep and circadian rhythm: An intervention study in the intensive care unit

Bringing Research Into a Closed and Protected Place

Stressors in patients admitted to adult intensive care units

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