Caught in an artificial split: A phenomenological study of being a caregiver in the technologically intense environment

Almerud, Sofia; Alapack, RJ; Fridlund, Bengt; Ekebergh, Margaretha

doi:10.1016/j.iccn.2007.08.003

Cited by 65 publications

(77 citation statements)

References 7 publications

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“…Although a CP can be seen as an alternative way of organizing care, it nonetheless incorporates a traditional approach to caring (Barker et al 1999;Rayner, 2005). The nurses' conceptions in the present study correspond with the holistic description of ICU-caring that is given in previous studies (Almerud et al 2007;Wilkin and Slevn, 2004). In contrast to concerns that are raised in literature about CPs representing a reductionist approach and having a potentially negative impact on care professionals' autonomy (Hunter and Segrott, 2008;Pinder et al 2005), the nurses conceived that caring, also when the CP is used, continues to be governed by clinical judgment and patient autonomy.…”

Section: Holistic Caresupporting

confidence: 71%

“…From the ICU-nurses' perspective, caring can be described as a process that combines emotions and professional knowledge, competence in technology, medical knowledge and nursing actions. Nurses must work to balance state-of-the-art technology with integrated and comprehensive care and harmonize objective signs with demands upon their subjectivity (Almerud et al 2007;Wilkin and Slevn, 2004).…”

Section: Introductionmentioning

confidence: 99%

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Intensive care nurses’ conceptions of a critical pathway in caring for aortic-surgery patients: A phenomenographic study

Bjurling-Sjöberg

Engström

Lyckner

et al. 2013

Intensive and Critical Care Nursing

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Intensive care nurses' conceptions of a critical pathway in caring for aortic-surgery patients: a phenomenographic study. Intensive & Critical SUMMARYThe aim of the present study was to identify and describe intensive care nurses' different conceptions of a critical pathway in caring for patients that have undergone aortic-surgery.Individual semi-structured interviews with eight specialist registered nurses at a Swedish intensive care unit were conducted and phenomenographically analysed. Three descriptive categories, with a total of five sub-categories, constituted the outcome-space of how the pathway was conceived of in caring: as a guide open to individual patients needs (clinical judgment governs caring and patient autonomy governs caring), as an instrument to promote patient safety (a source of knowledge, a planning tool and a reference standard) and as a source of support for professional confidence.In accordance with current literature, the nurses in the present study identified a number of advantages in applying the pathway in caring even if they were also conscious that the use of a pathway can give rise to unreflective standardization. The nurses' conceptions indicate that the pathway prescribed for managing patients who have undergone aortic surgery is supportive and facilitates patient safety without jeopardizing respect for the patient's individual care needs. This insight may be used to influence a thoughtful dialogue about the practice of pathways in intensive care.

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Section: Holistic Caresupporting

confidence: 71%

Section: Introductionmentioning

confidence: 99%

Intensive care nurses’ conceptions of a critical pathway in caring for aortic-surgery patients: A phenomenographic study

Bjurling-Sjöberg

Engström

Lyckner

et al. 2013

Intensive and Critical Care Nursing

View full text Add to dashboard Cite

show abstract

“…When one of the technological devices malfunctions, the nurse is ready to replace its' function quickly by hand, but in cases of patients' worries and emotional distresses the nurses are not ready to alleviate them by comforting touch or emotional support. In highly technological environments, there is no time or space for dealing with emotional needs of the patients [8]. Nurses' effort with the aim of mastering technology turns the patient to an object for observation, review, and control [9] and dehumanization of the patient occurs [10].…”

Section: Journal Of Intensive and Critical Carementioning

confidence: 99%

Meaning of Caring from Critical Care Nurses Perspective: A Phenomenological Study

Bagherian¹,

Sabzevari²,

Mirzaei³

et al. 2017

J Intensive Crit Care

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“…In contrast, it has been shown that a technologically advanced caring environment may contribute to objectification of patients and nursing care, which may deprive patients of dignified subjectivity and separate nurses from their mission to care. A symbolic relationship between the technological environment and caring has previously been identified in acute settings [25,26].…”

Section: Discussionmentioning

confidence: 99%

The Interaction Between the Patient and Nurse Anesthetist Immediately Before Elective Coronary Artery Bypass Surgery

Berg¹,

Kaspersen²,

Unby³

et al. 2013

Journal of PeriAnesthesia Nursing

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Establishing a purposive interaction with a patient who is in a vulnerable situation prior to coronary artery bypass graft (CABG) surgery poses a challenge for the nurse anesthetist. The aim of this study was to identify and describe the interaction between the patient and nurse anesthetist immediately prior to elective CABG surgery. An observational study including 11 situations where the patient and the nurse anesthetist interacted was performed. A theoretical selection of patients and nurse anesthetists was made and data were analyzed using constant comparative method. The core category, Reassurance, emerged from the categories Continuity, Confirmation and Control. Continuity was characterized by expedient anesthesia nursing of high quality, Confirmation was related to communication in a trusting atmosphere and Control was associated with skilled nursing interventions in the thoracic operating theatre.In conclusion, reassurance can be achieved through a well-structured anesthesia nursing performance at the thoracic operating theatre, and by focusing on the patient and continuously giving him/her information during the preoperative preparation.

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Caught in an artificial split: A phenomenological study of being a caregiver in the technologically intense environment

Cited by 65 publications

References 7 publications

Intensive care nurses’ conceptions of a critical pathway in caring for aortic-surgery patients: A phenomenographic study

Intensive care nurses’ conceptions of a critical pathway in caring for aortic-surgery patients: A phenomenographic study

Meaning of Caring from Critical Care Nurses Perspective: A Phenomenological Study

The Interaction Between the Patient and Nurse Anesthetist Immediately Before Elective Coronary Artery Bypass Surgery

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